Part II: The Framework
community supervision officer with experience and expertise in those areas.111 Drug test results, medication adherence, attendance at treatment, and progress on target behaviors may be reviewed at each contact. Collaboration with community-based service providers is essential for specialized caseloads and may require the development of formal agreements and discussions about increasing particular community service capacity. Whether through specialized caseloads or more traditional staffing, an intensive focus on these higher-risk individuals will require shifting some resources away from supervising probationers and parolees who are at a much lower risk of reoffending. To achieve these goals, community supervision officials may need to significantly transform department policies and procedures.112 To better understand how the framework might be implemented by staff and community providers, consider the following examples of specific services for these high-risk/high-need groups: • Enrollment in interventions targeting criminogenic risk and need: CBTs have been shown to reduce recidivism.113 • Special programming while in correctional facilities and intensive community supervision on release. • For those with either substance dependence or serious mental illness, access to correctional health treatment resources while in jail or prison, and on release to reentry services provided through collaborations between corrections and either mental health or addiction community providers. • For those with co-occurring mental health and addictive disorders, integrated service models while in jail or prison (e.g., modified therapeutic communities),* and upon reentry coordination of supervision and integrated co-occurring treatment consistent with treatment principles to address the needs of these individuals.114 Case Example: John is a 25-year-old male convicted of armed robbery and
possession of heroin. He was homeless at the time of his arrest. He has a long criminal record with repeated drug-related arrests. At booking, screening revealed he may be suicidal, and subsequent assessments confirmed a bipolar disorder and opiate dependence. While in the community, he has been prescribed medications for his bipolar disorder in the past but has been inconsistent in using them. During this prison stay, he was detoxed from heroin and started on lithium for his bipolar disorder. He has very little contact with his family and states his only “friends” are those with whom he shares drugs. John’s profile is consistent with a group 8 designation.
*See glossary for a definition of modified therapeutic communities.
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