RSAT History, Best Practices and Future Presented to West Virginia RSAT Conference July 21, 2011 Presented by : Janelle Prueter, Illinois TASC Director of Corrections and Reentry Services Say a little about me, RSAT TTA Center and TASC

Session Objectives Current Status of RSAT Services and Funding Brief Review of RSAT History Current Status of RSAT Services and Funding Current Best Practices for RSAT Programs Future Considerations

The History of RSAT First established in 1994; moved to BJA in 2002 Funding specifically for Jail and Prison-Based Drug Treatment Programs Originally funded at $64 million when moved to BJA in 2002

Current Status of RSAT Current funding available for: State and Local Correctional Programs Jail-Based Treatment Programs Aftercare Post Release Treatment Recent allocation by Congress at $15 million Overview the years—the use of RSAT funds has broadened to include aftercare and post-release treatment. RSAT continues to fund state/local correctional programs and jail based programs. Correctional programs are: 6-12 months in length Inmates completion of treatment coincides with release into the community Program is provided in a separate institution or unit within an institution Treatment adresses not only substance use but also cognitive, behavioral, social and vocational needs that promote sustained recovery. Program has aftercare component to focus on client’s transition for institution to community Jail-Based Substance Abuse Programs Jail-based substance abuse programs may be eligible for funding if they meet all of the following criteria: ■ Last at least 3 months. ■ Make every effort to separate RSAT participants from the general correctional population. ■ Focus on inmates’ substance abuse problems. ■ Develop inmates’ cognitive, behavioral, social, vocational, and other skills to solve the substance abuse and related problems. ■ Are science based and effective. Aftercare Services States must give preference to subgrant applicants who will provide aftercare services to program participants. Such services must involve coordination between the correctional treatment program and other human service and rehabilitation programs, such as education and job training, parole supervision, halfway houses, and self-help and peer groups, that may help in rehabilitating offenders. States may use amounts received for aftercare if a state’s chief executive officer certifies that the state is providing, and will continue to provide, an adequate level of residential treatment services. States may use up to 10 percent of Postrelease Treatment their total RSAT award for treatment of parolees for up to 1 year after they have been released from a correctional facility.

Current Best Practices Tailor Treatment to the Setting Treatment Approach for Jails likely differs from that of Prisons Jail=Short-term=Focus on Drug Education Prison=Long-term=Therapeutic Community

Current Best Practices Treatment Matching Ensuring clients are matched to the right programs Poor outcomes when low risk/need clients are matched to high intensity services—can actually do more harm than good

Current Best Pratices Screening Screening used to quickly determine who is in need of treatment services--TCUDSII Screening process should also include agreed upon legal criteria regarding who is eligible for the program

Current Best Practices Assessment Assessment should follow screening once client enters the program Use of a comprehensive psychosocial assessment is recommended—i.e. ASI; TCU Intake Assessment Assessment drives treatment plan , treatment services and support services

Current Best Practices Aftercare All research shows that institution treatment combined with community based aftercare is the most effective in reducing recidivism Aftercare should immediately follow discharge from institution-based treatment When possible, tie aftercare to probation/parole conditions

Current Best Practices Collaboration Successful RSAT programs balance the treatment services with the institution’s requirements Cross training is imperative—two systems speak different languages, have different cultures and different objectives

Current Best Practices Know your numbers What are your program outcomes? Admission Retention Success Recidivism How does this translate into cost savings?

The Future Addressing criminal risk (for recidivism) Assess it Address it Include it

The Future Medication Assisted Treatment Medications play a valuable role in treatment Most effective when combined with counseling services Use Sheridan example

Contact information: Janelle Prueter Illinois TASC jprueter@tasc-il.org www.rsat-tta.org