USING A SYSTEMS APPROACH TO INCREASE CLIENT ENGAGEMENT

AND RETENTION IN COMMUNITY JANUARY 21, 2014

Brought to you by the National Reentry Resource Center, Treatment Alternatives for Safe Communities, the Addition Technology Transfer Center Network, and the Bureau of Justice Assistance, U.S. Department of Justice With support from the Public Welfare Foundation, Joyce Foundation, Annie E. Casey Foundation, and Open Society Institute

©  2014  Council  of  State  Governments  Jus9ce  Center  

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continually updating its website with materials relevant to the reentry field.

•  Sign up for the Council of State

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Csgjusticecenter.org/nrrc

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Presenters Jac A. Charlier, Director, Consulting and Training Center for Health and Justice at TASC

Janelle Prueter, Director, Corrections and Community Reentry Services TASC

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National Focus Area Centers

> National Frontier and Rural ATTC > National American Indian and Alaska Native ATTC > National Hispanic and Latino ATTC > National SBIRT ATTC

ATTCnetwork.org

The ATTC Network is funded by the Substance Abuse and Mental Health Services

Administration and serves a critical role in improving the health of our nation. The mission of the ATTC Network is to:

Accelerate the adoption and implementation of evidence‐based and promising addiction treatment practices and recovery services; Heighten the awareness, knowledge, and skills of the workforce that addresses the needs of people with substance use or other behavioral health disorders; and Foster regional and national alliances among practitioners, researchers, policy makers, funders, and the recovery community.

>

>

> Regional Centers

ATTC Network Coordinating Office

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Public Policy, Research, Consulting and Training grounded in 35+ years of ongoing operational experience at the intersection of criminal justice, treatment and community Systems Change, ACA, Sustainability, Winners’ Circle, TCU Tools, Civic Reentry, Supervision of the SUD Offender

www.centerforhealthandjustice.org

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• Operational statewide in Illinois courts, prisons, probation, parole and treatment partners

• TASC case management (not a service provider) • Quick enrollment in treatment • Retention in treatment • Completion of treatment •  Improved chance of recovery and being crime free

• Accountability to the criminal justice system

www.tasc.org

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Presentation Outline

Ø Part I - Systems Ø What are they? Ø What are the benefits? Ø Why do them?

Ø Part II - Application to client engagement Ø Applying a systems approach to a reentry program Ø Achieving the benefits of a systems approach Ø How a systems approach improves client engagement

and outcomes

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Learning Objectives Ø Define a system and know its 2 features

Ø Understand a systems approach

Ø Know the 4 levels of system partnerships

Ø Know the 11 benefits of a systems approach

Ø State the 3 purposes of a systems approach

Ø Understand how to apply a systems approach to improve client engagement, retention and outcomes

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Purpose of a Systems Approach •  Create durable systemic change •  Go to scale to o  reach more people o  make better o  correct errors o  reverse injustice

•  “Bang for Buck” proposition

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Your Present •  Think about your organizational system partners

o Ask: Who is part of your system? o Ask: What do your partnerships look like now?

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What Is a System?

Two or more parts that interact with each other to form a functional whole

Has a specific boundary Has inputs and outputs

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What are the Features of a System? • When together, the whole has functions and outcomes not seen in any individual part

• When taken apart, the functions and outcomes of the whole are reduced or no longer work

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Thinking About Systems

The Rocks

&

The Elephant

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Is Criminal Justice a System? 14

Police Bond Court

Prosecutor Police Judge

Prosecutor Defense Attorney Defendant Jury Judge Sheriff  

Corrections

Parole Officers Parole Board

What is a Systems Approach?

When the parts of a system are…. •  Moving towards the same end •  Practicing mutual relatedness •  Supporting mutual success •  Working towards shared outcomes

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4 Levels of Partnership • Coexistence (acknowledge each other) • Communication (talk to each other) • Cooperation (do some things together) • Collaboration (shared outcomes)

• Collaboration is best for a systems approach

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System Partnership Map

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Cooperate

Collaborate

Communicate

Coexist

Benefits of a Systems Approach

ü  Consistency of message

ü  Uniformity of action and response

ü  Understand language

ü  Foster communication

ü  Alignment of training and application

ü  Demonstrate confidence in an approach

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Benefits of a Systems Approach

ü  Avoid duplication of resources ü  Create continuum of interventions

and services ü  Improve validity of assessments ü  Develop shared performance

measures and outcomes ü  Learning organization approach

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Application of a Systems Approach

• Large prison treatment and reentry program

• Many partners both inside the prison and in the community

• Each with their own mission, vision and deliverables

• Many agencies working together for the first time

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Application of a Systems Approach • Created Reentry Program Oversight Council (REPOC) • Accountable for ensuring reentry programs operated consistent with a systems approach

• Included representatives from both prison and community based agencies

• Former consumers were members of the Council

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Application of a Systems Approach

Started from the fundamental question: “If each agency, whether in the prison or in the community, is accountable for ensuring every consumer achieves durable recovery and does not recidivate

What would our services look like? What would we do differently?”

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Application of a Systems Approach

Durable recovery=lasting, stable recovery that the consumer is independently managing in the community Recidivism=returning to prison within three years of release

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Benefits of a Systems Approach

• Uniformity of Message • Each agency and its staff aligned in ensuring every consumer achieves durable recovery and does not recidivate

• Staff aligned in ensuring consumers build recovery capital

• Focus on diversion when no imminent public safety issue

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Benefits of a Systems Approach

• Foster communication • Joint staffings throughout the reentry program • Pre-release

• Preliminary discharge staffing • Parole Discharge staffing

• Post-release •  Integrated staffing • Treatment discharge staffing

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Benefits of a Systems Approach

• Foster Communication • Employment Workgroup

• Brought together community representatives from REPOC

• Which comes first, treatment or employment?

• Joint definition of “Ready for Work”

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Benefits of a System Approach • Develop shared performance measures and outcomes

• REPOC reviewed the entire system from the inside out

• Each agency presented benchmarks related to their involvement in the system, i.e. • % of successful completions for prison based

treatment • % of consumers achieving 30 days of employment • % of consumers completing community based

treatment

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Benefits of a Systems Approach

• Develop shared performance measures and outcome • REPOC jointly debated and agreed on performance measures for each benchmark i.e. • Treatment agencies had input on employment benchmarks

• Community stakeholders had input on institution benchmarks

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The Current State of Affairs • Our outcomes

• 98% of inmates have an intake appointment for community-based treatment scheduled within 7 days of release (FY2013)

• 83% of parolees complete community-based treatment (FY2013)

• Recidivism rate for Sheridan parolees that completed community based treatment was 32% compared to 50% for the control group (FY2010)

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Your Future • Ask: What could your future partnerships look like?

• Ask: Is that future worth it to you? • Ask: What do you need to do to realize that future?

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Thank You!

Questions and Answers

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Contact Information • Content questions about this webinar should be directed to:

Kati Habert at khabert@csg.org

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Selected ATTC Resources > Leveraging National Health Reform to Reduce Recidivism & Build Recovery: National Health Reform 101 for Criminal Justice – Recorded Webinar : http://vimeo.com/30743539

> Improving Client Engagement and Retention in Treatment – Side presentation http://www.attcnetwork.org/regcenters/productDocs/11/Improving%20Client%20Engagemet%20and%2 0Retention%20in%20Treatment_AZ%20Summer%20Institute.pdf

> Outreach Competencies: Minimum Standards for Conducting Street Outreach for Hard-to-Reach Populations – Book

http://www.attcnetwork.org/regcenters/productdetails.asp?prodID=438&rcID=2

> Practice Guidelines for Recovery and Resilience Oriented Treatment – Book http://www.attcnetwork.org/regcenters/productdetails.asp?prodID=819&rcID=8

> Novel Approaches To Engagement In Care – Video and companion booklet http://www.attcnetwork.org/regcenters/productdetails.asp?prodID=444&rcID=2

> Recovery Oriented Systems of Care (ROSC) Framework the Criminal Justice System http://www.attcnetwork.org/explore/priorityareas/wfd/lead/AdvancedLI/documents/ ROSC_FrameworktheCJSystem.pdf

> Criminal Justice-Substance Abuse Cross-Training: Working Together for Change – Curriculum http://www.attcnetwork.org/regcenters/productdetails.asp?prodID=721&rcID=15

ATTCnetwork.org

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(646) 383-5721  

The resource center is continually updating its website with materials relevant to the reentry field  

http://csgjusticecenter.org/nrrc Sign up for the Council of State Governments Justice Center’s

newsletters and announcements at http://csgjusticecenter.org/subscribe/

  This presentation was prepared by the Council of State Governments Justice Center and Treatment Alternative for Safe Communities. Presentations are not externally reviewed for form or content. The statements reflect the views of the authors and should not be considered the official position of the CSG Justice Center, the members of the Council of State Governments, or the U.S. Department of Justice.

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