Title : KKtip30 9-4-01gvp.qxd (Page 1) Description : Keywords : Author : ----------------------------------------------- KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community CSAT’s Knowledge Application Program KAP Keys For Clinicians Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment www.samhsa.gov ----------------------------------------------- KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community These KAP Keys were developed to accompany the Treatment Improvement Protocol (TIP) Series published by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration. These KAP Keys are based entirely on TIP 30 and are designed to meet the needs of the busy clinician for concise, easily accessed "how-to" infor mation. For more information on the topics in these KAP Keys, readers are referred to TIP 30. Introduction TIP 7, Screening and Assessment for Alcohol and Other Drug Abuse Among Adults in the Criminal Justice System (1994) BKD138 TIP 12, Combining Substance Abuse Treatment With Intermediate Sanctions for Adults in the Criminal Justice System (1994) BKD144 TIP 17, Planning for Alcohol and Other Drug Abuse Treatment for Adults in the Criminal Justice System (1995) BKD165 TIP 21, Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System (1995) BKD169 TIP 23, Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing (1996) BKD205 TIP 27, Comprehensive Case Management for Substance Abuse Treatment (1998) BKD251 TIP 34, Brief Interventions and Brief Therapies for Substance Abuse (1999) BKD341 TIP 35, Enhancing Motivation for Change in Substance Abuse Treatment (1999) BKD342 Other Treatment Improvement Protocols (TIPs) that are relevant to these KAP Keys: ----------------------------------------------- Criminal Justice System Definitions 1 KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community The following list of general definitions may help a reader who is not familiar with the criminal justice system. However, the definitions may vary slightly from place to place because juris dictions organize their supervision systems in different ways. Probation is typically court-ordered supervision imposed in lieu of jail or prison. Parole is supervision imposed at the end of a jail or prison sentence, perhaps shortening the period of incarceration. As with probation, parole may be revoked, resulting in the individ ual being incarcerated. Postprison supervision is used to describe supervision follow ing a completed period of incarceration. Some States have replaced their parole systems with postprison supervision. Community supervision is the general category that includes all the terms listed above. There are other forms of community supervision as well, such as courts that have their own super vision systems. In this TIP, community supervision is the most commonly used term. A community supervision agent, then, could be a parole officer. ----------------------------------------------- Indicators of Treatment Success 2 KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community • Reductions in substance use, extended periods of absti nence, substance-free days, crime-free days, reductions in the number of arrests • Restoration or establishment of ongoing and recovery-sup- porting social network • Substance-free and crime-free for at least a year • Consistent employment • Stable housing • Bank account with savings • Agreed-upon treatment goals met • Consistent participation in support groups • Correctional obligations (terms and conditions) met • Restitution (fines and fees) paid ----------------------------------------------- Commonly Used Sanctions • Increased number of urinalyses • Breathalyzer’ • More frequent contacts • More frequent appointments • Curfew • Extension of term or time • Community service • Increased AA and/or NA meetings • Withholding of privileges and personal freedoms • Day reporting • Electronic monitoring • Facility transfer • Increased intensity of treatment • Brief reincarceration • Additional reporting with additional charges or costs assessed • Return to incarceration, i.e., supervision violation 3 KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community ----------------------------------------------- Outcome Evaluation Outcome evaluation determines the effectiveness of a program when comparing the group receiving services to a control group receiving no treatment, an alternative program, or stan dard treatment. Outcome evaluation measures a program's ability to produce expected changes in the clients who are part of the program. Questions to be asked when conducting an outcome evaluation include • Do the transitional services reduce relapse and recidivism among offenders? • What are the relapse and recidivism rates of offenders? • Do the transitional services assist offenders in successfully reintegrating into the community? • Do the transitional services help offenders improve their housing, financial, and employment status? • Do the transitional services assist offenders in accessing other necessary services, such as primary medical and men tal health services? • Are there differences in offender outcome by participation in different services/program components? • Based on client profiles, which clients received the most benefit from transitional services? 4 KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community ----------------------------------------------- Process Evaluation Process evaluation examines the implementation procedures and operations of a transitional services program as it com pares with the program's stated goals and objectives. Process evaluation can be used to determine whether the people stud ied actually received program services and measures the intensity and duration of services provided. Questions to be asked when conducting a process evaluation include • What services have been provided and by which agency? • How often were services provided? • Who received services? • Was the program implemented as designed? • What are the program's strengths and weaknesses? • Was the program changed, and if so, how and why? • What were the catalysts for the changes made? • How much did the program cost? • What were the barriers to implementation? 5 KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community ----------------------------------------------- Transition Plan Checklist The following checklist is for substance abuse treatment providers whose clients are offenders being released from incarceration. The list can serve as a reminder and/or record of when necessary steps were completed and who participated in treatment planning conference calls. Name: Admission Date: Release Date: Certificates: __ Attendance __ Justification Form __ Chart Copy __ Comprehensive Continuing Care Plan Releases: __ Family __ Medical __ DOC __ Continuing Care Provider __ Parole Officer __ Media __ Continuing Developing Recovery Plan __ Warning Sign Identification Card (When I experience this warning sign) __ Relapse Prevention Plan __ Post Test __ Criminal First Step __ Other __ 12-Step Teleconference Calls: __ Family __ Parole Officer __ Continuing Care Provider __ Employer __ Other Transfer Summaries: __ Assessment __ Treatment Discharge Summary: __ Transition __ CPMS Termination Form __ Chart Closure 6 KAP KEYS Based on TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community ----------------------------------------------- Ordering Information TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community Easy Ways to Obtain Free Copies of All TIP Products 1. Call SAMHSA’s National Clearinghouse for Alcohol and Drug Information (NCADI) at 800-729-6686, TDD (hearing impaired) 800-487-4889. 2. Visit CSAT’s Web site at www.csat.samhsa.gov Do not reproduce or distribute this publication for a fee with out specific, written authorization from the Office of Communications, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. DHHS Publication No. (SMA) 01-3595 Printed 2001