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Adapting Programs to Incorporate EBPs for CJ-Involved Clients

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Adapting Programs to Incorporate EBPs for CJ-Involved Clients

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    2. Why Incorporate EBPs Engagement Clinical Improvement Decrease Untoward Behavior Improved quality of life Decreased recidivism (re-arrest)

    3. RNR and EBPs Responsivity Engagement CBT intervention Needs The Central Eight

    4. Risk Match treatment intensity to level of risk Needs Treat the offender, not the offense Responsivity Modality must be one to which offender is responsive CBT Engagement

    5. Responsivity Principle

    6. Responsivity: Tailoring Treatment General Responsive to learning styles e.g. CBT Specific Responsive to socio-biological personality factors Engagement

    7. Why focus on engagement? Treatment outcome and premature termination predicted by engagement Treatment outcome related to patient effort Manner of therapist related to engagement and effort

    8. Engagement Challenges Motivation Motivational Interviewing IMR Goal Setting Focus on Recovery CJ culture Adaptation SPECTRM Intervention

    9.

    10. Trauma Consequences Isolation Hypervigilance Emotional reactivity Intervention principles Safe environment Processing of Trauma Identification of coping strategies

    11. Cultural Competence Cultural Proficiency Meaning of symptoms, illness, stressors Meaning of treatment Relationship with professionals Overcoming mistrust Communication Rapport Disclosure Using natural community support

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    15. Promote Cultural Re-adaptation by Connecting Developing trust through shared experience Exploring Challenging prison and jail attitudes Changing Introducing new problem solving skills

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    17. Needs Principle The Central Eight History of antisocial behavior Antisocial personality pattern Pleasure seeking, restless, aggressive Antisocial cognitions Attitudes supportive of crime Antisocial Associates Family support Leisure Activities School/work Substance Abuse

    18. Needs - Interventions Substance Abuse Integrated Treatment People, places and things Family support Multi-family therapy School/Work Supported Employment Homelessness Housing first Antisocial Cognitions/Associates/Character Monitoring Cognitive behavioral interventions

    19. Cognitive-Behavioral Interventions CJ-Involved Populations Introspection skills Cognitive Restructuring Problem Solving Identification of cognitions Cost-benefit analysis Social Skills Conflict Resolution Moral Reasoning/Community Responsibility

    20. Cognitive-Behavioral Adaptations CJ-Involved Populations Thinking for a Change National Institute of Corrections Lifestyle Change Journaling The Change Companies Reasoning and Rehabilitation Moral Reconation Therapy

    21. Cognitive-Behavioral Interventions CJ-Involved Populations MH Program adaptations Target symptoms Frustration intolerance Social skills Misperception of environment Examples Forensic DBT Jail - decreased anger, aggression and incidents Community - decreased re-arrests in stalker-focused program

    22. RNR

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