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Transcript of 0$!0 # $$' $ /(* #0$!0 #) ' 0dev.cjcenter.org/clients/apaintl/documents/training/2009/Mental...S052...
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See also:
(Lamberti, 2007) (Andrews, 2006)
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(adapted from Lamberti, 2007)
Economic Pressure
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Even for those “enrolled in state of the art treatment programs,
arrests and other encounters with the legal system are regular
occurrences for persons with dual disorders”
Clark, Ricketts, & McHugo (1999, p. 546)
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AZ
S001
S002
CA
S004
S006
S007
S022
S031
S032
S067
S083
CO
S033
CT
S094
FL
S035
IL
S081
IA
S071
S008
MD
S009 MO
S010
S037
S068
NJ
S068
NM
S057
NY
S011
OH
S012
S082
S059
S013
S014
S060
S025
S026
OR
S040
S027
PA
S069
S073
S028
S078
S041
S084
S042
S043
S017
S061
S044
TX
S074
S046
S075
S018
S047
S048
S049
S050
S019
S029
S062
S051
S063
S052
S020
S030
S064
UT
S02
WA
S065
WI
S070
S054
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Small subgroup
Everyone else
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Prob
Solv /+ Sanction
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Talked with you to figure out the reasons for any problems...listened .77 Tried to convince you that you would feel better if you stayed out of trouble… .76 Talked with you to help find a solution to a problem that you agreed on... .75 Reminded you of the conditions of probation or… .54 .34Praised or rewarded you when you've followed the rules .52 Told you that if you followed the rules, you wouldn't have to meet… .41 Met with you and your therapist or case manager to try to solve… .32 Asked or got the judge to put in jail for a short time .73Asked or got the judge to revoke your probation .70Scolded or punished you when you've broken the rules .66Took you in for a court appearance to show that you could go to jail if … .55Told you that if you didn't follow the rules, you would go to jail or prison. .25 .47Made you report (meet with him/her) more often .45Tried to get you hospitalized .27
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What to do - Systems
– Cross-agency collaboration
• Info-sharing
• Coordination of services
– Proper Program Implementation
• Workforce Quality/Capacity
• Organizational capacity/program fidelity
• Outcome evaluations/performance measures
– Performance-based contracting/funding
– Organizational culture and leadership
Thank You
Fred Osher, M.D.
Director, Health Systems
and Services Policy
Jennifer Skeem, Ph.D
Associate Professor,
Department of Psychology and Social
Behavior, UC Irvine