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Michael Dennis, Ph.D. and Vinetha Belur, Ph.D. Chestnut Health Systems, Normal, IL

Client Profiles in the Offender Re-entry Program (ORP) and the Need to Address the Twin Issues of Trauma and Crime. Michael Dennis, Ph.D. and Vinetha Belur, Ph.D. Chestnut Health Systems, Normal, IL.

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Michael Dennis, Ph.D. and Vinetha Belur, Ph.D. Chestnut Health Systems, Normal, IL

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  1. Client Profiles in the Offender Re-entry Program (ORP) and the Need to Address the Twin Issues of Trauma and Crime Michael Dennis, Ph.D. and Vinetha Belur, Ph.D. Chestnut Health Systems, Normal, IL Presentation at the Community Corrections and Offender Reentry Program Grantee Meeting, May 3, 2011, Denver Colorado

  2. Acknowledgement and Contact Information • Data from SAMHSA/CSAT 2004-2009 Young Offender Re-entry Program (TI16904, TI16915, TI16928, TI16939, TI16961, TI16984, TI16992, TI17046, TI17070, TI17071) and 2009-2013Offender Re-entry Program (TI21580, TI21585, TI21595, TI21597, TI21624, TI21632, TI21639, TI21682, TI21688, TI21705, TI21714, TI21748, TI21774, TI21788, TI21815, TI21948) • Opinions are those of the author and not official positions of the government • Available from www.chestnut.org/li/posters • Please direct comments to Michael Dennis, Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, 309-451-7801, mdennis@chestnut.org .

  3. Goals • To give a profile of the clients seen in SAMHSA/CSAT’s Offender Re-entry Program (ORP) and how needs, treatment and outcomes vary by age • Examine the high rate of victimization and demonstrate how it is related to co-occurring mental health issues, criminal activity and other presenting problems

  4. Demographics Adults more likely than other ages to be female and White Adolescents & Young Adults more likely to be Hispanic and Mixed Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  5. Grantee Location & Age of Clients

  6. Years of Use Adults (OR=132.5) and young adults (OR=9.1) more likely than youth to have 5 or more years of use Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  7. Weekly Pre-Controlled Environment Alcohol/Drug Use By Age 71% Adolescents and Young adults more likely to use marijuana Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  8. Substance Use Severity Adults (OR=9.7) and young adults (OR=1.9) more likely than adolescents to have dependence Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  9. Past-Year Violence & Crime *Dealing, manufacturing, prostitution, gambling (does not include simple possession or use) Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966) 9

  10. Type of Crime by Severity Group Odds ratio (OR) for Youth (15.6) and young adults (3.0) higher than adults *Other crime includes vandalism, possession of stolen goods, forgery, and theft. Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966) 10

  11. Intensity of Justice System Involvement Past Arrest/JJ/CJ Status 2% Past-Year Illegal Activity/SA Use .1% Other JJ/CJ Status 2.8% Other Probation, Parole, or Detention 16.3% On Probation/ Parole 14+ Days w/1+Drug Screens 20% In Detention/Jail 30+ Days 51.9% In Detention/ Jail 14-29 Days 6.6% Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966) 11

  12. Intensity of Justice System Involvement by Severity Group Adults (OR=1.6) and young adults (OR=1.5) more likely than adolescents to be coming from long term detention Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966) 12

  13. Co-Occurring Psychiatric Problems Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  14. Pattern of Co-morbidity Adolescents more likely than adults to have only Externalizing Disorders (OR=8.4) Adults more likely than adolescents to have only Internalizing Disorders (OR=4.4) Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  15. Other Psychiatric Issues Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  16. GAIN-I Main Scale Problem Profile Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  17. Count of GAIN-I Main Scales Problems By Age Group Vast majority endorse 3 or more problems Vast majority endorse one or more problems Adults more likely than adolescents to report 7 or more problems (OR=3.7) Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  18. Initial Level of Care Adults more likely than youth to start in IOP Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  19. TreatmentSystem Involvement Adults more likely than youth to be in phased program and to have positive 6 month outcome (retention/ completion) Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  20. Amount of Substance Abuse Treatment (intake to 3 months) Adolescents received more “days” of treatment Young Adults received more Residential Tx *At 3m follow-up Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  21. Range of Substance Abuse Treatment Content (Intake to 3 months) Adolescents received a broader range of Tx Services *At 3m follow-up Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  22. Mental Health Treatment Received(intake to 3 months) Adults received more mental health services *At 3m follow-up Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  23. Other Environmental Interventions Across Systems (intake to 3 months) Adults more likely to be reincarcerated and to get self help *At 3m follow-up Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  24. Percent of Days Abstinent from AOD Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  25. Past Month Abstinence Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  26. No Past Month Substance Problems Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  27. No Days in a Controlled Environment Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  28. In Recovery (no use, abuse or dependence in the past month while living in the community) Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  29. No Illegal Activity Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  30. General Victimization Scale Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  31. Severity of Victimization by Gender Odds ratio (OR) of Females 2.1 times greater than Males Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  32. Severity of Victimization by Race OR of other races 2.2 to 2.8 times greater than African Am. Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  33. Severity of Victimization by Age Group OR higher for 18-25 (1.4) and adults (3.2) than youth Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  34. Type of Crime By Severity of Victimization High victimization group more likely (OR=1.9) to report violent crime than low group Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  35. Intensity of Justice System Involvement By Severity of Victimization Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  36. Psychiatric Disorders by Severity of Victimization Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

  37. GAIN-I Main Scales Problem Count By Severity of Victimization High victimization group more likely (OR=6.6) to have 7 to 13 problems than low group Source: CSAT 2010 YORP and ORP studies only (N = 2,966) 37

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