Evidence Based Practices in the Institutions

1
Evidence Based Practices in the Institutions

• Lars Olsen, Director of Treatment and
  Intervention Programs
• Maine Department of Corrections
• September 4, 2008

2
Differential Substance Abuse Treatment

• Differential Substance Abuse Treatment (DSAT)
  is the Motivational Enhancement and
  cognitive-behavioral treatment model specifically
  developed by the Office of Substance Abuse and
  the Maine Department of Corrections, to provide a
  continuum of comprehensive substance abuse
  treatment services to adult offenders in
  correctional and community settings across the
  state. DSAT differentiates by gender and by
  severity of addiction. DSAT is delivered in a
  group setting, enlisting peer feedback as a
  primary motivator for change.

3
Correctional Recovery Academy/Transitional
Recovery Academy

• Joint MDOC/OSA Contract with Spectrum Health
  Systems, Inc.
• Modified Therapeutic Community
• A comprehensive recidivism reduction substance
  abuse service for male offenders.

4
Correctional Recovery Academy/Transitional
Recovery Academy

• 3 phase program
• 9 month duration 40 bed intensive residential
  treatment at MCC
• 3 month 18 bed reintegration service at CMPRC
• Aftercare

5
Intensive Outpatient (IOP)

• Joint MDOC/OSA Contract with Spectrum Health
  Systems at Maine Correctional Center
• OSA Contract with Wellspring at Charleston
  Correctional Facility
• OSA Contract with Washington County Psychotherapy
  Associates at Downeast Correctional Facility

6
Intensive Outpatient (IOP)

• Direct Service and Joint MDOC/OSA Contract with
  Spectrum Health Systems at Maine State Prison
• Direct Service at Bolduc Correctional Facility
• OSA Contract with Tri-County Mental Health
  Services at the Womens Center

7
Sex Offender Treatment

• RULE Program
• The RULE program is an evidenced based/risk
  reduction program based on an integrated model,
  which includes a cognitive behavioral focused
  curriculum.

8
Sex Offender Treatment

• The program consists of four stages of
  programming as follows
• Orientation Treatment Phase (Duration one year)
• Intensive treatment phase (Duration two years)
• Transition phase (Duration up to one year)
• Aftercare phase

9
Sex Offender Treatment

• RULE stands for
• Responsibility
• Understanding
• Learning and
• Experience

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Cognitive Behavioral Programming

• Thinking for a Change
• is a problem solving program that includes both
  cognitive restructuring and social skills
  interventions and is available at all MDOC Adult
  facilities and Community Corrections Regions

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Cognitive Behavioral Programming

• Moving On
• is a problem solving program that includes both
  cognitive restructuring and social skills
  interventions, is gender responsive and is
  available at the Womens Center

12
Cognitive Behavioral Programming

• Seeking Safety
• is a present-focused therapy to help people
  attain safety from trauma/PTSD and substance
  abuse and is available at the Womens Center

13
Mental Health

• MDOC provides a full array of mental health
  services at all facilities. This includes access
  to psychiatrists, psychologists, and licensed
  mental health clinicians. These services are
  provided by contract with Correctional Medical
  Services and by MDOC staff. MDOC also operates a
  Mental Health Stabilization Unit at the Maine
  State Prison.

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Mental Health

• MDOC collaborates with DHHS Office of Adult
  Mental Health to provide Intensive Case
  Management services and reentry planning for all
  prisoners with major mental illness.
• MDOC and DHHS maintain a Joint Plan of Action to
  address the many and varied needs of offenders
  with mental health issues. This Plan was
  initially developed in 2005 and is in the process
  of being updated to reflect accomplishments and
  additional needs.

15
Continuous Quality Improvement

• In 2005 MDOC received a Maine Health Access
  Foundation grant to implement continuous quality
  improvement process for behavioral health
  services to adult prisoners. Through this grant
  the Department was able to contract with Dr. Kim
  Sperber, a nationally recognized authority on CQI
  in corrections and developed a process to assess
  and improve behavioral health services to the
  offender population.

16
Education

• MDOC provides academic instruction, special
  education services, college course work, distance
  learning, GED and vocational offerings for all
  offenders. Auto body Repair, Electrical Trades,
  Plumbing and Heating, Building Trades, Auto
  Mechanics, Culinary Arts, Computer Repair,
  Printing Technology, Wood Harvesting, Welding,
  and Upholstery are the current vocational
  offerings within the Department.