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Using a Cognitive Behavioral Intervention in Residential and Community Settings

Using a Cognitive Behavioral Intervention in Residential and Community Settings. Presented by Sarah Boettner PCC LSW. About Volunteers of America of Greater Ohio. Serves individuals, families and communities of: Cleveland Columbus Cincinnati Dayton Mansfield Toledo. Services include:

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Using a Cognitive Behavioral Intervention in Residential and Community Settings

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  1. Using a Cognitive Behavioral Intervention in Residential and Community Settings Presented by Sarah Boettner PCC LSW

  2. About Volunteers of America of Greater Ohio Serves individuals, families and communities of: • Cleveland • Columbus • Cincinnati • Dayton • Mansfield • Toledo Services include: • Affordable Housing • Permanent Supportive Housing • Homeless Services • Veterans Services • Employment & Job Training • Correctional Services • Thrift Stores

  3. Effective Action oriented Directive Target criminogenic needs Target current risk factors Enhance self-efficacy and responsibility Structure..structure…structure Interventions for corrections population: Past and Present Ineffective • Talking cures • Non-directive, client centered • Target non-criminogenic needs • Exploring childhood and unconscious • Medical model • Vague and unstructured

  4. The Four Principles of Cognitive Intervention • Thinking affects behavior • Antisocial, distorted, unproductive irrational thinking can lead to antisocial and unproductive behavior • Thinking can be influenced • We can change how we feel and behave by changing what we think

  5. Three Principles of Effective Intervention • Risk • Tells us WHO to target. • Target higher risk offenders • Need • Tells us WHAT to target. • Address criminogenic needs identified by assessment • Responsivity • Tells us HOW to target the interventions to each individual. • Identify specific barriers to overcome so the offender gets the most benefit from the interventions.

  6. Targeting Criminogenic Need: Results from Meta-Analyses 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

  7. Effective Intervention = CBT • The cognitive-behavioral model of interventions have been proven to be the most effective in reducing recidivism • Thinking controls behavior • Restructure thoughts to change behavior • Identify risky thinking • Challenge the risky thinking • Replace with alternative prosocial thoughts

  8. 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

  9. Lessons Learned from the Research • Offender assessment is the engine that drives effective programs • helps you know who & what to target • Design programs around empirical research • helps you know how to target offenders • Program Integrity make a difference • Service delivery, disruption of criminal networks, training/supervision of staff, support for program, QA, evaluation

  10. Cognitive Behavioral Interventions Behavior Chain

  11. Cognitive Behavioral intervention tools: Behavior Chain

  12. Cognitive Behavioral intervention tools: Behavior Chain • Situation • The activating event, or invitation to respond. • What happened before the target behavior? • Helps identify a pattern of risky situations. • Thoughts • Immediate and un-censored thoughts that stem from the situation. • Identifies core beliefs and values that drive the behavior • Feelings • One word description of the physical reaction/ sensation associated with the thought.

  13. Cognitive Behavioral intervention tools: Behavior Chain • Action • What they did in response to that situation • Consequences • Positive and negative consequences • Internal and external • There are positive outcomes to a negative behavior • Helps predict what outcome will be to similar situations

  14. Behavior Chain: Example & Practice

  15. Application & Barriers • Who are our clients? (Describe them) • What barriers might they experience to hinder success? • What needs do they have that we could use the behavior chain to address? • What barriers to you face when working with your clients? • What tips do you have that have helped you help your client?

  16. What is our role? • WHO- all of us • WHERE- incarceration, residential, community • WHAT- programming, teaching new skills • WHY-reduce recidivism • HOW-teamwork and consistency

  17. For more information www.voago.org

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