Legislative Recidivism Reduction Task Force

You're healing up well from your injury and thank you for being here i'll go ahead and entertain emotion to adopt the minutes you've had a chance to look there's over as for a motion and I got a motion second second all in favor I used thank you we'll go ahead and get right into it uhm kick it over to c SG. If you would go there the table introduced yourself for the record and you may proceed. Thank you everyone my name is video open for the full go ahead and turn your mike on there if it's not so I get a closer there we go just want to hear you there thank you my name is i'm a project manager with the cs you just the center and I think you all for having us here today and i'd like to introduce my colleague doctrina called jerry she will actually be giving the presentation today i'm i'm just your health hello everyone on a cold doctor and college item with the council state of miss just the sentence senior policy advisor for re entry and today I want to talk to you all about evidence practices. During this presentation i'll give an overview of what evidence evidence based practices are principles around effective intervention and next steps on our own project. By the end of the presentation annual uh have a good sense and better understanding about evidence because practices are but the principles of effective intervention are um and how even the space practices can be used and facilities and community supervision not sure some resources of where you can find epps so according to the national institute of correction evidence based practice is the objective balance and responsible use of current research and the best available data to guide policy and practice decisions such as the outside that outcomes for consumers are improved and not not interrupt would if you don't mind just pulling that mike a little bit closer I want to make sure that everyone everyone on there we go thank you for starving so evidence big based practices are serious of a approaches as the best way of thinking about it and so going from you think about the lowest evidence of quality of evidence is a anecdotal or professional experience with there's a step wise progression along that long evidence and the highest quality being matter analysis of multiple studies and so you can um see something anecdotally or professional experience then turn move towards a steady by an author sometimes that will pan out sometimes it want those that pan now you may say okay we need a third party study sometimes that will pan out sometimes it won't then you'll move to a randomized con- clinical trial control trial it is when we talk about using evidence space practices it does that mean that you all only only ever use meta analysis proven programs there isn't enough out there but you use the evidence base information that's most available to you. And so you want to go for the highest level of evidence that you can. Yeah. And it's not a one and done set it and forget it is the continuing process you're going to identify the most appropriate evidence based practices implemented with with fidelity and checking if you are through quality assurance and constant evaluation and looking at the research and this is prices that keeps arm and it in the circular path passion fashion keeps moving forward. Fortunately there is a lot of information about evidence based practices the university of cincinnati corrections institute has developed a correctional program checklist. Uhm and includes information that you can judge and evaluate programs and practices uh using their principles of effective interventions which i'll go into and it's something that doctor brand is used so something that should be really familiar in terms of a context and how your value eating and judging your programs on the other side is just a place for online resources where you can look up possible on a program that practices you may want to adopt. So now going into the principles of effective intervention there's nine of them i'm going to go through all nine. And the first one is assessed risk needs and responsivity it is very fundamental to correctional practices and it's going to be a little bit longer than the others uhm the risk news response civilian model is what really can I drive all other types of correctional practice practices so you're going to focus the most intensive resources and supports to those have the highest risk of refending and then you're going to focus on those dynamic risk factors or are needs directly associated with the individuals criminal behaviour and then you're going to tailor those interventions in such a way but you mitigate any barriers from them really experiencing the benefits of that intervention. The first step to r and r is identifying the different risk levels so imaging a population if you don't do a risk assessment you don't know where they far with the risk assessment you can then determine whether that they're very low with risk or very high risk so very fundamental as to have a risk assessment doesn't want to make a side note that risk level is not dangerousness and this night severity of offence it is the risk of committing a future crime. I'm focusing resources according to risk level means that people at higher risk get higher levels of supervision as well as um program intensity. There are a number of different risk factor as the science focus design key eight and these are the dynamic eight risk factors the tap four are more predictive than the bottom for and then on the other side of the chart you have the potential needs that would be be addressed so for example anti social personality pattern which word someone with the anthony social personality pattern will be impulsive for example reckless maybe manipulative you are the need to be addresses may be building better self management skills are addressing and putting them in anger management if you look at pro criminal associates maybe it's encouraging that to go back to where they lived before or thinking about mentorship so that's just an example of how the risk is associated with the needs. When you have a validated risk and needs assessment tool you're in the position to make sure that you are being the most efficient with resources and you're able to inform case planning and management and making sure that supervision intensity is appropriate. And we think about responsibility which is how you make sure that a person is responsive to any any program treatment intervention you want to make sure that using cognitive behavioral approaches which is general responsibility also then one of them think about things that are specific to the individual so some examples on the next slide so someone has limited little levels you wouldn't then put them in inter interactive journaling which is an evidence based type of program you would try to address their literacy needs. And then move them into something that may have some require some writing so just think about those things same thing with meant to health needs if someone is going through a crisis or experiencing episode you wouldn't put them in group treatment you'd wait until they're stable before you put them and a group group cheap man. Evidence shows with rnr it matters that you do the entire model so this is coming from a matter analysis the dark blue bar is institution and the light blue is community looking at zero nat not doing any of our you'll see that we citizen I mean you'll see that there was an increase in reset of us and by ten percent. But if you implemented one aspect of rnr you see a very tiny affair one three percent but if if you implement all three aspects of rnr you will see a decrease in instead of the most seventeen percent looking at prison based population and thirty five percent looking at a community based population. And also now that you'll see that the light blue bar as a you know the community base we said if the reductions actually higher than what you see in the present base doesn't mean that you don't do both i'm highlighting that to say both are important. Some moving on to the next principle enhancing in transit motivation. A main goal of all of this work is to encourage long term behavior change. And so it's important for people to be able to use techniques to access internal motivation for change and so in you know motivational interviewing as one of those techniques a couple of things to remember about motivation it's not static. And it's not just universal sometimes you say the person's motivated or unmotivated sometimes you find people like i'm motivated to got a family therapy as maybe because they want to be being reunited with the children but maybe they're not so motivated about going into substance abuse treatment maybe because sit and work before so being really specific and see and it's also dynamic it changes over time maybe somebody was really motivated in the beginning and then they got discouraged got laid off now they don't feel as motivated they're not going to make it this time it also can be transferable if you are engaged with an officer that is excited and believes in their ability and they start beginning to believe and feel more motivated and their ability to move forward so next talking about targeting interventions and does surge which is really really key because sometimes when you talk about are in are we just talking ab. Increase in research of them by being a mix and a mixed situation with people with moderate and higher level so why is there people with people are though lower risk there already on a pathway they can they can move forward with with minimum intervention and and be successful but if they are around other people they can start adapt adopting some negative thought patterns and behaviors even as people are trying to move on there still things that some attitudes that are just not really helpful for them to be super exposed to it can also interrupt what they have going on to move forward itself time with family in their natural sources of ports or employment you know you don't want to know if they have those positive things going on the last you don't want it say don't go to that come to this group from thing over here and be around people who are higher risk and really kind of struggling with their pro criminal mindset let them be in the in a positive environment it's also a good use about good use of resources but it's not just about resources it's also about uhm public safety moving forward time in order of interventions I thought another piece that is really important to think about in terms of programming so when you're looking at interventions in the first year being released in prison you would want to focus in on i'm sorry i'm going to so when people are first being released to prison that's when they have the highest risk of recitivating and you see it begins the plato out after here six that is when you would want to target most of your interventions for people are of higher risk. The. And then you'll see looking at residentials and rates that if you look at prison looking at drive treatment you see a ten percent drop in rested of his own and looking at judge drug treatment in community you'll see a twelve percent drop and it's a very cost of it a more cost effective way to and when you think about the volume of people who are on community supervision to focus resources on community supervision and addition to the prison population. When thinking about how do you do timing of and sequencing of interventions for people who are on community super arm who are about to get released from prison usually you'll be thinking about time towards release so how how much time before they are released and that's when you're going to start stacking the interventions so if this you know and making sure that what's what you're doing is building up high but already works so for example if there is a an employment skill building program and you want to get people involved in that employment skill billing program but there is prerequisite requisites in order to get there you'd work back once they okay before you start that program you need to do this six month educational programs get you ready and then this program is eight months that's when you would you be working backwards from the time of release hopefully that's helpful they talked about supervision sequencing before. Access to adequate and effective programming universally you want to be thinking about cognitive behavioral approaches. A skill building so you and making sure that people notice that just feel better about themselves but they are really exercising and practicing skills and having that can be like quote and cut homework practice exercises talking through their thoughts being a gender responsive is really key and so the pathways in the criminal justice. System varies greatly for men and women uh women often have more mental health needs going into the criminal adjuster system report more trauma even though men in the criminal adjuster system do you have high levels of trauma but women report higher levels of trauma going into the system and so making sure that the practices and programs are conducted in such a way that their sensitive and we're not creating barriers for people who have uhm charmer for example from participating and benefiting fully and then again to repeat making sure that all program is provided with with being sensitive to responsivity factors that can be assessed through um through a questionnaire behavior a health I mean cognitive behavioral approaches need to be a done to fidelity there are many ways to get cognitive be here for all programs evidence based programs can go wrong by just not doing them the way they were modeled and to to be done so I usually refer to this kind of like threating a needle and there is just so many ways to kind of miss that i. You can do more harm than good I mean we've seen this with kind of the scared straight programs and and boot cams and what we now know is that what really works is increasing and transit motivation addressing farts addressing those things that are impacting people's behavior cell address incognitive be here for all for example you know decreases re citizen by twenty six percent. Work types of thoughts are addressed in cognited behavioral interventions will you'll see denial of the victim you know they had it coming up II didn't do it for myself so you know that kind of higher loyalties out there they have insurance cell there is your numbers denial than anybody has been harmed by their actions and just didn't do it I had no choice so denial of responsibility condemnation for condemners they are the cops just are out to get me or if you're in supervision the parole officer is gonna is looking for ways to violate me that's why they're asking for so much information and these are just these are just a few dozens i've i've seen some less is over thirty dozens and dozens of thought patterns that are considered more pro criminal and once you're your teen the staff is trained on them they're able to identify them as the trained on motivational interviewing and they take on cognitive behavioral approaches don't be able to address these through programming head one. So recognizing this having a staff there's really trained on this is just really critical for the type of behavior change you need to see. Sound in terms of quality of staff training and development. Training is key and then that needs to be followed up with good quality curricular uhm staff coaching making sure the agency as a whole is is practicing evidence based practices and service delivery that new staff there are coming on board are employed the understand that the transition where the organization added organization as that and is able to attend that complete all the training i'm saying all of this because one of the things that receiving across the country is this commitment from agencies like saying you know what for going to be successful this is not a matter of having one person just really really great at evidence based practices were evansless programs as the one star program is a universal type of approach set everyone understand everyone that's been trained everyone understands where the what the goals are they are able to correct people on the spark they don't have the necessarily be improved is it is an approach. To visit facilitate positive behavior change in case planning goals you need to use their risk as risk and needs assessment to use that information to set conditions it's helpful for his case planning it's helpful for program referral and will it even with all of the positive things in place you will come across negative behaviours one thing that we do now research a shown is that punishment alone does not effectively achieve long term behavior a change and in fact when looking at the balance between um. Incentives and sanctions the balance should be four times the intention should be used for times more than sanctions to proport and sustain positive change so we know what punishment is you know a person has contraband for example a correctional officer of me give them an extra assignment to do or take away some privileges but in terms of positive reinforcement it could be specific craze or feedback for a job well done or indirect praise or group recognition or an extension of curfew less frequent meetings with staff there's a number of incentives that can be built along the way and so what we're seeing more and more or agencies cannot institutionalizing and being really clear about what those incentives look like and making sure that it's not just up to again the staff that are kind of like more likely to give the ad boy that you can get the outaboy out of girl from various staff and so people just need to get trained on what that looks like. So in terms of engaging supports from the community which is really critical and now this is something that you all are doing in arkansas already it's a great means for developing pro social supports and especially for people who is for everyone but mention that anti social appears as one of the kind of the top four uh respectors. Beat being being able to develop and develop some roots and community and no community actors in different ways is is a great way to develop process supports now the process of supports can happen in different ways through keep helping my case planning helping with in reach hoping with a relative some you know your community based partners can be helping you with that support around families uh some organic in a mentoring is a really powerful tool you may want to look at natural mentoring sold people who are a part of a individuals and natural social network and investing in them and how to be a support to them so those are just a couple of different strategies one of the things that really helps program stand out is when especially when you're looking at community is when there is a case plan that's comprehensive so it includes supervision and concluded health that includes employment but having different actors coming together and needing about a case load of people and being able to respond in you know entimely ways is just a really good approach worth considering and we have allowed it different resources on what that looks like but the examples of community base in support and helping people be effective is is pretty long but those are just a couple examples. Thanks he want to make sure that you are going back to an early the earlier common about being able to get information and using that as they are feedback loop. Following a talk about training staff coaching looking at quality assurance and processes conducting program valuations and making sure that you are evaluate how data is being used to improve outcomes. And you need the support of all leadership and ideally you're dealing not with a one time piece of information but you have ongoing information for timely decision making. The. The nowhere that data can come in you can adopt a data system's attractive day practices monitor staff proficiency er use data to inform decision making related training and programming implementing new practices and use data to measure implementation and fidelity and so that's a lot the slight is loaded that's there is almost like the gold standard and in certain ways but I think it's worth sharing them out of where you are how helpful this type of information is. So I covered a lap but here are some just the key takeaways. Evans space practices is effective in reducing residential some of there are a lot of studies out there states are reducing residentism and we can feel confident in these approaches the rest need responsibility model to guide program decisions within the correction system too many interventions for lower risk people can lead to poor results. Interventions are more effective unless costly when done in the community when it went appropriate. And a commitment to evidence speech practices requires fidelity to implementation regular program evaluation and ongoing review of research so hopefully I left some time for any questions and discussion and before we move into a program update unless you want to do the problem that day yeah. Can you guess what you recognize thank you also for the presentation that was very helpful but we'll move in the questions now they wish to chairman thank you doctor jerry could be in here today I want to go back to slide thirty two. One of the things that I heard you say I think consistently throughout your presentation was that positive reinforcements typically yield better results than negative reinforcements and so on slight thirty two specifically shows discipline and boot camp. Actually increases recitibilism as opposed to decreases for suitabilism and when I think about what we do in arkansas on the other things that you said was was that measures that are implemented in the very first part of whether it's incarceration or release things that you do at the outset really more important than what happens in your four five six seven eight those things that happen earlier on in terms of early intervention. And so I know when someone goes to prison and arkansas typically for the first time one of the very first programs that they're put in is boot camp. And when I look at this boot camp actually it appears from the research increases for citibank have concerns about that can you address there yes and I have an out what's happening in arkansas however what we know is like a pure discipline only approach and do more harm then and so I can speak specifically by the program I have have not seen and it doesn't mean that you know just more brildly around punishment punishment is going to happen but you have to be thinking about replacing behavior so replaced you know it's not just stopping behavior it's also like how are you going to replace that behavior and you want to replace thoughts and change behavior and so that's be the overall focus of the work and i'm sorry can speak specifically about the program in that europe referring to but especially in the young adult juvenile area you'll see that there has been a significant retreat from accounts and would you mind taking that off the share so we can see the other members that are on zoom if you don't mind I know it was helpful to have it up but I know we have questions come there represent the gas where you're recognized for follow up okay so I see mister paying who's telling me that apparently i'm wrong that the ABC doesn't have boot count now what uh one time I seem to recall that they did have boot care and what I would hear people say when I was working in the court system boot camp was one of those things that you went when specially you were kind of a new offender connected boot camp and you successfully completed he got out really early but of course we have one of the highest for citizens and rights in the country if that were continuing obviously that was concerning to me that solomon sitting here shaking his head at me or not so i'm sorry dexter senator shake his head at me which. The. Uh scares me a little bit so I apologize for for being wrong about that. All right see mr magness you have your hand raised yes I asked the presentations question in in evidence documenting the the department of correction has a also programs so sometimes it's hard to determine which program has the best success because an in my during their term may make two or three problems maybe a drug related anger management family planning to to help on them work with families more can you tell me or answer me that when you're to an evidence documentation whether programs good would their calls are probable. The key would be to track we set of them for each program track the effectiveness for each program and I and just to be clear I took brildly about even the space practices and approaches within that round of interventions there are evidence space programs right and so one of the things that happens and it's not just an arkansas it is across the country is things get tweaked for a different reasons you know lack of staffing or maybe rural area and people after multiple hats and things get changed in just like threatening to need all that does not mean that the program will still be effective and so that's when you need to make sure that you're be really mindful of that and you can check to see if the changes are still you've seen the outcomes that you're in a that you hope to make but arm sometimes it looks as that something has a basis and an evidence based program but the way is actually practice is not not to fidelity and what we know is that it can lead to its not effective anymore and worst case at least harmful results. So yet attract the outcomes per program I don't know if the answers your question center for institution yes the same situation is the same program name from what it's yes one of the high high level models so to someone want to get highlighted models that we've seen is when there are quality assurance units so you're actually seeing a programs are being implemented to fidelity by institution but then also by the facilitator cause you can have one percent night belief I mean sometimes it's poor training and then sometimes agent may not believe in all of this I mean that happens like I don't believe it they weren't haven't bought into it so it's really important that everyone's bought it into it and their trained appropriately they have a rate credentials and that their operating it to fidelity it's it really is a high sticks effort cause a lot of resources go towards these types of programs okay first of all we have q going to send your tucker and then mister chairman to you thank you mister chair thank you for that excellent presentation I don't want to a risk over simplifying what is a very comprehensive and there are a lot of aspects to it but it's seen our really I will just want to take your temperature and see if you agree with me it seems to me that uh the assessment at the beginning is really a key point because without the assessment it seems like you're just throwing everything against a wall and and seeing what sticks in your not just doing that once you're doing it over and over and over and it seems to me to be. The threshold through which everything else exists is that am I reading that right absolutely you need a validated risk in the its assessment. And yeah and and and repeat it and you know repeat it I spend a lot of time focusing on what we call dynamic risk factors because those were things that can change. And what we're seeing is that people can improve they can change behavior to change attitudes and so you want a track of that you want to understand where people are at and but you but if you don't have the the the that assessment. I you are going to be reduced to people volunteering guess who volunteers to be in a program low risk people they're they're trying to make their life better already in now they're looking for programs or looking for opportunities they're looking for connections they're gonna so they're going to volunteer for things but you in there sometimes you want those individuals that you can't I don't want to spend a lot of time with that you want the people who are you know have the the you know those attitudes that are not serving them well and can be a bit you know maybe disruptive you aren't them in the group and so you want to encourage them to be in the group but the only way you can do that is through the assessments people will say I can just figure it out of my own what we now is that that's what you introduce bias so we want to just remove that just remove it and then the other thing is then you begin to track your progress and so when you're looking at how you're doing in terms of reducing the citizen you know you usually put reports date wide we sit over some but those who are operating programs that would they want to know is how many doing the people who are higher risk now those people that we know that there is a higher likelihood that they're going to commit another crime those people that you know pulls up greater risks to public safety how we doing with that and you know that by tracking you have to use the assessment to see how you're doing but when people say that people don't use risk assessments. They could you know they may be reporting just low risk people and not making an impact in higher risk people you need to be having it impact on higher risk people that you really are entered what my follow up question was going to be in it which was kind of a piggy back on what chairman magness had asked which is that it's so to me the front and the assessment is it's it's absolutely essential you almost can operate without it but then the back end is the tracking because that's the only way that you're going to be able to learn about what's working in what's not working and that's the only way that you can make adjustments in it and improve how you're doing moving for otherwise you're just without the assessment without the tracking you're just kind of flying blind and that's that's what you have to have to be informed about what you're doing it's it that's that's the way i'm sorry reading it and sell yeah thank you thank you miss shirt mr chairman you recognize thank you mister chairman so I always want to look at things and see how we can get ahead of the problem and so does the data support the intervention at the june or level the same as the adult level what we heard today could we intervene at the june level to prevent some of this from occurring later down the road just the data support the same programs excuse me yes but I would recommend a separate presentation I will left the follow up with you but yes there there are set of known strategies around juvenile says as you know a big push and keeping youth in community so late less focused on we're doing what we're on the right path in terms of that institutionalizing ether necessarily but there are resources there are about effective supervision practices for a juvenile that of course includes a lot of family based and education and what work force looks like there but great question prevention prevention prevention. Yeah thank you so I know the job sort of alluded to it in your presentation and and so there's been some discussion previously another being in prior meetings about programming within the department would you would you just touch on you know more maybe clearly into sinkly in the sense of to mister point there's a lot of programming within the department but maybe some of it for whatever reason might have been tweaked or changed or whatever over time so where does that leave us if we take an evidence based program and we tweak it it's no longer evidence based because it's been changed correct would you mind speaking to the yeah it's it you you lose the the fidelity to the program and you're just hoping that is effective and so what I would recommend is to actually test a valuate and be really careful one of the three happens in a slow drip usually someone's learn if they haven't been replaced this thank you now and there's no tracking of necessary how things have changed but once that for a decision as made it just kind of opens up to more and more decisions but if you really want to evaluate like okay we want to make this change and we are intentional about this change tracket document it and then you know work on the withdrawal work with them a valuator and and there are you don't you have to wait for a three year recitives and said even though you should keep that mind whether our intermediate steps and if if you get this space of kind of quality assurance you'll know what those are you want to see if attitudes were changing you on a you know you want to see if the accessing programs and you want to see if they're completing it so there's just different there's different things you want to check along the way but you know the recommendation is of course not to deviate from the evidence because program and hold hold it to. Fidelity that's a lot of work it's a lot of work to tweak and then do all this evaluation and the ad now if there's something like we don't have we don't have enough people to do the group therapy anymore or maybe maybe you need to look at the interactive journaling you know instead of tweaking on your own look at different types of evidence that he's practices that may suit where you're out right now there's a lot of virtual options you know that could be a possibility but I would look for another take advantage of the but the programs that already are in the existence before just tweaking. Thank you that's how far must magnucise your hand up yes with chairman I won't go back to my same question a lot of times we have in mates that take what we believe to be evident based programs but one we do the we're citizens and report how do we know which one was effective in which one wasn't that better I can't understand what she saying I just want to make sure she understands one of the presenter I understand what i'm asking how do we go about other than during the program checking to see if they are staying with the evidence based program and never tweaked it but how we do we know which program worked after the three years now yeah. Yeah. You can control for those things so if you know that everybody went through thinking for a change and everybody went to a substance abuse treatment but there is something specific that you want to look at maybe there's an employment reentry program that is now. So you're gonna get a group of people that have done two of the I you're going to get a good people that had the same similar programming but then this extra thing that's new and you're going to sort sort out based on that program you want to value the other thing that can be done is when you're so that that's the way you would do it all else all else being same except this one program that you're particularly interested in. The other thing that you're able to do with a multivariate analysis you're able to see. How much change is related to a particular factor. Uhm so as a coefficient and in the analysis i'm not explaining about but there are techniques to be able to isolate that effect through research and a valuation but it's like a statistical statistical model but the way you set up the evaluation is that you're going to try your best to isolate that one factor and then you can actually see how that has contributed to visit it for some it's possible okay any other sorry ryan cooper. I'm sorry I am referring to by else's mister misses our doctor and have ever adjusted ryan cooper sir mister cooper been referred to a whole lot worse shipment but I appreciate that I don't thank you for your presentation on page thirty issue on slave thirty six there's a a reference to services that are not designed as evidence based but are still important could you give us a couple examples of those I just want to make sure I understand how that particular point. These are just supports to to being stable and community it can be connection to familiar for support housing support employment services like there's a number of reentries supports that are helpful for reintegration that can be part of a comprehensive plan so something that adds stability but is not necessarily part of the program yeah they are yeah thank you mister chairman that's all that you know thank you and i'm interested in the assessment at the beginning you talk about just how thorough in it needs to be have you all done assessments midway through in at the end also to track the the different progress it's helpful to do a assessment when you're done with a reassessment when programming is done. Do if you're people are leaving prison to do um an assessment when they're leaving or when they're entering supervision if there is a significant event that has happened that can be a reason to do a reassessment so there's a few different reasons to do a reassessment you know during but I would be mindful of just having a really a good reason good reason for why you're doing the reassessment. They can be lengthy as you can talent to the lot of really good information there in serve somebody is during in a during their course the time things seem very very different you may wanna have them to a reassessment and I could be different in a good way it could be in a different in different in a bad way and do a reassessment and make sure that they're in the right type of programming sometimes people who's running people or running the programming like this seems off wisest person here and and they need need to be reassessed if a lot if that happens a lot it may want to then look at the quality of the assessments that are being done and that could be that could go back to a training issue. Get your recognized okay also just want to ask you a little bit you talk about the importance of training staff but are also noticed that you mention that kind of that quality assurance to make sure they don't veer off from the evidence based practice so are you s- are you recommending ongoing training for staff too and what does that look like yes ongoing refresher training being supportive around that you know actually we we we republic something that is done they have a they shared with us and then we republished it was. What they do and there are kind of performance reviews slash hiring the types of things metrics that are really important for their staff to have in order to do this type of work and we can share that with you are because it can be concrete and what you would then be doing is making sure you're providing training opportunities towards that and again there are training packages out there that can easily be adopted for corsta for supervisors and are making sure that people are um aware and just ongoing if this is definitely not a one and done type of training it it it is it is a bit of a shift and some people will take to it really quickly and easily like of course this makes sense and then some people like this is like a load of whatever and they need to they need to continue to go through the training and understand and observation of how they're leading groups is really important so you know the piece around the incentives has been really helpful for the field understand just the impact of what encouragement errors you're talking about a population that is and i'll just be clear the studies talked about encouragement form their parallel officers were but what praise from their you know praise from parole officers have mentioned terms of their behavior a change promoting positive teams so those are things that harm can be done there some evidence evidence there to support that. Thank you any other questions all right see no questions I think there was a very helpful presentation thank you so much for being here today I think you will see chairman dollar thank you mister chair I was flipping through the next to the last page is talking about your regional site to get a better or yes we have to do our way skipping that partner now we need to do that with the chairman's indulgence if I can just have a couple more minutes I promise i'll be quick. Just to give the updates and if I can reshare. Just on site should. Hmm. Okay. So just very briefly to give you an update on where we are um we are planning on i'll just to as an aside a lot of what doctor jarett talked about we know is is going on we we we have a many of doctor brat ins assassmen's including one that was handed out here today so we know that that is going on and we are intending to really drill down into those assessments really look at what's working and what's not where are evidence based practices happening and what can be done to strengthen those and. We're gonna try to answer these questions through qualitative and quantity of analysis that already builds on the work that's being done so as II think have said it every meeting that I have come to a key to be able to do this and to do it well that we need access to the data we are moving I think to a place where I soon can tell you that I have data enhanced I am not we're not yet there but all the paperwork has been completed and so i'm i'm very hopeful that perhaps before the end of today something will be in my embox my ask for those in the room if you're in a position to support any of these folks because I know that what we're doing is asking folks who already have a full plate to do an additional thing and nothing is coming off of their plate for them to in prepare the data and get it to us so if anyone here is in a position to support those folks I would personally be grateful so that we can have that data and analyze it and be able to talk to you about what's actually happening in the state well I look forward just to point I look forward to having a meeting with the direct raci this week so sounds good. And as i've said before we are hoping to not just look at data but talk to folks which we have been doing we've met with many folks we've met with many folks in this room we are hoping to meet with everyone in this room if we haven't met yet looking forward to setting up a time but we're also hoping to visit various parts of the state we're want to make sure that we have a representative understanding of the state so what we have appear is our i'll call it best to educated gas we're hoping to visit you know urban aunt rural. And see correctional centers crisis stabilization units we are hoping to talk to you all sorts of stakeholders victim service organizations and visit with some of you hopefully while we're in the road so I have this map up and this is where we are thinking but as I also always say you were the experts of your state if this doesn't look right if we didn't get it right let me know we can change weekend expand but we rely on you to get this rate cell please don't be a stranger let me know when we look forward to continuing the work german dollar you recognized thank you mister chair I represent the very southwest corner of the state which is vastly different than the south east corner of the state in so many asking that you come down in our early in the sap doesn't have to be in my county but somewhere in the south was part of the state because it's vastly different from the northwest the southeast central each region is different and so I think you would be a mess by not coming to the southwest will take that as an invitation thank you thank you. Okay anything additional for our csg folks before we bring up the next agenda item say none thank you very much direct pain or you I can't see you because I think there's a large structure in between where there you are. Would you mind going to the other table and introduce yourself for the record and then you may begin. And then just reminder folks on zoom mister magnus is good at raising his hand but I just would point out if you have a question please do you likewise or just get my attention in some matter thank you good afternoon when i'm dexter paying out the director for the division of correction. All right sorry you may begin when when reading all right i'm dexter paying on the director for the division of correction i'll have my two man take supervisors from the microsoft union in the wash start river facility here with me today to answer any questions to me here thank you would you mind just describing the intake process I know they're I think it happens at the two units right as at mcfearson and washington would you mind just describing that intake process and I know we'll probably based on the last discussion will probably have some questions for you okay i'll give argued rachel rates mcclearness from washington get her to start sees the antiques who raise it was start to describe that process. If you would just introduce yourself for the record and then you may be getting i'm right from a cleveland I work for the take a processing department at the washington river unit so we start our day the day before I typically know how many i'm going to bring the and where i'm going to bring from um I start by reviewing our backup list what we have available or do we have any discharges coming up do we have any medical needs behave your issues staffing at the county jails in their overcrowding who is running on a room thanks of that nature i'll compare a list together i'll contact my counties in the more schedule in a rouble date for the following day thank you. And if you don't mind also introducing yourself for the record and then just sort of describe in that process as well hello i'm more it's a cable with the make fiercing unit in report we start up with a female is going to at least from the day before we compare the lease i'm doing sale about how many women and what county is with us been the make first again and we only can bring them in females can only come in when we release females so we get the number of how many females are going to be released and we could file the evidence and we start calling kiani's angle from there although in there we start after counties coming in the morning time and we go through the intake prices where the other mispull you want to be recognized I thought that was the look if you don't if you would online put they go can you tell us a little bit about the intape process itself when you go in what are you doing exactly. One of the first things that we do we actually like their source little question because we need to know if we need to contact minimal health the next thing is the offenders they give us their their statement about why did they submit the crime so that's there and then we go off our there like high way height weigh the birthday different stuff like that to make sure they you know it's it's all correct in the system and sometimes there are errors and we try to figure it out and we call and see if there is a era like on the similar reporter something like that after there will do the risk assessment that is the five questions that we accept to see which they get into a minimum medium or hiring education is another thing after the is militaries and I think that's it education education is another thing that we got there and their job skills we collect their job skills on with so we'll know what kind of jobs will they have and to let it our classification department now. Can you tell me a little bit down do any mental health screening you know you mentioned suicide by anything more than just suicide kind of indicator. Number if we have a problematically image that's a little called middle half down there but as far as they lived in that we act is suicide if there are sorcerer inputted in the case nots it's I was going be found in case in are you a licensed minimal health providers it windows also educational background too batch was in political side I have some college all right gas way did you have a question I did thank you mister chair I just wanted to follow up about the assessment that you mentioned when they come in what is that incentive assessment involved five questions one of the questions are budget whatever did you ever catch a charge under the age of eighteen did you ever get in trouble in the chili in school suspension suspended from school I says that's another question what age did you start it drinking under the age of seventeen our older. Yeah. Under eighty seven school looking for set heavy of a revocated before and it's yes sir no one are the questions that says the last minute and that's under age during way to start drinking the under age of seventeen or eleven that's the assessment that they used to put him in the different programs or score okay so just consists to five questions are for which are yes or no so do you fill it that the meaningful assessment no sir okay how do you think that we might improve upon that. I think the questions that your airskin it might have at the beginning but the airlight say for instance they think legacy programs and some of the programs that we offer here through eighty c most of the people that are aggravated by there's a different stuff like that they probably never committed a crime never been up for all the probation ever been suspended for schools so there are low risk even though they committed it because but you know they don't qualify for emergency the programs because there are low risks though the people there are dated some of the programs that can't get into the programs because they on the roads where they are a lower so it sounds like you agree that there's there's more work to be done in that we could do these assessments better sounds like all right very good thank you very much representative gas away this next train and we we recognize that about a year or so ago that we had a need to update that we've been looking at different risk assessment tools to assist us in in in getting a better assessment uh the last one was called all rares that we were talking about right now looking at implementing it in getting our staff trained or change the two we we definitely know the rural is not the best to to do and take screening with. Okay senator tucker than miss clifton than mister magnus I think you'll have a largely with representative gaza way and what and what you just said mister pain have answered my question there's there's the one standard assessment five questions that's consistently using is this is this test as a name it's not something that you are came up with necessarily it's it's one they are pulled from somewhere risk assessment okay and where does you'll get that from that was create bad gentlemen who are about eight eight land years ago we've recognized it is it is not if necessarily validate itself that's what we want to change their ok how long has the department been using the having success to do that nineteen. If I had the estimate at least i'm fine with the list of what I want I won't hold you to at least in years at least ten program and so my guess is what was there an assessment that was used before that or is that the first assessment that that we've ever used in for and take into corrections I know we we've used mortal assessment tools but even even before that i'm thinking that was the whole race that we're going back to now that we just gonna take porces of it and utilize what we need for the array of risk assessment this time. We're just gonna use portions of it the sir not all of it meets the allowance the assessment to is required for the division of correction now the department is a whole may use the entire assessment okay. I'm alright thank you miss clickton can you hear me we can okay good afternoon so some of the question already answered by the previous questions but just for clarification the intake staff that's here are we talking about like the initial the day they arrive at the department of corrections or is there a longer intake process the day that they arrive okay and then do you know is there any additional like is there a mental health evaluation or intake that's done or is it just this there are mental health service our mental health services like only by request or is there an initial mental health down for each in my does that come in yes there is an initial if you would turn that microphone or or pull it closer if you would please there is an initial middle healthy valuation done individually by each in it's typically doing twenty four hours draft with the inmate arrives in like miscavers said earlier we do as the suicidal question at the beginning of the interview which indicates if the inmate is having any minimal health issues when they come in which we can contact me or help that day and we can do a fash track and they can go up to middle health that same day with the women we have fourteen days. So there may not be if there's not an additional and initial like suicidal issue there may not be mental health energy intervention for up to fourteen days are just four hours okay. I think that's all I had thank you mister mammoso recognition yeah I did phone to clarify for the further test force I know there was a mental health evaluation or questions rose fairly early after they got there but it was stopped part necessarily as part of the risk assessment and that's why I wonder make sure ever buy interest to the rear same mental health about it waiting or questions were the staff can determine what the mental health age to question the people in mate alright judge richardson you're recognized. Yes thank you and I have two questions first is to follow up on the mental health aspect I may have misunderstood the initial part of the presentation is there a mental health evaluation that each end may receive when they do their intake that is something other remain or use suicidal or do you have suicidal ideations yes yes okay and so when you're saying there is that window to determine uhm whether there are other mental health uhm concerns who on the staff is a day is that a mental health professional that is conducting that evaluation is yes okay in every single inmate is going to be part of that they're going to be able to participate in that yes okay and then my this details with my second question then uhm is there any mechanism where the individuals conducting the integrite get information from any source other than the end mate yes okay can you describe that for me any information that we get from the county a lot of the countries bring in paperwork for that you made especially when it comes to my medical paperwork in their mental health paperwork from the county deal that they have and it is take the interest and we distributed to medical mental health into the wreckers department. So a question I have about bath in is uhm for example on my docket a lot of the people that are going to the mcfierce and unit for example would be going on some type of petition to revoke I would imagine a significant portion of your population is there on some type of revocation and is there a mechanism where you can receive information from uhm probation or parole that had been supervising that person prior to the revocation so that you can have a fuller picture of what uh the circumstances are that may have driven that that additional or new offence yes ma'am we have a car limiter is like the supervision context you can rewhat's going on with the inmate that is coming in so if they had middle hail for any type of problems or while they reoffend it we already know about it because we've read about it in the supervision contact so that's why when he comes to somebody that has revocated the women when they come back I got to the supervision sometimes because I want to know why did they revocate income bay so don't let us know if they're like six months ninety days and stuff like that so for example if they have a probation officer or a parallel officer who has documented that they have mental health issues what would your unit do at that point allegate with our middle health the person that's over men will have to let them know about the problem that I read in the supervision contacts until then to go read it as well because he has the see it as well. Okay and it just one final question on there I thought I understood from a previous meeting that the number of licensed treatment professionals uh on the middle health side at the department of corrections was minimal I were calling that it was something like two two counselors or two licensed mental health providers is that accurate in terms of your understanding and who is providing the mental health services to the inmate that you have flagged as as being uh in need of those services yes mail to make fiercing unit is a difference for toilet someone that is license and someone that that is a counselor and we notify the ride until it's over so he'll notify which one will come as they in which one I will talk to if they need to speak to the license person at the council that's how it goes there thank you mister chairman thank you I have a follow up so the proffs basically but africa which you called the report just a second ago but we comes with them right upon intake who is so if they flag that this person is dealing with the middle health issue where is that derived from is that just from observation of a parole officer or is that from a medical professional sometimes when it make comes in for a revocation like they've probably been happening as I they probably have been sent away to took for treatment and saw the parallel offers it was like it may jane does the the middle of treatment was there for something the amount of days and gives the reason why and that's how we look at it so we've notified middle hills to be like hey so as I was treaty in the middle hill for this reason in plus a lot of them when they come in here. A lot of the women that come in they are on mineral health meals so that's one of the things that we we let them know as well so they can get them in to see the doctor at the constructive material. Typically at the washtop river unit if we have a county or an individual at county jail that's dealing with some minimal health and medical issues I will refer them to our mental health administrator or a medical administrator in pombo and we will let them fill out an hsr health service request form and we will let our minimal health administrator review that and then they can determine you know they'll send in all the documents needed mads list doctors visit treatments that the inmates have done i'm in they'll review that and then my middle health administrative will call me and let me know whether the inmate requires a fashion or not and to bring him in immediately and what we need to look for mister garris way that misclifton mister i'm sorry sir you're your hands up I didn't know if you were I don't know how to lower him go out thanks. Right guess where you're recognized thank you mister chairman. So I do have some particular concern about the middle health screenings I think judge richardson house. One of the questions that I had but you know II do have some concern their bin suicides in some of the units which makes me question how effect of these mental health assessments are. And me do you feel like that there's anything that you could do I in terms of the assessments that could have prevented some of these situations well often take often terms of supersess it occurred to facilities aren't happening in the first two weeks live changes on they get bad news from families things like that effects you know a lot of it on the suicide so it's not it's not like the assessment that happened today is taken affect on them doing to have in seven years down the road off certainly commits who were said it is not necessary because that initial assessment would have what I have seen in my thirty three years is basically there they get bad news from home or they just get tired of doing time and they decide so I take it there yeah thank you so and so I take it that there are some something that distinguishes between someone who may come in and crisis who may come particular frame of mine I would think entering prison for some people would not make you susan there's some type of evaluation that takes place on the front and determine if they're in a crisis or likely to be and then if so many of these suicides do happen later down the road because of bad news are you guys doing any type of screening to determine who might be susceptible to that sort of thing. Yes mental health thursday and in that initial two weeks that does he discuss based bay screen on more than a national two weeks while they inclusive rate they can report to admiral health adviser bad using a key asked by in writing though either way to say here may have been some minor health issues cannot talk to someone and they'll be there be assessed in the screen at that time and if if they are have any issues they will be placed possibly placed on treatment because since and we'll put them on a watch we'll watch them a large close within normal thank you miss castle did you have a question okay sorry you're giving me that look at it now are any other questions alright see none thank you very much mister college if he would provide a meaning to remind every one of the meeting day we're looking at um I believe we said the sixteenth of april so if you go ahead and plan on that date however that will be dear in the legislative session so there may need to be some flexibility associate with that but if you would just hold that date for april sixteenth thank you very much any other business before we