Applying Risk Need Responsivity Fidelity Principles with Correctional

Applying Risk, Need, Responsivity & Fidelity Principles with Correctional Clients Bridget Letnes, Facilities Reentry Manager Contributing to a Safer Minnesota | mn. gov/doc

Contributing to a Safer Minnesota Reduce recidivism by promoting offender change through proven strategies during safe and secure incarceration and effective community supervision

Review of the Principles of Effective Intervention RISK NEED • Deliver more intense interventions to higher risk participants • Use CB • Target approaches criminogenic • Match needs to mode/style of reduce risk for service to recidivism participant • WHO • WHAT RESPONSIVITY FIDELITY • HOW WELL • Deliver services as designed

Why The Principles of Effective Intervention? • Put Research into Practice • Organize Our Resources • Understand Dosage • Focus on the Individual • Reduce Risky Thinking and Behaviors Contributing to a Safer Minnesota | mn. gov/doc

The Risk Principle Risk tells us “who” to target • Determine risk level through validated risk tool • Most tools categorize offenders into low, moderate, or high risk for reoffending • Match risk level to appropriate interventions and supervision level • Remember: it’s the risk of reoffending not the severity of the crime

The Need Principle Need tells us “what” to target • Interventions and programs should target criminogenic factors • Criminogenic factors are those highly correlated with recidivism • Criminogenic factors are dynamic or changeable

The Responsivity Principle Responsivity tells us “how” to change behavior • Specific Responsivity The participant’s attributes that limit and/or facilitate the participant’s learning style Address the barriers to change • General Responsivity Deliver content in a way that most people learn Do what works to promote change

The Responsivity Principle: Specific Responsivity External: Internal: Transportation Gender Childcare Motivation Housing/ Location Learning Style Fees Culture Mental Health

Specific Responsivity Assessments • TABE Testing- Literacy/Academics • SPDAT- Housing/Homelessness • Jesness Inventory- psychological/personality • PHQ 9 - Depression • Kessler 6 - depression and anxiety distress • PCL(C)- PTSD • TCU CJ Client Evaluation of Self and Treatment (CJ CEST) https: //ibr. tcu. edu/forms/tcu-core-forms/ Contributing to a Safer Minnesota | mn. gov/doc

General Responsivity • Structured social learning where new skills and behaviors are modeled • Cognitive behavioral approaches that target criminogenic risk factor

In te rn a l Ex te rn al Cognitive Model Actions Thoughts Feelings Attitudes/Beliefs Thinking for a Change v 3. 1

Benefits of Cognitive Behavioral Model • • • Action oriented Present-focused Based on theories of learning Step-wise progression Brief Scientific

Using Behavioral Practices 0. 35 0. 29 0. 25 0. 2 0. 15 0. 1 Reduced Recidivism 0. 3 0. 07 0. 05 0 Nonbehavioral (N=83) Behavioral (N=41) Andrews, D. A. (1994). An Overview of Treatment Effectiveness. Research and Clinical Principles, Department of Psychology, Carleton University. The N refers to the number of studies.

Why is CBT popular in corrections? • Can be done in any setting • Existing staff can be trained on CBT • Relatively cheap to deliver • Wide range of curriculums are available

Table and Large Group Discussion • What are a few things you do to address responsivity at your workplace? Is it Specific of General responsivity? Contributing to a Safer Minnesota | mn. gov/doc

The Fidelity Principle • Fidelity tells us “how well” programs incorporate risk, need, and responsivity. • Fidelity measures how closely programs align to the program design. • Fidelity can be measured and monitored during group facilitation, individual interactions, and in case planning.

The Fidelity Principle Make sure the program is delivered effectively! • Staff • Qualified, well trained and supervised, modeling appropriate behavior • Programs • Monitor delivery of interventions and programs • Participants • Address barriers, but target criminogenic needs • Provide appropriate dosage of treatment • Reassess offenders in meeting target behaviors

Program Integrity and Treatment Effect in Community Programs As Scores for Integrity Rise Program Lowers Recidivism 0 -19% 20 -39% 40 -59% 60+%

Program Integrity and Treatment Effect in Residential Programs As Scores for Integrity Rise Program Lowers Recidivism 0 -30% 31 -59% 60 -69% 70+%

What do we know about fidelity? • Fidelity is related to successful outcomes (i. e. , recidivism reductions) • Poor fidelity can lead to no improvement or even negative effects • Fidelity cannot be assumed • Fidelity can be measured and monitored

What’s Next? • Make some changes at your workplace to align with RNRF • Embed Cognitive Behavioral Interventions and programs at your workplace • Thinking Reports • Behavioral Chains • Cognitive Restructuring • More Training, Coaching, and Practice! Contributing to a Safer Minnesota | mn. gov/doc

Thank you! Bridget Letnes bridget. letnes@state. mn. us 651 -361 -7241 Contributing to a Safer Minnesota | mn. gov/doc