using carey guides to facilitate case planning carey guides to... · 2019-04-03 · carey...
TRANSCRIPT
Carey guidesKARI BERG
“OK, OK, I GET IT! I UNDERSTAND THAT I HAVE TO TARGET CRIMINOGENIC NEEDS. BUT…”
“HOW DO I DO THIS WHEN I ONLY HAVE 15 MINUTES WITH A CLIENT. HOW CAN I CHANGE THEIR BEHAVIOR DURING THAT TIME?”
“HOW AM I SUPPOSED TO DO THIS WHEN I DON’T HAVE RESOURCES TO SEND THEM TO?”
“HOW REALISTIC IS THIS? THEY AREN’T MOTIVATED.”
WHY USE CAREY GUIDES?
Challenges to
get started…
Limited resources.
Limited time to engage client.
Client won’t engage with me during
meetings.
Lack of Motivation.
Not knowing where to start?
Feeling comfortable with the tool.
We are often dealing with…..
Interventions are more effective if they are
strengths-based……
Focus on abilities, not deficits.
Needs and goal influenced by the client.
Risk Assessment
Motivational Interviewing
PO model and assist.
Affirmation and reinforcements.
Helps to establish the relationship between PO and client.
Effective Alliance
The Bad News
Historically, probation and parole as
behavior change interventions have not
produced significant reductions
in recidivism as generally probation
historically utilizes punishment and
sanctions in attempt to management
client’s behavior.
Social Learning Theory
Learning through observation, imitation and modeling.
Attention (notice)
Retention (remember)
Reproduction (copy)
Motivation
Opportunities for professionals to demonstrate pro-social behaviors such as problem solving.
Reinforcement if you want to keep a behavior going reward it.
Carey Guides-Where to begin?
Blue to Red, or Red to Blue, although, there is no order or sequence when chooses what guide to use, it is recommended that you begin with Your Guide to Success.
Addressing criminogenic needs should be of highest priority in the case management process, but it may be necessary to first address issues that would otherwise serve as barriers to success (e.g., mental health, reentry).
For those clients who are exhibiting high levels of resistance, you might choose to use the Maximizing Strengths Guide and/or Motivating Offenders to Change (both Red Guides)
Rewards and Sanctions identify rewards and linking behaviors with rewards
Blue vs. Red Guides
Blue Guides-Criminogenic
Address Criminogenic
Needs; Particularly those
most directly related to re-
offense.
Red Guides-Case Management
Provide Tools for Case Management;
The Carey Guides
verses BITs
Copyright © Carey Publishing Group
Carey Guides and Bits
Carey Guides Blue Guides = Criminogenic Needs
Antisocial Peers
Emotional Regulation
Problem Solving
Etc.
Red Guides = Effective Case Management
Case Planning
Engaging Prosocial Others
Motivating Offenders to Change
Responsivity
Etc.
BITs Brief Intervention Tools
Thinking Traps
Overcoming Thinking Traps
Overcoming Automatic Responses
Problem Solving
Who I Spend Time With
Decision Making
Copyright © Carey Publishing Group
12
ALL LEARNING STYLES ARE USED…Enhancing the Learner's Experience
Lecture
Reading
Audiovisual
Demonstration
Discussion Groups
Practicing by Doing
Teaching Others
Multiple
Tools Per Guide
Tool # Designed To…
Initial tools (1st–2nd)•Assess thoughts, beliefs,
choices, andactions
•Raise awareness and
increase motivation
Middle tools (2nd–3rd)•Help Clients
-Consider options
-Make different choices
-Develop action plans
-Learn and practice new skills
Late tools (4th–5th)
(if included) •Prevent relapse
•Reassess strategies that
aren’t working
Risk of recidivism is greatly reduced (30% on average) when effective interventions are applied
Why the Carey Guides?
They help structure your one-on-one appointments and assist you in accomplishing a clear purpose/objective
They are NOT an ADD-ON; they are WHAT YOU DO during your appointments
This requires that you have, and spend, sufficient time with offenders
They prevent you from wandering from subject to subject during appointments
They aid in your case planning and management
Tips for best results:
1. Be Prepared
2. Prepare Clients (know
how to engage them)
3. Integrate the Guides
into the Case Plan
4. Focus on What Matters Most
5. Engage Supportive
Others
6. Adapt the Guide Tools as needed to particular Client
7. Limit Crisis Management if Possible
8. Establish Ownership-When possible have clients complete
9. Manage your Expectations
10. Incorporate rewards system
Carey Guides Sequencing Chart1,2
DuringthisTime
Period…
WhentheGoalisto… UseOneorMoreofThese
BlueGuides:
UseOneorMoreofTheseRed
Guides:
ConsiderUsingTheseRed
GuidesforSpecialFocus
Areas:
Thefirst60–90days · Buildrapport· Establishexpectations
· Createaroadmapfor
casemanagement· Preventviolation
behavior
· YourGuidetoSuccess3
· CasePlanning· MaximizingStrengths
· MotivatingOffenderstoChange
· Responsivity· RespondingtoViolations
· RewardsandSanctions
· BehavioralTechniques4
· FemaleOffenders
· Reentry*
· ViolenceandLethality
Months3–6 · Useskillpracticeto
addresscorecriminogenicneeds
· Anger
· AntisocialAssociates
· AntisocialThinking
· EngagingProsocialOthers· OvercomingFamilyChallenges
· SubstanceAbuse
· DosageandIntensity
· Co-occurringDisorders
· DrugDealers
· ImpairedDriving
· IntimatePartnerViolence· ManagingSexOffenders
· MentalHealth
· MethUsers
Months7–12 · Expandskillpracticetootherareas
· EmotionalRegulation· Empathy
· InterpersonalSkills
· MoralReasoning
· ProblemSolving· ProsocialLeisureActivities
· InvolvingFamilies
Months13–18
(transitiontorelease)
· Buildfamilysupport,
stabilizelivingenvironment,prepareforindependence
· Reentry*
© 2017 The Carey Group
I WANT TO TRY SOMETHING NEW AND LEARNING ALONG WITH YOU.
-Use Motivational Interviewing techniques whenever possible to engage the client in change talk.
-Seek agreement to at least try tool
-Should not be used as punishment
-Talk how they can reach goals and be successful
Learn along side with client
Work together
Be open and honest
EFFECTIVE
ALLIANCE
TRAITS
• Articulate • Empathetic • Respectful
• Empowering • Attentive
• Flexible • Authentic • Confident
• Listens actively • People-oriented
• Purposeful • Reinforcing
• Sense of humor • Strength-based
Consider This Perspective…
If the target is to reduce recidivism by 25%, what does that mean?
Caseload: 50
Current recidivism: 32%
Current number on caseload who will reoffend: 16
If you reduce recidivism by 25% (one quarter of the 16), your caseload recidivism rate would drop to 24%
That means only 12 persons on the caseload will recidivate (4 fewer than normal)
It does not mean 100% will succeed, but….
If 20 of us in this room had caseloads of 50 and we all achieved a 25% reduction in recidivism, there would be at least 80 fewer victims
REWARDS AND SANCTIONS
IDENTIFYING MEANINGFUL REWARDS- Everyone appreciates being
rewarded for their hard work. Using this tool, you’ll learn about the kinds of
rewards that are available on supervision and the positive steps to receive
them.
LINKING BEHAVIORS WITH REWARDS- Making sure to affirm efforts as clients
make progress meeting the goals. Using this tool to plan steps to identify
the rewards you feel would be appropriate to their accomplishment
Why Antisocial Thinking?
As such, it is a key change target among offenders
• Just the act of examining antisocial thoughts, values, and beliefs may be difficult for offenders; changing them is even more difficult
• The Antisocial Thinking Guide helps offenders
recognize, understand, and assess their thinking patterns, feelings, and values and beliefs
understand the connection between their thoughts, feelings, and actions
shift their antisocial thinking patterns to prosocial ones
Antisocial thinking is the most influential criminogenic need
MOTIVATING OFFENDERS TO CHANGE
MAKING YOUR DECISION- This tool is designed to help determine how involvement with the legal system has impacted your life and what choices or actions led to your problems with the law.
MAKING YOUR COMMITMENT-This tool helps figure out why you might want to change your behavior, what could be difficult about changing, and how motivated you are to change.
MAKING YOUR CHANGE PLAN- Now that your have decided to change, it’s time to plan how to make that change.
RENEWING YOUR COMMITMENT- Sometimes it takes more than one try to get it right. This tool will help examine why you struggled with your change and how to overcome that struggle.
ANGER
RECOGNIZING PHYSICAL SIGNS OF ANGER
MAKING CONNECTIONS-Anger is an emotion that
often covers up other ,deeper emotions.
EMOTIONAL TRIGGERS
CHANGING BELIEFS, CHANGING
CONSEQUENCES-Examine how your thoughts and
beliefs can lead to different outcomes in a
particular situation
BEHAVIORAL TECHNIQUES
CONDUCTING A PRACTICE SESSION
APPLYING NEW SKILLS
This Photo by Unknown Author is licensed under CC BY-SA-NC
MORAL REASONING
ASSESS YOUR MORAL REASONING
MORAL DILEMMAS-Sometimes we are faced with a moral dilemma which requires us to sort out our thinking about the choices we have. The purpose of this tool is to help you consider the benefits and downsides of the options you might consider. (Cost-Benefit Analysis) This Photo by Unknown Author is licensed under CC BY-SA-NC
EMOTIONAL REGULATION
HOW DO I RESPOND-Identify the way you respond to your feelings.
IDENTIFYING FEELINGS
DECREASING EMOTIONAL STRENGTH-Help find alternative, less emotionally charged ways to deal with negative emotions.
STOP AND THINK
FEELING GOOD WITHOUT THE THRILLHHHHHH
This Photo by Unknown Author is licensed under CC BY-NC
INTERPERSONAL SKILLS
YOUR SOCIAL NETWORK
GETTING ALONG WITH OTHERS
EXPANDING YOUR SOCIAL NETWORK
USING THE STOP METHOD TO RESOLVE CONFLICTS.
S:Stop in the moment; don’t get hijacked by your emotions.
T: Think about what your reaction has been in the past.
O: Options: Review better ways to respond.
P: Pick: Choose the best response for the situation.
This Photo by Unknown Author is licensed under CC BY-NC-ND
Demonstration
PRACTICE
Part 2 Demonstration
LAST THOUGHTS…