Principles for Evidence-Based Practices with Justice-Involved Populations What is Evidence-Based Practice? “To qualify as an evidence-based practice or program, research must demonstrate that a specific practice or program increases the likelihood of positive outcomes. Promising practices or programs are those that are associated with positive outcomes, but do not yet have the evidence base to be considered EBPs. EBPs are the most reliable way to achieve desired outcomes and should be provided whenever possible. However, there are many services that have not been designated as EBPs but still may be important components of a comprehensive treatment plan.”1 Practice vs. program A practice represents a specific skill or technique whereas a program is a consolidation of multiple skills and techniques used together in specific fashion. Both practices and programs can be based in evidence. A program that uses some evidence-based practices cannot necessarily be considered an evidence-based program if it has not itself been sufficiently studied. Promising vs. Evidence-Based Promising practices are ones which have had some positive evaluations but have not yet been studied rigorously enough to be considered evidence-based. Promising practices represent growth within the practice field and in some areas of practice are the best available practices. Finding and Implementing Evidence-Based Practices While there are practices identified as being evidence-based, EBP is also a philosophy that guides practice in the field. EBP within a program or organization is about using expertise in practice to work with a client and identify their needs and possible courses of action. Practitioners must take into consideration what needs the client has identified and client preferences as well as research and evaluation evidence to inform practice.2 Principles Assessment Measure Relevant Processes/Practices: An accurate and detailed documentation of case information and staff performance, along with a formal and valid mechanism for measuring outcomes, is the foundation of evidence-based practice3. 1 Blandford, A. M., & Osher, F. C. (2012). A Checklist for Implementing Evidence-Based Practices and Programs for Justice-Involved Adults with Behavioral Health Disorders. Rockville, MD: SAMHSA’s GAINS Center for Behavioral Health and Justice Transformation. 2 Scott, W. (2008). Effective Clinical Practices in Treating Clients in the Criminal Justice System. Washington, DC: National Institute of Corrections. 3 National Institute of Corrections. (2012). The Principles of Effective Interventions. Retrieved from National Institute of Corrections: http://nicic.gov/ThePrinciplesofEffectiveInterventions Prepared by Megan Foster, Graduate Intern 1 April 2013 Provide Measurement Feedback: Providing feedback builds accountability and maintains integrity, ultimately improving outcomes.4 Assess Actuarial Risk/Needs: Assessing offenders' risk and needs (focusing on dynamic and static risk factors and criminogenic needs) at the individual and aggregate levels is essential for implementing the principles of best practice5. Address Intrinsic Motivation Enhance Intrinsic Motivation: Research strongly suggests that "motivational interviewing" techniques, rather than persuasion tactics, effectively enhance motivation for initiating and maintaining behavior change.”6 These techniques evaluate the individual’s desire for change, what barriers they perceive and ensure greater client buy-in to services. Targeted Interventions/Services 7 Risk-Need-Responsivity Risk Principle - Prioritize supervision and treatment resources for higher risk offenders. Need Principle - Target interventions to criminogenic needs. Central Eight8- evidence-based risk factors/criminogenic needs to reduce recidivism. o History of Anti-Social Behavior Either official criminal history or pattern of participation in illegal or anti-social activities o Anti-social Personality Pattern A pattern of behavior that involves manipulating, exploiting or violating the rights of others.9 The individual does not need to meet full criteria for a diagnosis of Anti-Social Personality Disorder. o Anti-social Attitudes Individual has a positive attitude or perception of anti-social/criminal behaviors. o Anti-social Associates Individual has family, friends and/or is associated with individuals who participate in anti-social and/or criminal activities o Family / Marital Factors 4 National Institute of Corrections, 2012 National Institute of Corrections, 2012 6 National Institute of Corrections, 2012; Miller, W. R., & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change (2nd ed.). New York: Guilford Press. 7 National Institute of Corrections, 2012 8 Andrews, D. A., & Bonta, J. (2010). The psychology of criminal conduct (5th ed.). Cincinnati, OH: Anderson Publishing Company. 9 A.D.A.M. Medical Encyclopedia. (2010, November 4). Antisocial personality disorder. Retrieved from PubMed Health: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001919/ 5 Prepared by Megan Foster, Graduate Intern 2 April 2013 o o o Extent and quality of the relationships that the prisoner/ex-offender has with family members or significant other. Lack of Achievement in Education / Employment Not having at least graduating from high school or receiving a GED and/or not having a significant attachment to the legal workforce prior to or postincarceration Substance Abuse Substance abuse or dependence is a maladaptive use of substances meeting criteria as defined by the DSM-IV.10 Lack of Pro-social Leisure Activities Pro-social leisure activities are activities taking place in the individual’s free time that do not promote anti-social/maladaptive/illegal habits or activities. Responsivity Principle - Be responsive to temperament, learning style, motivation, gender, and culture when assigning to programs. Treatment Principle Integrate treatment into full sentence/sanctions requirements. Supports for Client Engage Ongoing Support in Natural Communities Realign and actively engage pro-social support for offenders in their communities for positive reinforcement of desired new behaviors.11 Increase Positive Reinforcement Focus on what the individual is doing well. Apply four positive reinforcements for every one negative reinforcement for optimal behavior change results12. Measurement and Evaluation Strategic Plans A strategic plan is a document laying out an organization’s vision, mission and goals as well as the actions and programs needed to attain those goals. A strategic plan is generally a collaborative document put together by key individuals within the organization, their board and possibly other stakeholders. It is the basis for organizational decision-making and program logic models. Logic Models Logic Models are a visual that demonstrate all of the critical aspects of a program and how they fit together. A well written logic model should illustrate all of the aspects of a program and their intended effects over time in ways that are measureable and realistic. It is both a planning and an evaluation tool. Resources for Logic Models 10 Full criteria can be found here: http://www.sis.indiana.edu/DSM-IV-Criteria.aspx National Institute of Corrections, 2012 12 National Institute of Corrections, 2012 11 Prepared by Megan Foster, Graduate Intern 3 April 2013 Kellogg Foundation Logic Model Development Guide: http://www.wkkf.org/knowledgecenter/resources/2006/02/wk-kellogg-foundation-logic-model-development-guide.aspx UW Extension-Logic Model Builder: http://www.uwex.edu/ces/pdande/evaluation/evallogicmodel.html Child Welfare League Logic Model Builder: https://toolkit.childwelfare.gov/toolkit/home.do Evaluation Evaluation is critical to understand if programs or interventions are having their desired effect. Programs and interventions should be developed with evaluation in mind. Consistent evaluation is useful both for internal decision-making but also is necessary for reporting grant deliverables and applying for future funding. Resources for Evaluation Bureau of Justice Assistance’s Center for Program Evaluation and Performance Management: https://www.bja.gov/evaluation/ The Performance-Based Management Handbook: http://www.orau.gov/pbm/pbmhandbook/volume%202.pdf Evaluation Toolkit: http://toolkit.pellinstitute.org/evaluation-guide/planbudget/choose-anevaluation-design/ Evaluation Strategies for Human Service Programs: A Guide for Policy Makers & Providers: http://www.ojp.usdoj.gov/BJA/evaluation/guide/documents/evaluation_strategies.html Collaboration 13 Prisoners/ex-offenders may have a number of co -occurring needs or disorders. Services should be coordinated between different departments or agencies working with the individual and their families to ensure needs are met and services are effective . Resources for Evidence-Based Practices & Programs Annie E. Casey Foundation Juvenile Justice: http://www.aecf.org/KnowledgeCenter/JuvenileJustice.aspx Incarceration & Reentry: http://www.aecf.org/KnowledgeCenter/SpecialInterestAreas/IncarcerationandReentry.aspx Blueprints for Violence Prevention: http://www.colorado.edu/cspv/blueprints/index.html Campbell Collaboration: http://www.campbellcollaboration.org/ The Community Toolbox: http://ctb.ku.edu/en/default.aspx Institute of Behavioral Research at TCU: http://www.ibr.tcu.edu/ MedLines Plus: http://www.nlm.nih.gov/ 13 Scott, 2008 Prepared by Megan Foster, Graduate Intern 4 April 2013 National Institute on Corrections: http://nicic.gov/ National Reentry Resource Center: http://nationalreentryresourcecenter.org Office of Justice Programs- Crime Solutions: http://www.crimesolutions.gov/ Office of Juvenile Justice and Delinquency Prevention Model Programs Guide: http://www.ojjdp.gov/mpg/ Reentry Policy Council: http://reentrypolicy.org/ Substance Abuse & Mental Health Services Administration : http://www.samhsa.gov/ Store (free and paid publications): http://store.samhsa.gov/home National Registry of Evidence-Based Programs and Practices: http://nrepp.samhsa.gov/ GAINS Center for Behavioral Health and Justice Transformation: http://gainscenter.samhsa.gov/ National Center for Trauma-Informed Care: http://www.samhsa.gov/nctic/ National Center on Substance Abuse and Child Welfare: http://www.ncsacw.samhsa.gov/ Medication Assisted Treatment: http://www.dpt.samhsa.gov/ The Urban Institute: http://www.urban.org Vera Institute of Justice : http://www.vera.org Prepared by Megan Foster, Graduate Intern 5 April 2013