Programs : Evidence Based Practice
Evidenced-Based Practices (EBP) is the progressive organizational use of direct, scientific, current evidence to guide efficient, cost-effective correctional services that positively impact subsequent recidivism / victimization and/or public satisfaction (http://www.j-sat.com/TrainingServices/EvidenceBasedPractices.aspx).
At Glory House there are three types of Evidence-Based Practices used: Corrective Thinking using Truthought's Evidence-Based Corrective Thinking (TM) Process, Moral Reconation Therapy (MRT@), and The Matrix Model.
"Corrective Thinking" is a practical teaching/training program that helps people look at their thinking and take responsibility for making changes. It helps individuals focus on making decisions based on rational thought processes rather than reacting to emotions. Corrective Thinking programs serve people of all ages in both recovery and preventive programs.
Truthought’s evidence-based Corrective Thinking™ Process is a way to solve problems and “change lives for good.” It provides you with a systematic process to follow on what can often be a not-so systematic path. In addition to identifying thinking and behavior patterns, Truthought offers you the ability to measure your success and eliminate the guesswork that follows when thinking and behavior issues must be addressed.
Truthought's approach launches you quickly from theory to effective practice with applications extending well beyond clinical and correctional settings with tremendous potential for bringing about positive change with the least, or "nominally irresponsible" person, to the most "at risk" populations in our schools, our businesses, and our wider community.
Corrective Thinking for Adult Probation/Parole - 71 persons served in 2006.
A nine session, nine-week program is provided to individuals who are sentenced to completion of this program as a condition of their state probation. The cost for the programming is the financial responsibility of the client and is supplemented by the Glory House general fund.
Corrective Thinking for Juvenile Probation - 65 persons served in 2006.*
This program was initiated in September, 1998 * Court service officers assign or judges sentence at-risk youth to completion of a nine session, nine week program in corrective thinking as a condition of probation. Participants are financially responsible for the cost of this programming, which is also supplemented by the Glory House general fund. Parents are welcomed and encouraged to participate with their son or daughter in these sessions.
Corrective Thinking Trainings - 1200* individuals have been trained since 1996
(* 490 teachers, 100 students, and 12 parents from the Sioux Falls School District are included in this number.) Test student groups in this program have demonstrated measurable and, in many cases, significant reductions in inappropriate behaviors in the educational setting; i.e., tardiness, office referrals, unexcused absences, and behaviors resulting in both in and out-of-school suspensions. Funding for this is provided through the school system.
Moral Reconation Therapy (MRT)
Moral Reconation Therapy (MRT®) was one of the first comprehensive, systematic attempts to treat substance-abusing offenders from a purely cognitive behavioral perspective. In 1985 formal MRT® was developed by Dr. Greg Little and Dr. Ken Robinson by combining Smothermon's concepts with theories of moral development (Kohlberg), ego and identity development (Erikson), behavioral conditioning, Maslow's needs hierarchy, and Carl Jung's concepts.
MRT® is an objective, systematic treatment system designed to enhance ego, social, moral, and positive behavioral growth in a progressive, step by step fashion. MRT® has 12 to 16 steps, depending on the treatment population. MRT® attempts to change how drug abusers and alcoholics make decisions and judgments by raising moral reasoning from Kohlberg's perspective.
Briefly, MRT® seeks to move clients from hedonistic (pleasure vs. pain) reasoning levels to levels where concern for social rules and others becomes important. Research on MRT® has shown that as clients pass steps, moral reasoning increases in adult drug and alcohol offenders and juvenile offenders.
MRT® focuses systematically on seven basic treatment issues: confrontation of beliefs, attitudes and behaviors, assessment of current relationships, reinforcement of positive behavior and habits, positive identity formation: enhancement of self-concept, decrease in hedonism and development of frustration tolerance, and development of higher stages of moral reasoning.
The Matrix Model is a set of evidence-based practices delivered in a clinically coordinated manner as a “program.” The Matrix Model of outpatient treatment was developed at the height of the cocaine epidemic in Southern California in the 1980’s. The development of the Matrix Model was influenced by an ongoing interaction between clinicians working with clients and researchers collecting related information.
As clinical experience with stimulant dependent individuals was amassed, clinical impressions frequently generated questions that were answered by using relevant research findings. Treatment materials had to be developed that were sophisticated enough to capture the essence of the proven effective therapies, yet simple enough to be readily used and easily monitored in widely diverse clinical situations by patients and the clinical staff.
With funding from NIDA, the authors of the Matrix approach attempted to integrate existing knowledge and empirically supported techniques into a single, multi-element manual that could serve as an outpatient “protocol” for the treatment of cocaine and methamphetamine users (Rawson, Obert, McCann, Smith & Scheffey, 1989; Rawson, Obert & McCann, 1995).
Treatment is delivered in a 16-week intensive outpatient program primarily in structured group sessions targeting the skills needed in early recovery and for relapse prevention. A primary therapist conducts both the individual and group sessions for a particular patient and is responsible for coordinating the whole treatment experience. There is also a 12-week family and patient education group series and induction into an ongoing weekly social support group for continuing care. Weekly urine testing is another program component and participants are encouraged to attend 12-step meetings as an important supplement to intensive treatment and a continuing source of positive emotional and social support.
All information on the Matrix Model comes from Richard A. Rawson, Ph.D. & Michael McCann, M.A.