Joint Conference of Joint Conference of SRACP SRACP

&&China Prison China Prison AssociationAssociation

Joint Conference of Joint Conference of SRACP SRACP

&&China Prison China Prison AssociationAssociation

Psychological Services for InmatesPsychological Services for Inmates in in

Drug Addiction and Treatment Centres, CSDDrug Addiction and Treatment Centres, CSD

bybyNancy ChanNancy Chan

Clinical Psychologist, CSDClinical Psychologist, CSD

Psychological Services for Inmates

in Drug Addiction and Treatment

Centres (DATCs)

Risk/Needs &Rehabilitative Programme

Matching

Psychological ProgrammeContent & Structure

Initial Evaluation Findings

Risk/Needs &Rehabilitative Programme

MatchingRisk• Historical Factors• Actuarial based• “Static” Risk

Needs• Personal / interpersonal Factors• Personal Deficits• Theory based• “Dynamic” Risk

Overall Re-offending Risk = Risk + Needs

Risk/Needs &Rehabilitative Programme

MatchingRisk Factors, e.g.:• No. of previous convictions• Age of first conviction• Present Age

Needs Factors, e.g.:• Employment• Criminal Attitude• Drug Abuse

Risk/Needs &Rehabilitative Programme

MatchingProgramme Priority:• Level of Risk• Level of Need in Need Domains

Programme Intensity:• Level of Risk• Level of Need• Number of Need Domains

Programme Content:• Specific Need Domains• Level of Need

Concepts• Motivational Interviewing• Relapse Prevention• Cognitive Behavioural Model

Gaols• Drug Free and non-criminal Life• Cognitive Changes• Behavioural Changes

Psychological ProgrammeContent & Structure

Abstinence Maintenance Programme (AMP)

Responsivity Enhancement

Programme (REP)

Intensive Treatment Programme (ITP):

Psychological ProgrammeContent & Structure

Responsivity EnhancementProgramme (REP)

Psychological ProgrammeContent & Structure

Motivate

Hope

Myths

Fear

Responsivity EnhancementProgramme (REP)

Psychological ProgrammeContent & Structure

DVDs

Discussions

Briefing

Assessment

Intensive Treatment Programme (ITP)

Psychological ProgrammeContent & Structure

MotivationPeers

Emotion

Cravings

Abstinence Maintenance Programme (AMP)

Lapse & Relapse

Lifestyle

Intensive Treatment Programme (ITP)

Psychological ProgrammeContent & Structure

Abstinence Maintenance Programme (AMP)

TreatmentLength

Risk/Needs

StructuredProcedures

StructuredActivities

StructuredMaterials

StructuredProcedures

TreatmentLength

StructuredActivities

StructuredMaterials

Risk/Needs

Initial EvaluationFindings Sample Data

1-33 yearsof AbuseAve. 7.58

01.01.2007To

31.03.2008

16-66 yearsAve. 31

165 subjects

Initial EvaluationFindings Measurement

T1 T2 T3

Waiting Control(Comparison Group)

Treatment Group(Experimental Group)

ITCQ-8

Initial EvaluationFindings Results

T1 T2 T3

Waiting Control(Comparison Group)

Treatment Group(Experimental Group)

Pre-Post Treatment Comparison : significant result

Controlled comparison : insignificantbut change was in right direction

Implementation of Programme with Integrity

Collaboration with different parties

Staff dedication & Involvement

Conceptually Consistent and Sound Programme

Comprehensive Programme Content & Coverage

Risk and Needs as Framework for Rehabilitative Services