Proceedings and Papers

WEDNESDAY, MAY 4th

10:30am - 12:00pm

CONCURRENT INSTITUTES:

Disruptive Innovations and EBP. Why Can’t We Get it Right? [Part 1]
PDF or PPP

Community correctional service providers, such as TASC, struggle with the reality of doing evidence-based practices (EBP), they run the risk of failure. It is a well-known fact that most efforts at organiza-tional change in our field fail at the point of implementation. Indeed, many authorities contend that service providers have no business try-ing to do EBP in the first place. They argue that it is too complex and costly for overworked, badly resourced, and poorly supported profes-sionals and their managers to accomplish. Disruptive innovations are a pathway to ensure that EBP will be practical and workable for the majority of community corrections service providers, and not just for an elite few with the dollars and expertise to accomplish ―high-end‖ initiatives. Such innovations may not produce a ―Cadillac‖ version of EBP for most, but they will make certain that at least everyone is
capable of owning a Chevrolet (or in today’s world, a Toyota).

Speaker: Frank Domurad, Vice President, The Carey Group, Inc.
Moderator: Michael Gray

Trauma Informed Care [Part 1]
PDF or PPP

The overall purpose of the presentation is to provide a core under-standing of the fundamentals of trauma informed care and its use in our daily interactions with the people we serve. Although not a com-prehensive review, the intended goals are to strengthen the core un-derstanding of trauma and its neurological and sociological associa-tions, as well as comfortably integrating the principles described into our daily treatment plans.

Speaker: Brian R. Sims, M.D. Consultant, National Association of State Mental Health Program Directors
Moderator: David Wills

SBIRT: A Strategy to Prevent Substance Use Disorders
PDF or PPP

Substance use disorders lead to significant medical, social, legal, and financial consequences. These issues are costly to the individual as well as society. According to a report issued by the National Center on Addiction and Substance Abuse at Columbia University, states spend a significant amount on addressing the burden of substance abuse and addiction. In order to address the consequences related to substance abuse, the same report recommends that every person en-tering a government funded health service, criminal justice or social welfare setting be screened for substance use disorders and offered effective interventions and treatment where indicated. Screening, Brief Intervention, Referral to Treatment (SBIRT) is an evidence based approach to addressing substance use disorders and promoting behavior change. This approach is being implemented nationally in a variety of settings such as primary care, emergency and trauma set-tings, employee and workplace settings, traffic safety, juvenile justice and adult corrections programs.

Speakers:
Webster Hendricks, CO Division of Behavioral Health
Carolyn Swenson, Health TeamWorks
Jose Esquibel, CO Department of Public Health and Environment
Moderator: Anita Hoffman

Lunch Panel: Health Reform: Federal Guidance and Support
PDF or PPP

This lunch panel will present different perspectives from CSAT, CMS, NIDA and HRSA regarding health care reform implementation and support each agency can provide to TASC programs and similar agencies in this process.

Speakers:
Bennet Fletcher, PhD, NIDA
Patrick Gillies, Health Resources and Services Administration
Jeffrey Buck, PhD, Centers for Medicare and Medicaid Servicers
Moderator: Kenneth Robertson

Concurrent Institutes Resume
Disruptive Innovations and EBP. Why Can’t We Get it Right? [Part 2]
PDF or PPP

Trauma Informed Care [Part 2]

Taking Proven Interventions to Scale
PDF or PPP

At every point in the criminal justice process, interventions
combining CJS leverage with substance abuse and mental health treatment have been proven to reduce recidivism and build recovery. Funding limitations have often prevented expanding these valuable programs to reach everyone who is in need of such intervention. Health care reform may change this situation dramatically: expansion of Medicaid and subsidized insurance will mean most people in-volved in the criminal justice system have the means to pay for the needed treatment. This panel will explore the dramatic gains that could be possible in this new environment.

Speakers:
Maureen McDonnell, TASC Inc., Illinois
Charles Amrhein, PsyD, Bronx TASC Mental Health Court
Janelle Prueter, TASC Inc., Illinois
Alexa Eggleston, Justice Center, Council for State Governments
Moderator: Maureen McDonnell

Concurrent Institutes Resume

Disruptive Innovations and EBP. Why Can’t We Get it Right? [Part 3]

Health Information Exchange and Technology
PDF or PPP

This session will describe health information exchange (HIE) and technology (HIT) expectations for providers in the new health care reform environment. Panelists will provide a basic overview of HIE/HIT expectations, recommendations and assistance from the federal government, questions that should be asked in state/local planning, and how TASC programs can benefit from these changes.

Speakers:
Joel Warmolts, TASC Inc., Illinois
David Wanser, PhD
Moderator: Wes Stewart

THURSDAY, MAY 5th

Treatment for Specialized Populations in the Criminal Justice System
PDF or PPP

Addiction Research and Treatment Services, which is part of the University of Colorado, School of Medicine, Department of Psy-chiatry, serves over 1,500 patients in residential and outpatient care throughout the state. We will provide an overview of the services offered ARTS-wide and a broader look at the specialized services we have developed for women, infants, children, and families. The audi-ence will learn about a community based doula program; infant men-tal health services; a capital campaign to build a therapeutic early childhood education center for drug exposed infants; our efforts to integrate primary and behavioral health care; integrating Evidence Based Practices (EBP) for women and children, Pharmacological treatment for offenders, and developing gender-specific services.

Speakers:
Julie Krow, University of Colorado, ARTS
Eric Ennis, ARTS Adult Outpatient Services
Moderator: Luxie Gannon

Violence Risk Assessment and Management in DiversionPopulations
PDF or PPP

In treating substance abuse, mental illness, and co-occurring disorders, workers often encounter referrals of people with some type of violence or threatening behavior in their history. This workshop will review types of violence and threats, along with a survey of methods that can help us understand the likelihood of future violence. We will review a structured model for assessing violence potential and how to think about whether the potential is manageable. Several detailed cases will be used to elaborate the principles of risk manage-ment. The goal of this workshop is to give attendees an understand-ing of how clinicians can make conclusions and recommendations related to risk assessment and management.

Speakers:
Charles Amrhein, PsyD, Bronx TASC Mental Health Court
Virginia Barber-Rioja, PhD, Queens TASC Mental Health Diversion Program
Moderator: Charles Amrhein

CJ DATS2—Criminal Justice Research & Practice
PDF or PPP

The National Institutes of Health - NIDA established CJ-DATS as a five year cooperative research program to explore the delivery of effective treatment for drug abusing offenders in the criminal justice system. CJ-DATS 2 will test systems-level models in prisons, jails, reentry drug courts, and community-based treatment settings. There are eleven regional centers currently working on three major areas of emphasis. The panel will consist of speakers working in each of the-se areas, namely: 1. Medication Assisted Treatment (MAT) targeting the referral and treatment of opioid and/or alcohol abusing offenders.
2. Organizational Process Improvement Intervention (OPII) to im-prove assessment and service planning for offenders moving into community supervision. 3. HIV Study to improve the HIV Services Continuum for offenders under correctional supervision.
All of these involve implementation and organizational improvement strategies. Each area will be represented by key researchers to de-scribe the purpose and relevance of these studies.

Speakers:
Joe Stommel, Project Lead, NDRI, Inc.
Jerry Melnick, PhD, NDRI, Inc.
Wayne E. Lehman, PhD, Texas Christian University
Matthew Hiller, PhD, Temple University
Moderator: Anthony Wash

Co-Occurring Disorders 101 [Part 1]
PDF or PPP

Dr. Peters’ session will focus on the following elements: How to ac-cess relevant resources; the challenges programs face in addressing Co-Occurring Disorders (COD); the core components of COD treat-ment and supervision for offenders; defining ―co-occurring disorders, that is, what is a co-occurring disorder; the prevalence of disorders in U.S; relapse factors and CODs; and why traditional SA services are not effective for offenders with CODs.

Speakers: Roger Peters, PhD, Florida Mental Health Institute
Moderator: Esther Kaiser

Co-Occurring Disorders 102 [Part 2]
PDF or PPP

Dr. Peters’ session will focus on the following elements: How to ac-cess relevant resources; the challenges programs face in addressing Co-Occurring Disorders (COD); the core components of COD treat-ment and supervision for offenders; defining ―co-occurring disorders, that is, what is a co-occurring disorder; the prevalence of disorders in U.S; relapse factors and CODs; and why traditional SA services are not effective for offenders with CODs.

Speakers: Roger Peters, PhD, Florida Mental Health Institute
Moderator: Esther Kaiser

Anatomy of Successful TASC Pretrial Diversion Program: The Maricopa County, Arizona Experience
PDF or PPP

This session will examine Arizona TASC’s successful approach to diverting first time offenders from the court system with a demon-strated low recidivism rate. With a focus on participant accountabil-ity, critical program components to be addressed include intensive case management, visually monitored random drug testing, reporting, treatment and the participant’s economic investment in his or her re-covery. The presentation will also include an overview of the clinical process from assessment through discharge with emphasis on the ele-ments of client accountability and program sustainability.

Speakers:
Marrya Briggs, Arizona TASC
Alicia Lindsay, Arizona TASC
Mark Saferite, Arizona TASC
Moderator: Andrea Paventi

Methadone Programs: Treatment options for Opioid Dependence
PDF or PPP

We will present various types of opioids utilized, the reasons/illnesses patients seek help, and the process leading to physi-cal, mental, and psychological abuse and dependence of the substanc-es so that participants will develop an awareness of opioids (prescribed and obtained illicitly), and an awareness of the addiction process. We will also present a list of side effects and withdrawal symptoms of opioid use, and clinical treatment options available to assist opioid-dependent patients move into a recovery plan so that participants will develop an awareness of opioid side-effects and withdrawal symptoms, and treatment options available. We will elaborate on the importance of Methadone Clinics in Colorado, the coordination and collaboration needed amongst professionals work-ing with the patients, and the regulations necessary to maintain the integrity and success of these treatment programs so that participants will develop and awareness of the importance of these programs in treating opioid dependence in our communities.

Speakers:
Lawrence Anaya, MD, Crossroads’ Turning Point, Inc.
Dianne Hayhurst-Vigil, Crossroads’ Turning Point, Inc.
Moderator: David Robinson

NIATx, TASC & Drug Courts: Implementation tools for Evaluating and Removing Barriers Between the CJS and Treatment: One Step at a Time
PDF or PPP

Quality improvement experts tell us that all work is a process.
The NIATx model of process improvement is an evidence-based methodology that offers simple tools for pragmatic testing that crimi-nal justice and behavioral health organizations can use to improve outcomes. The NIATx systematic approach to improve service deliv-ery utilizes practical and empirical evaluation of organizational pro-cesses in order to create efficiencies and improve processes that ef-fect clients, organizational and staff morale, and the agency bottom line. The presentation will show you how to apply the NIATx model in your own organizations highlighting experiences in TASC and Drug Court settings.

Speakers:
Mark Zehner, NIATx, University of Wisconsin
Jay Ford, PhD, NIATx, University of Wisconsin
Joel Warmolts, TASC Inc., Illinois
Harry Wexler, PhD, Heroic Imagination Project
Moderator: Bridget Kiely

Collaborating for Employment Opportunity and Community Success
PDF or PPP

This sessions will provide a review of how the Colorado Department of Corrections and Colorado Department of Labor & Employment collaborates to provide more comprehensive offender job training and skill development based on labor market information, training pro-grams that match industry need, and the use of evidence based prac-tices for offender workforce development (a National Institute of Corrections Model) in both the Pre-Release and Community Re-Entry Program.

Speakers:
Dee Funkhouser, CO Department of Labor and Employment
Ross Kimbrel, CO Department of Corrections
Heather Salazar, CO Department of Corrections
Moderator: Katherine Garcia

Motivational Interviewing: Evidence Based Practices for Implementation Capacity [Part 1 of 2]
PDF or PPP

Motivational Interviewing is a person-centered, goal-oriented method of communicating for eliciting and strengthening intrinsic motivation for positive change. Trainers will dispel myths people hold about Motivational Interviewing by describing what it is not. Trainers will talk about where MI came from, where it is used, and how we are us-ing it in the Evidence-Based Practices Implementation for Capacity project to increase the probability of desired behavior change, includ-ing providing coaching and feedback to trainees. Trainers will de-scribe the key elements to this communication style and then have attendees participate in small practice exercises on specific skill asso-ciated with Motivational Interviewing. The workshop is intended to provide a basic understanding of some of the terminology and tech-niques used in this evidence-base practice.

Speakers:
Diane Pascini-Hill, CO Department of Public Safety, The Epic Group
Moderator: Tim Rison

Improving and Measuring Outcomes for TASC Clients: An Overview of Program and Evaluation Efforts in Colorado
PDF or PPP

This workshop will describe the goals, implementation, and findings from two evaluation projects conducted by OMNI Institute and Peer Assistance Services for the Colorado TASC program. First, we will provide an overview of the implementation and outcomes of an intervention program designed to prevent and reduce onset of sub-stance abuse, HIV/AIDS transmission and Hepatitis among minority re-entry populations. Second, we will share information and lessons learned from the early stages of a comprehensive statewide evalua-tion of the Colorado TASC program. The statewide evaluation is be-ing conducted to gain a greater understanding of adult TASC clients’ background and demographic characteristics, the services provided to TASC clients, and the effect of participation in TASC on outcomes related to substance use and risk of re-offending.

Speakers:
Pallavi Visvanathan, PhD, OMNI Institute
Jean Denious, PhD, OMNI Institute
Rashaun Esposito, OMNI Institute
Moderator: Melissa Ippolito

Strategies for Identifying & Meeting the Needs of Justice Involved Veterans with Co-Occurring Disorders
PDF or PPP

This session will focus on: Screening for Military Status. Identifying justice-involved veterans requires more than asking ―Are you a veter-an?‖ Identifying Service Connectedness and Eligibility. Determining a veteran’s eligibility for benefits is important when working with community service providers and the VA. Working with Behavioral Health Providers & Veterans. Community-based service providers are not accustomed to working with veterans. And developing sys-tems integration between behavioral health agencies and criminal jus-tice agencies is essential to the identification of justice-involved vet-erans with behavioral needs and transition to appropriate services

Speakers:
Brian Case, Policy Research Associates, Inc.
Moderator: Karen Wagner

Spice, K2, and other Synthetic Cannabinoids: "A Lab Perspective”
PDF or PPP

A group discussion of the state of laboratory testing for synthetic cannabinoids. Details of the various legal and illicit products on the market, the capabilities, challenges and limitations of monitoring this new substance of abuse will be presented. Other non-standard drugs of abuse such as bath salts and K2 will also be addressed. A ―free-style‖ off-topic drug testing Q&A session may be offered as time per-mits, providing the attendees the opportunity to have questions an-swered by an experienced laboratorian first-hand.

Speakers:
Douglas Kramer, TASC Inc. of Arizona
Moderator: Mark Saferite

How the Affordable Care Act will Change the Treatment of Substance Use Disorder: How these Efforts will be Monitored, Measured and Evaluated
PDF or PPP

Presentation will describe some of the key elements of the Affordable Care Act and how these changes will change substance use disorder (SUD) treatment. New efforts to integrate SUD treat-ment and primary care will provide numerous opportunities and challenges

Speakers:
Richard Rawson, PhD, UCLA
Moderator: David Robinson

Specialty Services for Men’s Recovery
PDF or PPP

Current treatment models and theories fail to adequately consider the relational needs of men; offer a clear understanding of the impact of the socialization process on men; fall short of adequately addressing the impact of abuse and trauma that is so strongly linked with addic-tion and the life of the male addict; and provide little direction in helping men to establish a healthy sense of self outside of prevailing masculine scripts. This presentation provides a compelling argument for the need for gender-responsive services for men as well as a treat-ment framework for such services. The presentation incorporates the latest research on trauma-informed practices as well as relational cul-tural theory to help attendees understand the theoretical framework for this unique treatment approach. Attendees will go through some of the exercises from the forthcoming curriculum, Helping Men Re-cover, co-authored by Dr. Stephanie Covington, Mr. Griffin, and Mr. Dauer, in order to experience, for themselves, this unique approach to treatment specifically for men.

Speaker:
Dan Griffin, Author
Moderator: Myron Byles

FRIDAY, MAY 6th

Plenary: Leveraging Health Care Reform to Reduce Recidivism and Incarceration
PDF or PPP

Speakers:
Steven Rosenberg, Community-Oriented Correctional Services
David Mancuso, PhD, WA Department of Social & Health Services
Moderator: Harry Wexler

Town Meeting: Bringing it Home: Health Care Reform and the Criminal Justice System
PDF or PPP

Join this facilitated discussion to consolidate what we learned about the coming changes and the opportunities they create. Bring your questions!

Speakers:
Maureen McDonnell, TASC Inc., Illinois
Flo Stein, NC Department of Public Health
Harry Wexler, PhD, Heroic Imagination Project
Moderator: Susan McLaughlin