Adults with Behavioral Health Needs under Correctional Supervision
Some of the interventions that John might receive include the following: • John might participate in a modified therapeutic community, which is an intensive, long-term residential treatment program that has been modified for use with individuals who have drug abuse problems and mental health disorders. This modified version uses a more flexible, more personalized, and less intense program than traditional therapeutic communities* and targets reductions in substance use and recidivism.115 This could be a program John starts while incarcerated and continues on an outpatient basis within a community setting upon release. • Within the modified therapeutic setting, John could complete a program that integrates cognitive restructuring, social skill development, and problem solving to increase his awareness of self and others. • Upon release, John could be assigned to a specialized parole caseload and directed to an assertive community treatment program, which involves intensive case management.116 He would continue his medications and be involved in services and/ or take additional prescription drugs to address his opiate dependency. A focus of treatment would be to improve his prosocial skills and connection with prosocial peers. • The parole officer could receive weekly updates from John’s case manager and could even be included in team meetings with the treatment staff. • Incentives and sanctions could be developed to support abstinence, recovery, and compliance with conditions of release.
High Criminogenic Risk without Significant Behavioral Health Disorders System Responses: This subgroup also requires close correctional
Group 5 CR: med/high SA: low
MI: low supervision. Behind-the-bars programs may include addressing non-behavioral health criminogenic needs. Programming decisions take into account the need to change antisocial thinking and behaviors. On the individuals’ return to the community, they may be subject to more frequent and intense monitoring. As with the other high-risk individuals, corrections administrators in both facilities and in the community may need to modify personnel training and supervision policies to align them more closely to RNR principles. To make the discussion more concrete, the following illustration includes several potential interventions for this group:
• High prioritization for enrollment in interventions targeting criminogenic needs, such as those that address antisocial attitudes and thinking.
*See glossary for definition of therapeutic communities.