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What Works and What Doesn’t in Reducing Recidivism: Understanding
the Principle of Effective Interventions
Presented by:
Edward J. Latessa, Ph.D.
School of Criminal Justice
University of Cincinnati
www.uc.edu/criminaljustice
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Evidence Based – What does it mean?
There are different forms of evidence:
– The lowest form is anecdotal evidence;
stories, opinions, testimonials, case studies,
etc - but it often makes us feel good
– The highest form is empirical evidence –
research, data, results from controlled
studies, etc. - but sometimes it doesn’t make us feel good
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Evidence Based Practice is:
1.Easier to think of as Evidence Based Decision
Making
2. Involves several steps and encourages the use
of validated tools and treatments.
3. Not just about the tools you have but also how
you use them
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Evidence-Based Decision Making Requires
1.Assessment information - Valid and reliable offenders assessment process
- Assessment of programs and practices
2.Relevant research - Consult research
- Design and fund programs that are based on empirical evidence
- Use existing resources (i.e., Crimesolutions.gov)
3.Available programming - To reduce risk
- Improve existing programs
- Develop new programs
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Evidence-Based Decision Making Requires:
4. Evaluation
- Offenders
- Quality assurance processes
- Performance measures
- Data
5. Professionalism and knowledge from staff
- Understand EBP
- Trained, coached, and skilled
- Commitment
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What does the Research tell us?
There is often a Misapplication of Research: “XXX
Study Says”
- the problem is if you believe every study we wouldn’t eat anything (but we would drink a lot of red wine!)
• Looking at one study can be a mistake
• Need to examine a body of research
• So, what does the body of knowledge about correctional interventions tell us?
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FROM THE EARLIEST REVIEWS:
• Not a single reviewer of studies of the effects of official punishment alone (custody, mandatory arrests, increased surveillance, etc.) has found consistent evidence of reduced recidivism.
• At least 40% and up to 60% of the studies of correctional treatment services reported reduced recidivism rates relative to various comparison conditions, in every published review.
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Results from Meta Analysis: Criminal Sanctions versus Treatment
-0.1
-0.05
0
0.05
0.1
0.15
0.2
-0.07
0.15
Reduced
Recidivism
Increased
Recidivism
CS -.07 (Number of Studies=30) Treatment .15 (Number of Studies=124)
Mean Phi
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Criminal Sanctions vs. Treatment for Youthful Offenders
Source: Dowden and Andrews (1999), What Works in Young Offender Treatment: A Meta Analysis. Forum on Correctional Research.
Criminal Sanctions Treatment
0
0.02
0.04
0.06
0.08
0.1
0.12
0.14
-0.02
-0.04
Yes -0.02 0.13
Number of studies=54 Number of studies=175
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People Who Appear to be
Resistant to Punishment
• Psychopathic risk takers
• Those under the influence of a substance
• Those with a history of being punished
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A Large Body of Research Has
Indicated…. ….that correctional services and interventions can be
effective in reducing recidivism for offenders, however, not all programs are equally effective
• The most effective programs are based on some principles of effective interventions
• Risk (Who)
• Need (What)
• Treatment (How)
• Program Integrity (How Well)
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Let’s Start with the Risk Principle
Risk refers to risk of reoffending and
not the seriousness of the offense.
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Risk Principle
As a general rule treatment effects are stronger if
we target higher risk offenders, and harm can be
done to low risk offenders
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Risk Level by Recidivism for the Community
Supervision Sample
9.1
34.3
58.9
69.2
0
10
20
30
40
50
60
70
80Low Risk Medium Risk High Risk Very High Risk
Pe
rce
nt w
ith
Ne
w A
rre
st
Low 0-14 Medium = 15-23 High = 24-33 Very High 34+
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There are Three Elements to the Risk Principle
1. Target those offenders with higher probability of recidivism
2. Provide most intensive treatment to higher risk offenders
3. Intensive treatment for lower risk offender can increase recidivism
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#1: Targeting Higher Risk Offenders
• It is important to understand that even with EBP there will be failures.
• Even if you reduce recidivism rates you will still have high percentage of failures
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Example of Targeting Higher Risk Offenders
• If you have 100 High risk offenders
about 60% will fail
• If you put them in well designed EBP for
sufficient duration you may reduce failure rate to 40%
• If you have 100 low risk offenders about
10% will fail
• If you put them in same program failure
rate will be 20%
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Targeting Higher Risk Offenders
continued:
• In the end, who had the lower recidivism rate?
• Mistake we make is comparing high risk
to low risk rather than look for treatment effects
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#2: Provide Most Intensive
Interventions to Higher Risk Offenders
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The question is: What does more
“intensive” treatment mean in practice? • Most studies show that the longer
someone is in treatment the great the effects, however:
• Effects tend to diminish if treatment goes
too long
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Results from a 2010 Study (Latessa, Sperber, and Makarios) of 689 offenders
• 100-bed secure residential facility for adult male offenders
• Cognitive-behavioral treatment modality
• Average age 33
• 60% single, never married
• 43% less than high school education
• 80% moderate risk or higher
• 88% have probability of substance abuse per SASSI
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2010 Dosage Study of 689 Offenders
Sperber,, Latessa & Makarios (2013). Examining the Interaction between Level of Risk and Dosage of
Treatment. Criminal Justice and Behavior, 40(3).
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Results from 2014 Study
• We expanded sample
• Hours examined by increments of 50
• Looked at low/moderate, moderate, and high
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2014 Dosage Study involving 903 offenders
Makarios, Sperber, & Latessa (2014). Treatment Dosage and the Risk Principle: A Refinement and Extension. Journal
of Offender Rehabilitation. 53:334-350.
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Provide Most Intensive Interventions to
Higher Risk Offenders
• Higher risk offenders will require much higher dosage of treatment
– Rule of thumb: 100-150 hours for moderate risk
– 200+ hours for high risk
– 100 hours for high risk will have little effect
– Does not include work/school and other
activities that are not directly addressing
criminogenic risk factors
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#3: Intensive Treatment for Low Risk Offenders will Often Increase Failure Rates
• Low risk offenders will learn anti social behavior from higher risk
• Disrupts pro-social networks
• Increased reporting/surveillance leads to more violations/revocations
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The Risk Principle & Correctional Intervention Results from Meta Analysis
-4
19
-5
0
5
10
15
20
25
High Risk Low Risk
Ch
an
ge I
n R
ecid
ivis
m R
ate
s
Dowden & Andrews, 1999
Reduced
Recidivism
Increased Recidivism
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Study of Intensive Rehabilitation Supervision in Canada
0
10
20
30
40
50
60
High Risk 31.6 51.1
Low Risk 32.3 14.5
Treatment Non-Treatment
Bonta, J et al., 2000. A Quasi-Experimental Evaluation of an Intensive Rehabilitation Supervision Program., Vol. 27 No 3:312-329. Criminal Justice and
Behavior
Recidivism
Rates
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2002 STUDY OF COMMUNITY CORRECTIONAL PROGRAMS IN OHIO
• Largest study of community based correctional treatment facilities ever done up to that time.
• Total of 13,221 offenders – 37 Halfway Houses and 15 Community Based Correctional Facilities (CBCFs) were included in the study.
• Two-year follow-up conducted on all offenders
• Recidivism measures included new arrests & incarceration in a state penal institution
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Increased
Recidivism
Reduced Recidivism
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Treatment Effects For High Risk Offenders
-34
-18
-15 -14
-6 -5
-2 -2
2 3 3 35 6 7 8 8 9 10 10
12 12 12 13 13 1315
21 2224 25
27
3032
34
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Alternative A
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all
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it County
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Com
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2010 STUDY OF COMMUNITY CORRECTIONAL PROGRAMS IN OHIO
• Over 20,000 offenders – 44 Halfway Houses and 20 Community Based Correctional Facilities (CBCFs) were included in the study.
• Two-year follow-up conducted on all offenders
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Treatment Effects for Low Risk
-60
-50
-40
-30
-20
-10
0
10
20
30
40
50
60
Har
bor
Lig
ht-
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Treatment Effects for High Risk
-60
-50
-40
-30
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0
10
20
30
40
50
60
AH
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Risk Level by New Commitment or New
Adjudication: Results from 20013 Ohio Study of
over 10,000 Youth
7
14
37
20
37
57
24
43
59
0
10
20
30
40
50
60
70
Low Moderate High
Community Residential Institution
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Recidivism Rates by Total Months in Programs
5.1
10.3
42.2
8.6
12.5
37.6
12.5
19
34.5
0
5
10
15
20
25
30
35
40
45
Low Moderate High
0-3 months 4-12 months 13+ months
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Findings from Ohio Study
• Recidivism rates for low risk youth served in the
community were 2 to 4 times lower than those served
in Residential or Institutional facilities
• We also found that placing low risk youth in
Substance Abuse programs significantly increased
their recidivism rates.
• High risk youth were more successful when they
received a higher dosage of treatment (programming
for 13 months or more).
• Lower and moderate risk youth did better with lower
dosage programs.
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To understand the Need Principle we need to review the body of knowledge related to
risk factors
What are the risk factors correlated with
criminal conduct?
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Major Set of Risk/Need Factors
1. Antisocial/procriminal attitudes, values, beliefs and cognitive-emotional states
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Cognitive Emotional States
• Rage
• Anger
• Defiance
• Criminal Identity
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Identifying Procriminal Attitudes, Values & Beliefs
What to listen for:
• Negative expression about the law
• Negative expression about conventional institutions, values, rules, & procedures; including authority
• Negative expressions about self-management of behavior; including problem solving ability
• Negative attitudes toward self and one’s ability to achieve through conventional means
• Lack of empathy and sensitivity toward others
Procriminal sentiments are what people think, not how people think; they
comprise the content of thought, not the skills of thinking.
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Neutralization & Minimizations
Neutralization Techniques include:
• Denial of Responsibility: Criminal acts are due to factors beyond the control of the individual, thus, the individual is guilt free to act.
• Denial of Injury: Admits responsibility for the act, but minimizes the extent of harm or denies any harm
• Denial of the Victim: Reverses the role of offender & victim & blames the victim
• “System Bashing”: Those who disapprove of the offender’s acts are defined as immoral, hypocritical, or criminal themselves.
• Appeal to Higher Loyalties: “Live by a different code” – the demands of larger society are sacrificed for the demands of more immediate loyalties.
(Sykes and Maltz, 1957)
Offenders often neutralize their behavior. Neutralizations are a set of verbalizations
which function to say that in particular situations, it is “OK” to violate the law
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Major set Risk/needs continued:
2. Procriminal associates and isolation from prosocial others
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Reducing Negative Peer Associations
Restrict associates Set and enforce curfews Ban hangouts, etc. Teach offender to recognize & avoid negative
influences (people, places, things) Practice new skills (like being assertive instead of
passive) Teach how to maintain relationships w/o getting
into trouble Identify or develop positive associations: mentors,
family, friends, teachers, employer, etc. Train family and friends to assist offender Set goal of one new friend (positive association)
per month Develop sober/prosocial leisure activities
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Major set Risk/Needs continued:
3. Temperamental & anti social personality pattern conducive to criminal activity including:
– Weak Socialization
– Impulsivity
– Adventurous
– Pleasure seeking
– Restless Aggressive
– Egocentrism
– Below Average Verbal intelligence
– A Taste For Risk
– Weak Problem-Solving/lack of Coping & Self-Regulation Skills
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Major set of Risk/Need factors continued:
4. A history of antisocial behavior: – Evident from a young age
– In a variety of settings
– Involving a number and variety of different
acts
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Major set of Risk/Needs Continued:
5. Family factors that include criminality and a variety of psychological problems in the family of origin including:
– Low levels of affection, caring and
cohesiveness
– Poor parental supervision and discipline
practices
– Out right neglect and abuse
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Major set of Risk/Needs continued:
6. Low levels of personal educational,
vocational or financial achievement
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Leisure and/or recreation
7. Low levels of involvement in prosocial leisure activities
–Allows for interaction with antisocial
peers
–Allows for offenders to have idle time
–Offenders replace prosocial behavior
with antisocial behavior
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Substance Abuse
8. Abuse of alcohol and/or drugs
–It is illegal itself (drugs)
–Engages with antisocial others
–Impacts social skills
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Major Risk and/or Need Factor and Promising
Intermediate Targets for Reduced Recidivism Factor Risk Dynamic Need
History of Antisocial Early & continued Build noncriminal
Behavior involvement in a number alternative behaviors
antisocial acts in risky situations
Antisocial personality Adventurous, pleasure Build problem-solving, self-
seeking, weak self management, anger mgt &
control, restlessly aggressive coping skills
Antisocial cognition Attitudes, values, beliefs Reduce antisocial cognition,
& rationalizations recognize risky thinking &
supportive of crime, feelings, build up alternative
cognitive emotional states less risky thinking & feelings
of anger, resentment, & Adopt a reform and/or
defiance anticriminal identity
Antisocial associates Close association with Reduce association w/
criminals & relative isolation criminals, enhance
from prosocial people association w/ prosocial people
Adopted from Andrews, D.A. et al, (2006). The Recent Past and Near Future of Risk and/or Need Assessment. Crime and Delinquency, 52 (1).
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Major Risk and/or Need Factor and Promising
Intermediate Targets for Reduced Recidivism
Factor Risk Dynamic Need
Family and/or marital Two key elements are Reduce conflict, build nurturance and/or caring positive relationships,
better monitoring and/or communication, enhance
supervision monitoring & supervision
School and/or work Low levels of performance Enhance performance, & satisfaction rewards, & satisfaction
Leisure and/or recreation Low levels of involvement Enhance involvement
& satisfaction in anti- & satisfaction in prosocial
criminal leisure activities activities
Substance Abuse Abuse of alcohol and/or Reduce SA, reduce the
drugs personal & interpersonal
supports for SA behavior,
enhance alternatives to SA
Adopted from Andrews, D.A. et al, (2006). The Recent Past and Near Future of Risk and/or Need Assessment. Crime and Delinquency, 52 (1).
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Study by Bucklen and Zajac of parole
violators in Pennsylvania found a
number of criminogenic factors
related to failure*
Bucklen, B., & Zajac, G. (2009). But some of them don’t come back (to prison!): Resource deprivation and thinking errors as determinants of parole success and failure. The Prison Journal. 89: 239–264.
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Pennsylvania Parole Study
Social Network and Living Arrangements
Violators Were:
• More likely to hang around with individuals with criminal backgrounds
• Less likely to live with a spouse
• Less likely to be in a stable supportive
relationship
• Less likely to identify someone in their life who served in a mentoring capacity
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Pennsylvania Parole Study
Employment & Financial Situation
Violators were:
• Less likely to have job stability
• Less likely to be satisfied with employment
• Less likely to take low end jobs and work up
• More likely to have negative attitudes toward employment
& unrealistic job expectations
• Less likely to have a bank account
• More likely to report that they were “barely making it” (yet success group reported over double median debt)
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Pennsylvania Parole Study
Alcohol or Drug Use Violators were:
• More likely to report use of alcohol or drugs while on parole (but no difference in
prior assessment of dependency problem)
• Poor management of stress was a primary contributing factor to relapse
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Pennsylvania Parole Study
Life on Parole - Violators were:
• Had poor problem solving or coping skills
• Did not anticipate long term consequences of behavior
• Failed to utilize resources to help themselves
• Acted impulsively to immediate situations
• Felt they were not in control
• More likely to maintain anti-social attitudes
• Viewed violations as an acceptable option to situation
• Maintained general lack of empathy
• Shifted blame or denied responsibility
• Had unrealistic expectations about what life would be like
outside of prison
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Pennsylvania Parole Violator
Study:
• Successes and failures did not differ in difficulty in finding a place to live after release
• Successes & failures equally likely to
report eventually obtaining a job
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Need Principle By assessing and targeting criminogenic needs for change,
agencies can reduce the probability of recidivism
Criminogenic
• Anti social attitudes
• Anti social friends
• Substance abuse
• Lack of empathy
• Impulsive behavior
Non-Criminogenic
• Anxiety
• Low self esteem
• Creative abilities
• Medical needs
• Physical conditioning
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Needs Targeted & Correlation w ith Effect Size for Youthful Offenders
Source: Dowden and Andrews, (1999). What Works in Young Offender Treatment: A Meta Analysis. Forum on Correctional Research. Correctional Services of Canada
Fe
ar o
f Pu
nis
hm
ent
Bo
nd
An
ti So
cia
l Pe
ers
Ta
rget S
elf-E
ste
em
Va
gu
e E
motio
na
l Pro
ble
ms
Re
sp
ect A
nti S
ocia
l Th
inkin
g
Ph
ysic
al A
ctiv
ity
Crim
inog
en
ic N
eed
s
0
0.1
0.2
0.3
0.4
-0.1
-0.2
Effect Size -0.18 -0.12 -0.09 -0.06 -0.05 -0.03 0.36
Reduced Recidivism
Increased Recidivism
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Targeting Criminogenic Need: Results from Meta-Analyses
-0.05
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
Target 1-3 more non-
criminogenic needs
Target at least 4-6 more
criminogenic needs
Reduction in Recidivism
Increase in Recidivism
Source: Gendreau, P., French, S.A., and A.Taylor (2002). What Works (What Doesn’t Work) Revised 2002. Invited Submission to the International Community
Corrections Association Monograph Series Project
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Criminal Thinking and Mental Illness* Morgan, Fisher, Duan, Mandracchia, and Murray (2010) studied 414 adult offenders with mental illness (265 males, 149 females) and found:
• 66% had belief systems supportive of criminal life style (based on Psychological Inventory of Criminal Thinking Scale (PICTS)
• When compare to other offender samples, male offenders with MI scored similar or higher than non-mentally disordered offenders.
• On Criminal Sentiments Scale-Revised, 85% of men and 72% of women with MI had antisocial attitudes, values and beliefs – which was
higher than incarcerated sample without MI.
See: Prevalence of Criminal Thinking among State Prison Inmates with Serious Mental Illness. Law and Human Behavior
34:324-336, and Center for Behavioral Health Services Criminal Justice Research Policy Brief, April 2010. Rutgers University.
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Conclusion
• Criminal Thinking styles differentiate people who
commit crimes from those who do not
independent of mental illness
• Incarcerated persons with mental illness are
often mentally ill and criminal
• Needs to be treated as co-occurring problems
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Assessment is the engine that drives
effective correctional programs
• Need to meet the risk and need principle
• Reduces bias
• Aids decision making
• Allows you to target dynamic risk factors and measure change
• Best risk assessment method is the actuarial (statistical) approach
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To Understand Assessment it is
Important to Understand Types of Risk
Factors
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Dynamic and Static Factors
• Static Factors are those factors that are related to risk and do not change. Some examples might be number of prior offenses, whether an offender has ever had a drug/alcohol problem.
• Dynamic factors relate to risk and can change. Some examples are whether an offender is currently unemployed or currently has a drug/alcohol problem.
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According to the American Heart Association, there are a number of risk factors that increase your chances of a first heart attack
Family history of heart attacks
Gender (males)
Age (over 50)
Inactive lifestyle
Over weight
High blood pressure
Smoking
High Cholesterol level
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There are two types of dynamic risk factors • Acute – Can change quickly
• Stable – Take longer to change
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The Treatment (Responsivity) Principle
• General
– Most offenders respond to programs that are
based on cognitive behavioral/social learning
theories
• Specific
– Offenders learn differently and have certain
barriers that should be addressed so that they
are more likely to succeed in programs
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Specific Responsivity
What gets in the way of offenders
benefiting from treatment?
– Must take individual learning styles into
account
– Must consider possible barriers to
interventions
– Assessment and addressing responsivity
factors can be important to maximize
benefits of treatment
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Responsivity areas to assess can include:
• Motivation to change
• Anxiety/psychopathy
• Levels of psychological development
• Maturity
• Cognitive functioning
• Mental disorders
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Prioritizing Interventions: What to
Change and Why
• Criminogenic targets – reduce risk for recidivism
• Non-criminogenic targets (such as responsivity) – may reduce barriers but
NOT risk
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Treatment Principle
(General Responsivity) The most effective interventions are behavioral:
• Focus on current factors that influence
behavior
• Action oriented
• Staff follow “core correctional practices”
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Results from Meta Analysis: Behavioral vs. NonBehavioral
0.07
0.29
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
Nonbehavioral (N=83) Behavioral (N=41)
Reduced Recidivism
Andrews, D.A. 1994. An Overview of Treatment Effectiveness. Research and Clinical Principles, Department of Psychology, Carleton University. The N refers to the number of studies.
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Type of Treatment and Effect Sizes for Youthful Offenders
Source: Dowden and Andrews (1999), What Works in Young Offender Treatment: A Meta Analysis. Forum on Correctional Research.
Non-Behavioral Behavioral
0
0.05
0.1
0.15
0.2
0.25
Effect Size 0.04 0.24
Reductions in
Recidivism
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Core Correctional Practices
1. Effective Reinforcement
2. Effective Disapproval
3. Effective Use of Authority
4. Quality Interpersonal Relationships
5. Cognitive Restructuring
6. Anti-criminal Modeling
7. Structured Learning/Skill Building
8. Problem Solving Techniques
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Core Correctional Practices and Recidivism
Effect Size
Gendreau (2003). Invited Address. APA Annual Conference. Toronto.
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
1:10 1:08 1:06 1:04 1:02 2:01 4:01 6:01 8:01 10:01
Pro
bab
ilit
y o
f IS
P S
ucc
ess
Ratio of Rewards to Punishments
Ratio of Rewards to Punishments and Probability of Success on Intensive Supervision
Widahl, E. J., Garland, B. Culhane, S. E., and McCarty, W.P. (2011). Utilizing Behavioral Interventions to Improve Supervision
Outcomes in Community-Based Corrections. Criminal Justice and Behavior, 38 (4).
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List of Rewards and Sanctions Sanctions
• Verbal reprimand
• Written assignment
• Modify curfew hours
• Community service hours
• Restrict visitation
• Program extension or regression
• Electronic Monitoring
• Inpatient or outpatient txt
• Detention time
Rewards
• Verbal praise and reinforcement
• Remove from EM
• Level advancement
• Increased personal time
• Approved special activity
• Fees reduced
• Approve of extend special visitation
Widahl, E. J., Garland, B. Culhane, S. E., and McCarty, W.P. (2011). Utilizing Behavioral Interventions to Improve Supervision
Outcomes in Community-Based Corrections. Criminal Justice and Behavior, 38 (4).
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Sanction Type by Offender Compliance
Wadahl, Boman and Garland (2015) examined 283
offenders on ISP and looked at the effectiveness of
jail time versus community-based sanctions.
Widahl, E. J.,Boman, J. H. and Garland, B. E.. (2015). Responding to Probation and Parole Violations: Are Jail Sanctions
more Effective than Community-based Graduated Sanctions? Journal of Criminal Justice,43:243-250.
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List of Sanctions
Verbal reprimand
Written assignment
Modify curfew hours
Community service hours
Restrict visitation
Program extension or regression
Electronic Monitoring
Inpatient or outpatient txt
County jail time
Widahl, E. J.,Boman, J. H. and Garland, B. E.. (2015). Responding to Probation and Parole Violations: Are Jail Sanctions more
Effective than Community-based Graduated Sanctions? Journal of Criminal Justice,43:243-250.
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They found Jail Time:
• Was not related to number of days until the
next violation
• Did not increase or decrease the number of
subsequent violations
• Receiving jail time as a sanction as opposed to
a community-based sanction did not influence
successful completion of supervision
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Most Effective Behavioral Models
• Structured social learning where new skills and behaviors are modeled
• Family based approaches that train family on appropriate techniques
• Cognitive behavioral approaches that
target criminogenic risk factors
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Social Learning
Refers to several processes through which individuals acquire attitudes, behavior, or knowledge from the persons around them. Both modeling and instrumental conditioning
appear to play a role in such learning
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Some Family Based Interventions
• Designed to train family on behavioral approaches
– Functional Family Therapy
– Multi-Systemic Therapy
– Teaching Family Model
– Strengthening Families Program
– Common Sense Parenting
– Parenting Wisely
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Effectiveness of Family Based Intervention:
Results from Meta Analysis
• 38 primary studies with 53 effect tests
• Average reduction in recidivism= 21%
However, much variability was present
(-0.17 - +0.83) Dowden & Andrews, 2003
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Mean Effect Sizes: Whether or not the family intervention adheres to the
principles
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
Risk Need Treatment
Yes
No
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The Four Principles of Cognitive Intervention
1. Thinking affects behavior
2. Antisocial, distorted, unproductive irrational thinking can lead to antisocial and unproductive behavior
3. Thinking can be influenced
4. We can change how we feel and behave by changing what we think
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Recent Meta-Analysis of Cognitive Behavioral Treatment
for Offenders by Landenberger & Lipsey (2005)*
• Reviewed 58 studies:
19 random samples
23 matched samples
16 convenience samples
• Found that on average CBT reduced recidivism by 25%,
but the most effective configurations found more than
50% reductions
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Significant Findings (effects were stronger if):
• Sessions per week (2 or more) - RISK
• Implementation monitored - FIDELITY
• Staff trained on CBT - FIDELITY
• Higher proportion of treatment completers -
RESPONSIVITY
• Higher risk offenders - RISK
• Higher if CBT is combined with other services -
NEED
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Some Examples of Cognitive Behavioral
Correctional Curriculums
• Aggression Replacement Training (ART)
• Criminal Conduct and Substance Abuse Treatment
• Thinking for a Change (non-proprietary)
• UC's Cognitive Behavioral Interventions for Offenders Seeking Employment (non-proprietary – pilot underway)
• Changing Offender Lives (Specifically for MDOs – Non-proprietary)
• UC’s Cognitive Behavioral Interventions for Substance Abuse (non-proprietary)
• Moving On (Female Offenders)
• UC’s Cognitive Behavioral Treatment for Sex Offenders (non-proprietary)
• UC's Cognitive Behavioral Interventions for Offenders - A comprehensive curriculum (non-proprietary – pilot underway). Also adaptable for MDOs.
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Applying Core Correctional Practices
and Cognitive Behavioral
Interventions in Supervision
Effective Practices in Correctional Supervision
(EPICS)
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93
Traditional Officer-Offender Interactions are
often not Effective because:
They are too brief to have an impact
Conversations focus almost exclusively on monitoring
compliance conditions (and therefore emphasize external
controls on behavior rather than developing an internal rationale
for pro-social behavior)
Relationship is often more confrontational and authoritarian in
nature than helpful
What is targeted is not always based on assessment
More areas discussed=less effective
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Structure of EPICS Meeting
SESSION OVERVIEW
• Each session should be structured in the following way:
1. Check-In
2. Review 3. Intervention 4. Homework
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Rationale for EPICS
Preliminary Data from Canada:
Trained officers had 12% higher retention rates
in comparison with untrained officers at six
months.
Also found reductions in recidivism
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Two year Recidivism Results from Canadian Study
0
5
10
15
20
25
30
35
40
45
Reconviction
Treatment
Control
Bont, et al, (2010) The Strategic Training Initiative in Community Suopervision: Risk-Need-Responsivity in the Real World.
Public Safety Canada.
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Findings from Federal Probation Sample
Robinson, Vanbenschoten, Alexander, and Lowenkamp, Federal Probation, Sept. 2011.
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Recidivism Results from Ohio Study looking at Fidelity and High Risk Offenders (both Adult and Juveniles)
Latessa, E., Smith, P., Schweitzer, m., and Labrecque, R. (2013). Evaluation of the Effective Practices in Community
Supervision Model (EPICS) in Ohio. School of Criminal Justice, University of Cincinnati.
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Meta Analysis: POs Trained in Core Correctional
Practices (i.e. EPICS): Effects on Recidivism
Chadwick, DeWolf and Serin (2015). Effectively Training Community Supervision Officers, Criminal Justice and Behavior, 20: 1-13
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EPICS
• Helps bring together all of your EBP efforts:
– Risk assessment and priority on higher risk offenders
– Focus on criminogenic needs
– Takes motivational interviewing to the next level
– Supports programs and services
– Helps PO become a more effective agent of change
– Increases compliance
– Reduces recidivism
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We are Currently Piloting a New Version:
Effective Practices for Community Support
(EPICS for Influencers)
• Designed to identify those people in the
offender’s life that want to help them stay out of trouble and train them on some of the core skills
taught in EPICS.
• Includes training of coaches to provide on-going
support
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Why EPICS for Influencers?
• Build a pro-social network with some actual skills to help
offenders avoid risky situations
• Increase “dosage”
• Research shows that relapse prevention programs that
trained significant others and family members in
cognitive-behavioral approaches were three times as
effective as programs that did not.
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EPICS for Influencers is Designed for:
• Mentors
• Coaches
• Family Members
• Friends
• Faith Based Organizations
• Reentry Coalitions
• Law Enforcement
• School Officials
• Significant others
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EPICS-I
• Pilot Sites include:
– LA County Jail Reentry Program
– Hamilton County (Cincinnati) Reentry
Coalition
– Portsmouth, OH Juvenile Truancy and
Mentoring Program
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These approaches help us…. • Structure our interventions
• Teach and model new skills
• Allow offender to practice with graduated
difficulty
• Reinforce the behavior
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What Doesn’t Work with Offenders?
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Lakota tribal wisdom says that when you discover you are riding a dead
horse, the best strategy is to dismount. However, in corrections, and in other affairs, we often try other strategies, including the following:
• Buy a stronger whip. • Change riders • Say things like “This is the way we always have ridden this horse.” • Appoint a committee to study the horse. • Arrange to visit other sites to see how they ride dead horses. • Create a training session to increase our riding ability. • Harness several dead horses together for increased speed. • Declare that “No horse is too dead to beat.” • Provide additional funding to increase the horse’s performance. • Declare the horse is “better, faster, and cheaper” dead. • Study alternative uses for dead horses. • Promote the dead horse to a supervisory position.
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Ineffective Approaches with Offenders
• Programs that cannot maintain fidelity
• Programs that target non-criminogenic needs
• Drug prevention classes focused on fear and other emotional appeals
• Shaming offenders
• Drug education programs
• Non-directive, client centered approaches
• Bibliotherapy
• Talking cures
• Self-Help programs
• Vague unstructured rehabilitation programs
• “Punishing smarter” (boot camps, scared straight, etc.)
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Fidelity Principle
Making sure the program is delivered as designed and with integrity:
• Ensure staff are modeling appropriate behavior, are qualified, well trained, well supervision, etc.
• Make sure barriers are addressed but target criminogenic needs
• Make sure appropriate dosage of treatment is provided
• Monitor delivery of programs & activities, etc.
• Reassess offenders in meeting target behaviors
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Effects of Quality Programs Delivery for Evidenced Based Programs for Youth Offenders
Source: Outcome Evaluation of Washington State's Research-Based Programs for Juvenile Offenders. January 2004. Washington State Institute for Public Policy.
Functional Family Therapy Aggression Replacement Therapy
0
10
20
30
40
-10
-20
Competently Delivered 38 24
Not Competent -16.7 -10.4
Reduced Recidivism
Increased Recidivism
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Some Lessons Learned from the Research
Who you put in a program is important – pay attention to risk
What you target is important – pay attention to criminogenic needs
How you target offender for change is important – use behavioral approaches
Program Integrity makes a difference - Service
delivery, training/supervision of staff, support for
program, QA, evaluation, etc.