The Importance of Relationships in Correctional Programming Randy Shively Alvis – Columbus, Ohio Phil Nunes Alvis - Columbus, Ohio Relationship is Underemphasized- why? We get caught up in curriculum learning Fidelity - presenting curriculum by the manual instructions Look at recidivism gains as the key measure Staff feel undervalued and disliked by inmates Relationship Defined Rapport Minimal trust Willingness to disclose Time spent in rehabilitative activities Responsivity Principle Responsivity principle - the styles and modes of service incorporated into the treatment/intervention program; it should be matched to learning style of participating offender External and internal factors that can influence capacity to participate in and benefit from programs Internal factors include: cognitive ability, learning style, strengths, personality, gender, culture, readiness to change. External factors include: evidence-based presenter, therapeutic relationship Responsivity (cont’d) Responsivity partly involves an individual’s motivation to engage in program and to commit to change Andrews and Bonta discussed therapeutic relationship between offender and presenter as one of several key elements in effective correctional programs Clients are more motivated to participate and challenge their thinking when they respect and are engaged with staff presenter Paramilitary Concepts Kill Relationship Make offenders Rigid Punitive Obedience not teaching Thinking errors of staff Lack of choice Canned programs Controlling Must do it my way No values Therapeutic Concepts Invite Relationship Listened to Choices given Meaningful relationships Positive reinforcement of behavior Hope Constructive feedback Caring staff Replacement thinking (RAPP) Relationship building is vital in creating a “Clinical Culture” Gives staff and inmates common ground to relate and work together Helps inmates stay engaged in programs and complete programs Helps with morale on the units May be the most important element to keep clients motivated What does “Clinical Culture” look like? Inmates and staff have basic respect for one another Power struggles are minimized Antisocial beliefs and behaviors get challenged – common language Inmates held accountable for all thoughts and behaviors Clinical Culture is Created Intentionally Examples at Alvis House: DD Hiking Club Womens: Resident and Staff of Month pick each other Graduation Ceremonies Family Nights/Meals Hiring Own Clients- Social Enterprise All Correctional Staff need to “live the culture” Use common language with inmates Give inmates input and ownership of their programs Model behaviors to inmates they want to see more Give behavior incentives to encourage behavior change TA and Correctional Rehabilitation Correctional treatment practices/models include relapse prevention (and other CBT models), cognitive oriented therapies and motivational interviewing Effectiveness increases with collaborative client/counselor relationship with mutually agreed upon goals Positive therapeutic style including empathic, warm, rewarding and directive approaches Non-confrontational TA and Correctional Rehabilitation Therapeutic relationships build trust and rapport Training should enhance these skills Therapeutic relationships with offenders should be characterized by mutual respect, openness, warmth and enthusiastic communication Offenders Report of Success Name one or two staff who made the difference “My case worker did not give up on me” “I was sick and tired of being sick and tired” “I realize some things they are doing in here related to what I will face out there” Relationship Importance in Eye of Beholder Tommy Mike Joe (Depressed) Importance of Line Staff “ Line staff can be the most consistent and influential element in the offender’s life. They will make or break your program” Randy Shively Importance of Line Staff Often know the clients the best: consistent, frequent and lengthy interactions with clients Best equipped to enact good behavior programming and cognitive programming On site to model de-escalation for clients Can gain accurate documentation of behaviors/ changes Quote Every interaction with a client can be a teachable moment” ‘ Randy Shively What are the implications for operations staff? Therapeutic staff? Therapeutic Alliance 60% of outcomes in therapy can be attributed to Alliance factors between client and counselor 30% of outcomes in therapy can be attributed to Allegiance factors 8% of outcomes in therapy due to model and technique Wampold, 2001 Obstacles to Therapeutic Relationship Time not made to “know client” up front Therapists frequently fail to identify failing cases (Norcross, 2009) We fail to seek client’s buy-in We get into power struggles with clients Sometimes “our system” gets in the way Obstacles to Relationship, Cont’d Attitude of staff- affects climate Lack of activities to engage clients Viewing program as us (staff) vs. them (clients) Not taking interest in their success - only a statistic Ways to Build Therapeutic Alliance Importance of time spent up front with clients Relationships are important hidden rule of those coming out of Poverty (Bridges out of Poverty)- develop rapport prior to hard work Find ways to work in agreement with client on goalsprograms Ways to Build, Cont’d Meet the clients’ immediate needs when possible to build trust Have an intentional plan in “interacting with clients” Invest in clients’ trust banks with a positive balance – deposits vs. withdrawals Therapeutic Style Balanced “Therapeutic style does not preclude need for firmness, responsibility and accountability in addition to empathy, warmth and support, in fact a healthy balance is necessary” Randy Shively How staff respond is key “I’ve come to the frightening conclusion that I am the decisive element in the consumer’s life. It’s my personal approach that creates the climate; it’s my daily mood that makes the weather. I possess a tremendous power to make a consumer’s life miserable or joyous. I can be a tool of torture or an instrument of inspiration; I can humiliate or humor, hurt or heal. In all situations, it is my response that decides whether a crisis will be escalated or de-escalated and a consumer humanized or dehumanized” Haim Ginott Clash of Cultures Security Treatment Serves society through confinement of inmates Serves society through treatment of inmates Regimentation Individualized Consistency of rules Informed consent Implicit authority of staff Negotiated compliance Punishment culture Helping culture Clash of Cultures Security Treatment Focus is the needs of the institution Focus is the needs of the offender Safety and security Learning, change, growth “Relationship” Treatment The means by which the patient/client engages in the therapeutic process Cornerstone of treatment Security Staff is compromised Money Sex Power Perceptions Security staff by treatment staff Treatment staff by security staff “Knuckle-draggers” “Hug-a-thug” Non-empathic Soft Rigid Gullible Overly punitive Violations seen as need for treatment rather than punishment Motivated to help offenders avoid the consequences (punishment) of their behavior There is some basis in reality for these perceptions! How to Bridge the Divide From the top down, a “one team” approach-stop manipulation Both sides need to be held accountable for the delivery of treatment services and the safety and security of the institution Offenders are incarcerated as punishment, not for punishment Common goal: Inmates abide by the rules People learn through the consequences of their choices Take advantage of the natural consequences in the correctional setting Lifestyle Addict Lifestyle Criminal “Nor has illicit drug use been shown to convert nonoffenders into offenders; rather, drug use serves to intensify criminal activity among those who are already offenders.” Farabee, D., Joshi, V., & Anglin, M.D. (2001) . Addiction careers and criminal specialization. Crime and Delinquency, 47(2), 196-220. Criminal Lifestyle: Four Behavioral Characteristics (Walters, 1990) • Irresponsibility • Self-indulgence • Interpersonal Intrusiveness • Social Rule Breaking Stages of Change: Transtheoretical Model (Prochaska, et. al.) Pre-contemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance 1. Motivation for Treatment Questionable motives • To satisfy the Court, family, or some other external entity • Extension of manipulation • “Beat the system” • Staff Treatment Goal Help them become drug and crime-free Offender Treatment Goals •Escape: Neutralize the therapist •Destroy: Tarnish the integrity of the therapist and the program •Sabotage (overt/covert): Remain the same Solutions I Problems II Excuses III Alcohol Drugs Lying Stealing Dealing B&E Gambling Strip Clubs Guns/weapons Assault Murder Domestic Violence Suicide Truancy Anger Guilt/Shame Approval Acceptance Recognition Excitement Boredom Frustration Annoyance Disappointment Rejection Failure Impulsiveness Impatience Family Friends Spouse (Ex) Child Support Probation Officer IRS Tickets Baby’s “Mama/Daddy” Employer Deaths/Births Illness The Neighborhood Paydays Holidays Consequences IV Jail Death Unemployment Loss of Employment Homelessness Divorce Insanity IOR Identify: Admit to using Thinking Error and Social Behavior Problems Own: In the moment realizes the error of their thinking/behaviors- AHA moment Replace: Conscious effort to use prosocial thinking Operations and Security Perspective Phil Nunes- Chief Programs Officer- Alvis Staff/Offender Relationships Key in Community Corrections All staff must communicate and share offender information All staff must be seen as equal contributors to the success of offenders Positions and titles mean little---- all staff must be seen as an Agent of Change! Benefits to the Program and Environment Staff all contributing and sharing information: Opportunity for offender manipulation decreases greatly Clients less likely to treat security staff and therapy staff differently Environment is healthy and behaviors caught early with fewer major incidents Ways All Staff Support Treatment Security staff sharing of information with treatment staff gives up to date depiction of offenders’ successes and challenges Security staff trying to help offenders instead of always referring them to treatment staff- will give security staff influence Treatment staff not dumping on Security staff-treating them like equals Benefits of Team Work As all staff viewed as change agents offenders do better in treatment As more offender information gets shared between security and treatment staff security issues improve Negative incidents greatly reduced on living area All staff more invested on building supportive environment Questions to consider... Building positive relationships in your agency and practice.... What are your agency values and how might they enhance or conflict with relationship building? o Is relationship building a priority for the staff and your agency? If not, why? o What initiatives have been taken or need to be taken as an agency? o What are the unique challenges and views of the clients serviced that may impact relationship building? o Does your framework, approach and intervention techniques enhance or limit relationship building? o Are staff training , agency policies and program expectations reflective of agency values and relationship building? o Discussion Questions In your program(s) how can you build stronger relationships between staff and clients? What are your main obstacles? How do staff/client relationships impact successful completion rates? What are the greatest relational barriers for clients? For staff? References See Handout Contacts Randy Shively- randy.shively@alvishouse.org 614-252-8402 Phil Nunes- phil.nunes@alvishouse.org 614-252-8402