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What Works and What Does
Not With Problem Solving
Courts


            Brian Lovins
      Associate Director/UCCI
      University of Cincinnati
             5/9/2012
Evidence Based – What does it
mean?
There are different forms of evidence:

      The lowest form is anecdotal evidence; stories,
       opinions, testimonials, case studies, etc - but it
       often makes us feel good

      The highest form is empirical evidence – research,
       data, results from controlled studies, etc. - but
       sometimes it doesn’t make us feel good




                                                            2
Evidence Based Practice is:

1. Easier to think of as Evidence Based Decision
  Making

2. Involves several steps and encourages the
  use of validated tools and treatments.

3. Not just about the tools you have but also
  how you use them

                                                   3
Evidence Based Decision Making Requires

1. Assessment information


2. Relevant research


3. Available programming


4. Evaluation


5. Professionalism and knowledge from staff
                                              4
PRINCIPLES OF EFFECTIVE
INTERVENTION
Principles of Effective Intervention
 Risk Principle – target higher risk offenders (WHO)

 Need Principle – target criminogenic risk/need factors
  (WHAT)

 Treatment Principle – use behavioral approaches
  (HOW)

 Fidelity Principle – implement program as designed
  (HOW WELL)
Let’s Start with the Risk Principle

   Risk refers to risk of reoffending
   and not the seriousness of the
   offense.

   You can be a low risk felon or a
   high risk felon, a low risk
   misdemeanant or a high risk
   misdemeanant.
Example of Risk Levels by Recidivism for a
Community Supervision Sample
Risk Factors

Primary Risk Factors
    Criminal (Antisocial) Attitudes
    Criminal Peers
    Antisocial Personality Characteristics
    Criminal History


Secondary Risk Factors
    Family
    Substance Abuse
    Employment
    Education
Who Is More Likely to Reoffend?
 1st time DUI                      1st time DUI
 Drinking at a bar with friends    Drinking at a bar with friends
 Crossed the double yellow         Crossed the double yellow
    line                               line
   .12 BA                            .12 BA
   Has a serious alcohol             Has a serious alcohol
    problem                            problem
   Employed                          Unemployed
   Has a driver’s license            Driving w/o a license
   States “The cop was just          States “The cop was out to
    doing their job”                   get me”
   “It is not ok to drink and        Everyone gets one DUI
    drive”                            Family who engages in
   Family that supports sober         alcohol use on a regular
    lifestyle                          basis

                                                                    10
What Makes Offenders Higher Risk

 If substance abuse is not highly correlated to
  recidivism why do we see it so often?

      We test for it

 What would happen if we had a test for criminal
  attitudes?

 How about a test they took that said they are
  hanging out with antisocial others?

                                                    11
Low Risk v High Risk


                          100%
                       increase in
                        recidivism

                                        33%
                                     reduction
                                         in
                                     recidivism
Reduced
             Recidivism




Increased
Recidivism
n
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                                                                                                                   0
                                                                        Probability of Reincarceration
SO, WHAT HAVE WE TRIED?
Punish the Crime Out of Them
Scare the Crime Out of Them
Dance the Crime Out of Them
Run the Crime
Out of Them
Drum the
Crime Out of
Them
Meditate the
Crime Out of
Them
EVEN THE SPECIALTY
COURTS ARE NOT IMMUNE
Specialty Courts Have Tried…

 Serving low risk & first time offenders

 Providing “alternative” interventions like acupuncture

 Selecting only those motivated to change

 No tolerance policies

 Ignoring inappropriate & illegal behavior

 Solving social problems versus criminal problems
So What Does Work?
Basically Courts that …

 Select motivated offenders
 Train their staff well
 Have contacts with the participants less often
 Have a range of services
 Do not mandate AA/NA
 Address inappropriate behavior immediately
 Provide on-going support services


                  Were more successful

                                             Koetzel-Shaffer (2006)
HOW CAN SPECIALTY
COURTS IMPROVE?
Evidence-Based Principles for Effective
Interventions
1. Use a risk assessment instrument
2. Follow the risk and need principle
3. Address any barriers to success
4. Train offenders in new skills
5. Use of positive reinforcements
6. Build community supports for the offender
7. Measure outcomes
8. Quality assurance




                                               28
Use a Valid Risk Assessment Instrument
to Predict Recidivism
Target a Broad Range of
Criminogenic Needs

Criminogenic
 Antisocial attitudes
 Antisocial friends
 Personality factors
 Lack of Employment
 Lack of Education
 Substance abuse
 Antisocial activities
Major Set of Risk/Need Factors



1. Antisocial/procriminal
   attitudes, values, beliefs and
   cognitive-emotional states
Cognitive Emotional States

 Rage
 Anger
 Defiance
 Criminal Identity
Identifying Procriminal Attitudes, Values & Beliefs



What to listen for:

 Negative expression about the law

 Negative expression about conventional institutions, values, rules,
   & procedures; including authority

 Negative expressions about self-management of behavior; including
   problem solving ability

 Negative attitudes toward self and one’s ability to achieve through
   conventional means

 Lack of empathy and sensitivity toward others
Neutralization & Minimizations


Neutralization Techniques include:
 Denial of Responsibility: Criminal acts are due to factors beyond the
     control of the individual, thus, the individual is guilt free to act.
 Denial of Injury: Admits responsibility for the act, but minimizes the
     extent of harm or denies any harm
 Denial of the Victim: Reverses the role of offender & victim & blames
     the victim
 “System Bashing”: Those who disapprove of the offender’s acts are
     defined as immoral, hypocritical, or criminal themselves.
 Appeal to Higher Loyalties: “Live by a different code” – the demands
     of larger society are sacrificed for the demands of more immediate
     loyalties.


(Sykes and Maltz, 1957)
Major set Risk/needs continued:

2. Procriminal associates and
  isolation from prosocial others
Major set Risk/Needs continued:

 3. Temperamental & anti social personality
     pattern conducive to criminal activity
     including:
       Weak Socialization
       Impulsivity
       Adventurous
       Pleasure seeking
       Restless Aggressive
       Egocentrism
       Below Average Verbal intelligence
       A Taste For Risk
       Weak Problem-Solving/lack of Coping & Self-Regulation
        Skills
Major set of Risk/Need factors continued:

4. A history of antisocial
  behavior:
   Evident from a young age
   In a variety of settings
   Involving a number and variety
    of different acts
Major set of Risk/Needs
Continued:
5. Family factors that include criminality and a
   variety of psychological problems in the
   family of origin including:
     Low levels of affection, caring and cohesiveness
     Poor parental supervision and discipline
      practices
     Out right neglect and abuse
Major set of Risk/Needs
continued:
6. Low levels of personal
  educational, vocational or
  financial achievement
Leisure and/or recreation


7. Low levels of involvement in prosocial
   leisure activities


       Allows for interaction with antisocial
        peers
       Allows for offenders to have idle time
       Offenders replace prosocial behavior
        with antisocial behavior
Substance Abuse

    8. Abuse of alcohol and/or drugs


       It is illegal itself (drugs)
       Engages with antisocial others
       Impacts social skills
Substance Abuse

Issue with peers?

Physiologically Addicted?

Poor emotional regulation?
According to the American Heart Association, there are a number
of risk factors that increase your chances of a first heart attack



  Family history of heart attacks

  Gender (males)

  Age (over 50)

  Inactive lifestyle

  Over weight

  High blood pressure

  Smoking

  High Cholesterol level
They Can Address Motivation
MOTIVATION ALONE IS NOT
ENOUGH…

SO HOW DO WE CHANGE?
Most Effective Behavioral Models

 Cognitive behavioral approaches that target
  criminogenic risk factors

 Structured social learning where new skills and
  behaviors are modeled
Skills Training

 Behavioral and Cognitive-Behavioral Skills
      Train, Model, Rehearse, and Practice new skill sets
      Assist offender in making a positive change
Use of Positive Reinforcement

 Use positive reinforcement to ensure acquisition of
  new skills
 Offender should be recognized for pro-social change
 Verbal Praise + some tangible
Ratio of Rewards to Punishments and Probability of
                                                             Success on Intensive Supervision
                             90%

                             80%
Probability of ISP Success




                             70%

                             60%

                             50%

                             40%

                             30%

                             20%

                             10%

                             0%
                                       1:10       1:08       1:06        1:04       1:02       2:01       4:01        6:01       8:01      10:01
                                                                   Ratio of Rewards to Punishments

                             Widahl, E. J., Garland, B. Culhane, S. E., and McCarty, W.P. (2011). Utilizing Behavioral Interventions to Improve Supervision
                             Outcomes in Community-Based Corrections. Criminal Justice and Behavior, 38 (4).
Measure Progress in Treatment

 Measure change in beliefs, attitudes, and values


 Measure skills acquisition, not just compliance
  measures

 Build towards a comprehensive relapse prevention
  plan
Continuous Quality Improvement

 Modify individual practice to address responsivity of
  the client

 Learn from past successes and failures


 Inform practice
Problem Solving Courts Can Improve


    Program length – most are too long and completion
     rates too low
    Need to do a better job of assessment (cover all
     criminogenic needs)
    Target population – need to focus on higher risk
    Provide or match to services to meet criminogenic
     needs
    Increase intensity based on risk
    Use curriculum driven treatment (preferably CBT)
    Include and structure aftercare
THANKS!


For any additional information please email me

Brian.Lovins@uc.edu

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California problem solving court 2

  • 1. What Works and What Does Not With Problem Solving Courts Brian Lovins Associate Director/UCCI University of Cincinnati 5/9/2012
  • 2. Evidence Based – What does it mean? There are different forms of evidence:  The lowest form is anecdotal evidence; stories, opinions, testimonials, case studies, etc - but it often makes us feel good  The highest form is empirical evidence – research, data, results from controlled studies, etc. - but sometimes it doesn’t make us feel good 2
  • 3. Evidence Based Practice is: 1. Easier to think of as Evidence Based Decision Making 2. Involves several steps and encourages the use of validated tools and treatments. 3. Not just about the tools you have but also how you use them 3
  • 4. Evidence Based Decision Making Requires 1. Assessment information 2. Relevant research 3. Available programming 4. Evaluation 5. Professionalism and knowledge from staff 4
  • 6. Principles of Effective Intervention  Risk Principle – target higher risk offenders (WHO)  Need Principle – target criminogenic risk/need factors (WHAT)  Treatment Principle – use behavioral approaches (HOW)  Fidelity Principle – implement program as designed (HOW WELL)
  • 7. Let’s Start with the Risk Principle Risk refers to risk of reoffending and not the seriousness of the offense. You can be a low risk felon or a high risk felon, a low risk misdemeanant or a high risk misdemeanant.
  • 8. Example of Risk Levels by Recidivism for a Community Supervision Sample
  • 9. Risk Factors Primary Risk Factors  Criminal (Antisocial) Attitudes  Criminal Peers  Antisocial Personality Characteristics  Criminal History Secondary Risk Factors  Family  Substance Abuse  Employment  Education
  • 10. Who Is More Likely to Reoffend?  1st time DUI  1st time DUI  Drinking at a bar with friends  Drinking at a bar with friends  Crossed the double yellow  Crossed the double yellow line line  .12 BA  .12 BA  Has a serious alcohol  Has a serious alcohol problem problem  Employed  Unemployed  Has a driver’s license  Driving w/o a license  States “The cop was just  States “The cop was out to doing their job” get me”  “It is not ok to drink and  Everyone gets one DUI drive”  Family who engages in  Family that supports sober alcohol use on a regular lifestyle basis 10
  • 11. What Makes Offenders Higher Risk  If substance abuse is not highly correlated to recidivism why do we see it so often?  We test for it  What would happen if we had a test for criminal attitudes?  How about a test they took that said they are hanging out with antisocial others? 11
  • 12. Low Risk v High Risk 100% increase in recidivism 33% reduction in recidivism
  • 13. Reduced Recidivism Increased Recidivism
  • 14. n tio ia y oc nt ss ou A CC C ns y ng io r m EO i ct 34 on A re n A ra m ah VO Cor atio og Pr 32 M do y lv le nit Sa nc y To mu ht 30 m Lig an de m en Co or g eek eek ep 27 b D ar ru B Cr l H p D use m ica 24 25 m Ho lu em Co ert se A Ch Treatment Effects For High Risk Offenders lb ou A C Ta s H VO MR 21 22 i i lv at T A inn use nc o s Ci na H gram 15 ns ria ro ty io O ll P oun nsit 12 12 12 13 13 13 a C ra Sm klin ty T an ni Fr mu m Co TA P ty SE r un um tle Co ing r Bu mit usk te m /M en Su ing s tC 9 10 10 ie en ck lit tm Li aci ea ll F Tr A CC nty nity C ou u SR m s s C m itie 8 ca Co il l Lu on Fac al 8 H nt F a g Ca BC din nnin 7 C e u ll A /M D in e P 6 ra ous RI ve l Lo H se ro al 5 is u G H lv Ho g n in o ) A na pr ah ’s 3 ria P S cM en O CA se (M ou M 3 EO H OA am N t er V gr 3 lb ati ro Ta inn tP en 2 nc sm ne Ci RTH es to -2 -2 O ss ers W day ty A orn on ni C M mu use ncy -6 -5 m Ho ge Co ert e A lb iv Ta rnat t -15 -14 lte ar A h St es ity Fr r C -18 ve Ri -34 40 30 20 10 -10 -20 -30 -40 0 Probability of Reincarceration
  • 15. SO, WHAT HAVE WE TRIED?
  • 16. Punish the Crime Out of Them
  • 17. Scare the Crime Out of Them
  • 18. Dance the Crime Out of Them
  • 19. Run the Crime Out of Them
  • 22.
  • 23. EVEN THE SPECIALTY COURTS ARE NOT IMMUNE
  • 24. Specialty Courts Have Tried…  Serving low risk & first time offenders  Providing “alternative” interventions like acupuncture  Selecting only those motivated to change  No tolerance policies  Ignoring inappropriate & illegal behavior  Solving social problems versus criminal problems
  • 25. So What Does Work?
  • 26. Basically Courts that …  Select motivated offenders  Train their staff well  Have contacts with the participants less often  Have a range of services  Do not mandate AA/NA  Address inappropriate behavior immediately  Provide on-going support services Were more successful Koetzel-Shaffer (2006)
  • 28. Evidence-Based Principles for Effective Interventions 1. Use a risk assessment instrument 2. Follow the risk and need principle 3. Address any barriers to success 4. Train offenders in new skills 5. Use of positive reinforcements 6. Build community supports for the offender 7. Measure outcomes 8. Quality assurance 28
  • 29. Use a Valid Risk Assessment Instrument to Predict Recidivism
  • 30. Target a Broad Range of Criminogenic Needs Criminogenic  Antisocial attitudes  Antisocial friends  Personality factors  Lack of Employment  Lack of Education  Substance abuse  Antisocial activities
  • 31. Major Set of Risk/Need Factors 1. Antisocial/procriminal attitudes, values, beliefs and cognitive-emotional states
  • 32. Cognitive Emotional States  Rage  Anger  Defiance  Criminal Identity
  • 33. Identifying Procriminal Attitudes, Values & Beliefs What to listen for:  Negative expression about the law  Negative expression about conventional institutions, values, rules, & procedures; including authority  Negative expressions about self-management of behavior; including problem solving ability  Negative attitudes toward self and one’s ability to achieve through conventional means  Lack of empathy and sensitivity toward others
  • 34. Neutralization & Minimizations Neutralization Techniques include:  Denial of Responsibility: Criminal acts are due to factors beyond the control of the individual, thus, the individual is guilt free to act.  Denial of Injury: Admits responsibility for the act, but minimizes the extent of harm or denies any harm  Denial of the Victim: Reverses the role of offender & victim & blames the victim  “System Bashing”: Those who disapprove of the offender’s acts are defined as immoral, hypocritical, or criminal themselves.  Appeal to Higher Loyalties: “Live by a different code” – the demands of larger society are sacrificed for the demands of more immediate loyalties. (Sykes and Maltz, 1957)
  • 35. Major set Risk/needs continued: 2. Procriminal associates and isolation from prosocial others
  • 36. Major set Risk/Needs continued: 3. Temperamental & anti social personality pattern conducive to criminal activity including:  Weak Socialization  Impulsivity  Adventurous  Pleasure seeking  Restless Aggressive  Egocentrism  Below Average Verbal intelligence  A Taste For Risk  Weak Problem-Solving/lack of Coping & Self-Regulation Skills
  • 37. Major set of Risk/Need factors continued: 4. A history of antisocial behavior:  Evident from a young age  In a variety of settings  Involving a number and variety of different acts
  • 38. Major set of Risk/Needs Continued: 5. Family factors that include criminality and a variety of psychological problems in the family of origin including:  Low levels of affection, caring and cohesiveness  Poor parental supervision and discipline practices  Out right neglect and abuse
  • 39. Major set of Risk/Needs continued: 6. Low levels of personal educational, vocational or financial achievement
  • 40. Leisure and/or recreation 7. Low levels of involvement in prosocial leisure activities  Allows for interaction with antisocial peers  Allows for offenders to have idle time  Offenders replace prosocial behavior with antisocial behavior
  • 41. Substance Abuse 8. Abuse of alcohol and/or drugs  It is illegal itself (drugs)  Engages with antisocial others  Impacts social skills
  • 42. Substance Abuse Issue with peers? Physiologically Addicted? Poor emotional regulation?
  • 43. According to the American Heart Association, there are a number of risk factors that increase your chances of a first heart attack  Family history of heart attacks  Gender (males)  Age (over 50)  Inactive lifestyle  Over weight  High blood pressure  Smoking  High Cholesterol level
  • 44. They Can Address Motivation
  • 45. MOTIVATION ALONE IS NOT ENOUGH… SO HOW DO WE CHANGE?
  • 46. Most Effective Behavioral Models  Cognitive behavioral approaches that target criminogenic risk factors  Structured social learning where new skills and behaviors are modeled
  • 47. Skills Training  Behavioral and Cognitive-Behavioral Skills  Train, Model, Rehearse, and Practice new skill sets  Assist offender in making a positive change
  • 48. Use of Positive Reinforcement  Use positive reinforcement to ensure acquisition of new skills  Offender should be recognized for pro-social change  Verbal Praise + some tangible
  • 49. Ratio of Rewards to Punishments and Probability of Success on Intensive Supervision 90% 80% Probability of ISP Success 70% 60% 50% 40% 30% 20% 10% 0% 1:10 1:08 1:06 1:04 1:02 2:01 4:01 6:01 8:01 10:01 Ratio of Rewards to Punishments Widahl, E. J., Garland, B. Culhane, S. E., and McCarty, W.P. (2011). Utilizing Behavioral Interventions to Improve Supervision Outcomes in Community-Based Corrections. Criminal Justice and Behavior, 38 (4).
  • 50. Measure Progress in Treatment  Measure change in beliefs, attitudes, and values  Measure skills acquisition, not just compliance measures  Build towards a comprehensive relapse prevention plan
  • 51. Continuous Quality Improvement  Modify individual practice to address responsivity of the client  Learn from past successes and failures  Inform practice
  • 52. Problem Solving Courts Can Improve  Program length – most are too long and completion rates too low  Need to do a better job of assessment (cover all criminogenic needs)  Target population – need to focus on higher risk  Provide or match to services to meet criminogenic needs  Increase intensity based on risk  Use curriculum driven treatment (preferably CBT)  Include and structure aftercare
  • 53. THANKS! For any additional information please email me Brian.Lovins@uc.edu