1 mint excellence in motivational interviewing – forum workshop - 2012 fort wayne, indiana, usa
TRANSCRIPT
MI in Criminal Justice:
What’Z working?
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MINT excellence in motivational interviewing – FORUM WORKSHOP - 2012 Fort Wayne, Indiana, USA
Nicki Venable(Executive Manager, Allan County Community Corrections, Indiana)
Debby Westcott(DPOII, Trainer, Los Angeles County Probation, California)
WESTCOTT: Consultation & Training Services
Michael Clark(Director, “The Center for Strength-Based Strategies,” Michigan)
Thank
YOUvery much!
Debby –
You belong
in prison.
How did he KNOW???
The proper, skillful use of Motivational Interviewing indeed has a place in criminal justice settings.
The data gathering processes and research findings are just beginning to tell the story of change in heretofore marginalized populations.
William R. Miller – used with permission
Los Angeles County Probation Department
PRESIDING JUDGEMichael Nash
CEOWilliam T. Fujioka
CHIEFJerry Powers
By the numbers …
4,752 square miles(larger than the combined areas of the states of Rhode Island &
Delaware)
4,400 sworn Deputies
90,000 CLIENTS and their FAMILIES
1 in every 3 Citizens in Los Angeles County
Addictions Prevention
Intervention
Advocacy
Community Services
Promotion
Diversion
Protection
SEVEN BUREAUS
Detention Services
Residential Treatment Services
Juvenile Field Services
Juvenile Special Services
Placement Services
Diversion
Adult Field Services
WHATis our
Mission?9
Los Angeles County Probation
MISSION STATEMENT
Enhance Public Safety
Ensure Victim’ Rights
Effect
POSITIVE Probationer
BEHAVIOR CHANGE
Addressing
CRIMINOGENIC FACTORS
in a way that will bring about
positive, long-term, life change …
(not only reduction in recidivism).
We are working to
demonstrate substantial return
for Stakeholder investment
as a result of providing
probation programming-services.
In 2004 …we began the arduous journey towards MI implementation by introducing MI
* as a piece of our
RNR Assessment
tool (LARRC).
* as a way to GET
information.
In 2008 …we began to look at our own MI training data …
… unfortunately, it spoke all too clearly.
After FOUR YEARS of previous training efforts, we had become experts at what NOT to do!
TRAINING OUTCOME DATA(Pre & Post)
shows us whether
we are operating in best practice, (or not)
confirms our best effort, (or not)
and
legitimately proves (or not)
FIDELITY TO THE MODEL …
…IF we truly want to be able to say:
“We have IMPLEMENTED MI
into our system,”
“Our staff are truly COMPETENT (both cognitively and practically)
using MI with our clients.”
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Our Systems change began with
ADMINISTRATIVE Promise and Commitment
“L. A. County will track recidivism in addition to those variables
that are known to bring about long-term change. We will insure fidelity to the models,
as they are blended together. We will not compromise quality.”
Dr. Hellen J. Carter, Ph.D.Chief, Juvenile Field Services [email protected]
1-562-940-2057
By early 2009, we …
• had totally redesigned our MI Training Curriculumto support FIDELITY to the current MODEL.
• committed to UPDATING training materialsas newer information presented in MINT.
In August 2009, a Bureau Chief said,
“It is not enough for us to just know about MI now.
We have to be able to DO it.
When all the bells and whistles of various programs are gone,
all we have left is how we speak with our clients.
What we do together matters.”David Leone, Retired
We had learned from (and paid attention to) the work of our esteemed colleagues …
Stage-Based Measures of Implementation Components – October 2010Frank Porter Graham Child Development Institute
University of North Carolina at Chapel HillDean Fixen, Karen Blase, Sandra Naoom & Melissa Van Dyke
Making Implementation Science Work for You – October 2010National Implementation Research Network
Frank Porter Graham Child Development Institute University of North Carolina – Chapel Hill
Dean Fixen, Karen Blase, Michelle A. Duda, Allison J. Metz, Sandra Naoom & Melissa Van Dyke
Curriculum Development: a short manual for trainersKeller & Company
Vaughn F. Keller, MFT, EdD
MOTIVATIONAL
INTERVIEWING
effectively
integrated
with a
CBTSelection
Training
COACHING
STAFFCOMPETENCE
LEADERSHIP
ORGANIZATION SUPPORTS
PERFORMANCE ASSESSMENTFidelity
Technical Adaptive
Decisions Supported
by Database
Facilitative Administration
Systems Intervention
© Fixen & Blase, 2007, National Implementation Research Network
In September 2009, we
• committed to using a full-time, current and active member of the MINT to train and supervise MI support and development efforts and outcomes in a specialized program.
• began to gather MI TRAINING OUTCOME DATA in a DATABASE.
• committed to using • VALIDATED ASSESSMENT tools.
(MIKAT, HRQ, VASE-r, and MITI).
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Quality Classroom Training (24-hours, 14 trainees max, MINT trainer)
Transfer Training(1-hour, On-site, MINT trainer)
Quarterly Support & Development
(1-hour, Individual, Coding-Coaching Session)(Performed by Trained & Developed MITI Coders)
(2-hours Coding Supervision per week)
Implemented a SUPPORT & DEVELOPMENT plan:
REAL-TIME SKILL ASSESSMENTwith
Personalized, Skill-Developing,
COACHED FEEDBACKin classroom and in work area
provided by MINT Trainer and trained MITI Coder-Coaches * with up-to-date, documented IRR * who receive ongoing training and supervision
(by a member of the MINT who is also a Coder with > 80% IRR.)
Coder-Coaches participate in minimum of 2-hours per week Coding
sessionsUsing the Motivational Interviewing Treatment Integrity (MITI)
Coding SystemVersion 3.1.1
“IMPLEMENTATION QUOTIENT”
• Tracking implementation progress over many years
• Tracking the return on investment in implementation capacity
TWO questions are constant:
“Are we meeting “FIDELITY CRITERIA?”
“Can we PROVE IT?”
4-part, COGNITIVE ASSESSMENT PACKET
PRE 2010
SCORES
POST 2010 – AFTER RESTRUCTURING TRAINING EFFORTS
Pre-Post VASE-r ASSESSMENT
POST 2010 – AFTER RESTRUCTURING TRAINING EFFORTS
MITI CODING – Overall SAMPLEPOST
SAMPLE
Development
of an
MI Implementation
and
CBT Integration
Training Outcome
DATABASE!
We found the ACRONYM order matters!
Crenshaw Area Office31
Officers benefit from knowing “WHY?”• Our profession is ACRONYM driven. OARS was not an effective driver.
• OARS made us think that the Open Question is the most valuable skill to use, by virtue of its placement in the acronym
AROS – E: - puts the biggest focus on Affirmations and
Reflections- using Open Questions to elicit the areas of DARN
thathave not been uttered yet by the client -
strengthening- summarizing the most important things:
ambivalenceand change talk
- always for the directional purpose of eliciting change
talk and commitment language
Once we figured out WHY,
we seemed to be better able to
develop MI skill sets
and
integrate those skills with our
“way of being.”
How has MI
affected Staff
behaviors?
Rather than “business as usual” …
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In an Area Office somewhere near you …
We create and maintain a WELCOMING place …
Long Beach & East San Fernando Valley Offices 36
WeMINIMIZEBARRIERS
to communication.
We open up.
We model the communication style we
hope to hear from our clients; because,
“The way we treat them is the way they often become.”
~ Zig Ziglar
Santa Monica Area Office 37
We create “NO STRESS” Zones
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so we can elicit, hear and reflect more CHANGE-TALK & COMMITMENT
language.Day Reporting Center & Foothill Area Office
The Probation office is now a “safe place” to discuss real life.
Pomona Valley Area Office39
We began to actively LISTEN
to our clients,
AFFIRMING
REFLECTINGand recording
the noble, reputable,
andbest things.
We now understand the WHY.San Gabriel Valley & Crenshaw Area Offices 40
MIintegrated with CBTs.
PROGRAMSto
watch …
“The Courage to Change Interactive Journaling System®”
The Change Companies®
&
“CROSSROADS®”National Curriculum & Training Institute®, Inc. (NCTI)
Similarities & Differences• BOTH are recognized CBTs that address the top criminogenic needs.
- CROSSROADS® addresses the top four: including personality.
• BOTH are research supported as interventions that “work” to SIGNIGICANTLY reduce recidivism.
- Maricopa County Probation(Arizona) – 70,000 clients (see: NCTI Cognitive Report)- Pennsylvania Board of Probation and Parole- NCTI has partnered with the American Probation & Parole Association (APA)
• BOTH are applicable to juvenile and adult client populations.
• BOTH can be used for GROUP interventions.- The Courage to Change Journaling System® can also be
used for Individual Counseling- NCTI provides “Cog Work,” so staff can discuss growth
issues individually with clients
What has the CROSSROADS® Research shown us to date …
• Significant increase in addressing the criminogenic factors to a more positive position.
• Clients exit with a more positive attitude regarding their situation and abilities, confidence and willingness to address and/or change.
• Client has enhanced “sense of self” and a need for more pro-social activities and movement to more positive peer association and use of leisure time.
• High end: 98% reduction in recidivism Low end: 88% reduction in recidivism (Past research indicates anything over 40% is considered “successful” programming.)
What do our Clients say?
(Names changed to protect confidentiality.)
JORGE
“My PO goes slow enough for me to get it.
I get the help I need.
I’m figuring out things for myself.I’m earning my freedom back.”
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SARAH“I’ve been clean for sixteen glorious months,
as I struggle with addiction to cocaine and alcohol,
My probation officer has really helped me to look at and discover things I never knew about me.
I now BELIEVE change is possible for ME.
I’m treated as an individual.
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ROBERT
I need and want to find out why I relapsed. I have a wife and two sons I love very much.
I have lost everything I value, except them … so far.I’m so angry.
CHANGE is so necessary. My PO listens and I figure things out for myself.
My success is inevitable!”
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PENELOPE
“I’ve been in prison since I was 20. I’m 50-years old now. I’ve used heroin most of my life. You guys just don’t understand. We are not afraid of prison.
We are afraid of freedom. This is my first time on probation. I started my program with a very bad attitude, but my PO was patient with me, didn’t push me.
I get to take the time I need to find my own answers.
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What we doTOGETHER …
… MATTERS
for LONG-TERM CHANGE.
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For more information
contact
Dr. Hellen J. Carter, Ph.D.Chief, Juvenile Field Services
Jane Ball, MSVice President, “National Curriculum & Training Institute®, Inc.”
(NCTI)[email protected]
Mike JudnickVice President, “The Change Companies®”