Using a Cognitive Behavioral Intervention in Residential and Community Settings
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Transcript of Using a Cognitive Behavioral Intervention in Residential and Community Settings
Using a Cognitive Behavioral Intervention in Residential and Community Settings
Presented bySarah Boettner PCC LSW
There are no limits to caring.®
About Volunteers of America of Greater Ohio
Serves individuals, families and communities of:ClevelandColumbusCincinnatiDaytonMansfieldToledo
Services include: Affordable Housing Permanent
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Ineffective Talking cures Non-directive, client
centered Target non-criminogenic
needs Exploring childhood and
unconscious Medical model Vague and unstructured
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
The Four Principles of Cognitive Intervention1. Thinking affects behavior
2. Antisocial, distorted, unproductive irrational thinking can lead to antisocial and unproductive behavior
3. Thinking can be influenced
4. We can change how we feel and behave by changing what we think
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.
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Targeting Criminogenic Need: Results from Meta-Analyses
-0.05
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
Target 1-3 more non-criminogenic needs
Target at least 4-6 morecriminogenic needs
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
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
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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
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
Behavior ChainCognitive Behavioral Interventions
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Cognitive Behavioral intervention tools: Behavior Chain
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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.
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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
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Behavior Chain: Example & Practice
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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?
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What is our role?
WHO- all of us
WHERE- incarceration, residential, community
WHAT- programming, teaching new skills
WHY-reduce recidivism
HOW-teamwork and consistency
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For more information
www.voago.org