Category: Corrections – Justice

Intense Treatment Processes

Gornik Inmate Solutions

A Felon provided the solutions for a decade

This Video has 6 slides and takes about 3 minutes

Watch the Video – (Us old guys might need an ear piece – although I did get it all – by concentrating.)

watch the video–APPLYING ITS contents TO YOUR OPERATIONS = MIGHT prevent this from happening to you

The link below will take you to a PDF that provides a summary of Mark’s programs.  We at iMResponsible.com have also added a few suggestions based on our 30 years of working with Idaho agencies. The major problem with these solutions is the limited package of individuals that are pro-active in nature and have the courage to make even small changes to their inviolate environments . To download – or more easily read – this document – click on the download arrow.

Link to Gornik Treatment – Recidivism Solution

https://1drv.ms/f/s!AkHi_OpkboRwgbJZgxZuzsyoIpl65g

This Link will take you to a summary of current issues and the solutions Gornik and iMR.com recommend.    If you can get back to Gornik recidivism rates, the savings will exceed $140,000,000 and no new beds.

The Link below will take you to a folder that includes samples of the tools that are used by clinicians as they supply effective solutions to their clients.

Link to Gornik – iMR.com Inmate Tools

iMResponsible.com has designed documents designed to provide Clients with tools that can assist with Post-Release – “Real World” issues.   We will continue to add documents as they are developed.

For additional information: david@imresponsible.com – 208-853-7410 – https://www.imresponsible.com –

 

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Corrections Autopsy

Compu-Tools (Multi-Scaled, Self Diagnosis, Computerized)

IDOC, Idaho H&W, Boise State University, Idaho Schools, 3 Local Psychologists and multiple clinics assisted in designing multi-scaled, self analysis diagnostic tools that are accurate and have results that are accepted by the clients.

Pg 1 Gornik

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-1-Gornik.pdf

This link provides a copy of all illustrations used in Post.  The 9 page document can be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/IDOC-Autopsy-Working.pdf

Accurate diagnosis results

IDOC provided diagnosis and in-house treatment for many years and used Compu-Tools – (Alcohol/Drug, Psychological (Anxiety, Depression, Anger and Cognitive) and the Social and Criminal Behaviors tools – they assisted in designing.   We also produced a package of treatment lessons that covered: (1) Education, (2) Therapy, (3) Thinking Errors, (4) Cognitive and (5) Others.

These 100 self study workbooks are available for those who wish to provide consistent and effective lesson materials.

Pg 2 Database

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-2-Database.pdf

There are Grant Monies available – let’s get something useful from Canada!

The exhibit that follows was from a presentation that I made as IDOC considered  this new LSI-R tool.  Switching from traditional behavioral treatment (ASAM/DSM) to “criminogenic” risk factors introduces  diagnostic techniques that are: (1) Not self diagnosis, (2) Clinically subjective, (3) Hard to Understand, (4) Difficult to accept and, (5) do not include ASAM/DSM criteria – needed for treatment and honest billing.

Note: Within one year of introduction, new tools were needed and added for diagnosis – as elements were missing.  (e.g. TCU manual, single page drug screening tool>)

Pg 3 Intro LSI

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-3-Intro-LSI.pdf

Let’s see how its worked – 20 Years = 8% Increase in Recidivism!

The exhibit below is from an IDOC publication.  The general consensus of the publication is that an 8% recidivism increase is expected or normal.

Pg 4 Recidivism 32

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-4-Recidivism-32.pdf

Facilities are full – 75% of new entries are based on “failures to control”

This exhibit should be the basis for in-depth analysis.  In the associated information, solid cause and effect details were not available.

Pg 5 75 Recidivism lrg

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-5-75-Recidivism-lrg.pdf

LSI-R + GAIN + PO Case Management + Criminogenic Criteria = ??

The addition of the GAIN tool, the focus on risk factors,  LSI-R scoring and interpretation and other malady fixes have resulted in a treatment or wellness environment that makes the AA suggestion — KISS – Keep it Simple Stupid – come to mind.

Pg 6 PO Role

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-6-PO-Role.pdf

SAMHSA/CMS/H&W + Others publish “Client Rights”

The exhibit that follows provides a summary of Optum “Client Rights”.   The Rights shown in bold are not normally met by healthcare Providers.  These omissions are normally a result of case management – administrative – inadequacies.

Regulatory agencies are beginning to provide incentives that encourage adherence.   Fines and withheld grant payments are getting Provider attention.

Pg 7 Optum

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-7-Optum.pdf

SOLUTION = Pilot test a “Proven Solution”

The elements of this program shift behavioral control from the agency to the individual.  This is where it belongs – if positive results are expected.

Administrative processes are available that provide intense “self generated” monitoring communications – that protects the public and the agency.

Pg 8 5 Step

The link below will provide a full size copy of the Illustration shown above.  It can then be downloaded or printed.

https://www.teamfixes.com/wp-content/uploads/2018/07/Pg-8-5-Step.pdf

David Rae – davidrae6607@gmail.com – 208-853-7410

TEAM Objectives vs Business Needs

A recent experience with a law firm that was attempting to provide reasonable alternatives to incarceration for their clients provided evidence that TEAM treatment support needed some fixes.

In this case, the law firm and the judge were convinced that an intense monitored treatment program would provide a suitable remedy for the client.

The client was living with his brother who was a farmer in a suburban community.  A local outpatient treatment center agreed to support the treatment plan.  Weekly outpatient group meetings were not possible due to the client’s location; but the center agreed to weekly counseling sessions.  Outpatient treatment centers and local counselors were not available to the client where he lived.  The Client was provided with a Treatment Manual that included lesson content normally discussed in group sessions and during 12 Step meetings.  Forms and envelopes were provided and the client was instructed to mail the forms describing the prescribed activity information completed during the week.  Communities near the clients residence had some weekly 12 Step meetings and once a week a phone based counseling session was completed to discuss treatment progress.

In addition, the client’s brother was supporting the client’s efforts and was provided with access to the client’s web based case management site.  The brother was able to enter weekly activity comments.  This activity took little time and access was limited to activity input.

iMResponsible.com processed all weekly information received from the client and his brother into their web based case management software.  The case data was provided to the referral sources in a timely manner and for the first couple months all participants were satisfied.

At this point, clinical case data was not being entered into client’s, web based, case management system.  Electronic transfers of data could not be accomplished as the clinical data was mostly paper.  The software applications of the clinic were principally used to provide state agencies with information needed for billing purposes.  The explanation from the clinic was that there was no revenue stream to cover the costs of the clinical tasks involved.

Without a local clinical partner, it was necessary to discontinue client support and to notify the referral sources that the program was being discontinued.  It is my understanding that the client was later classified as not meeting judicial requirements and was then jailed.

This example is one of several that illustrate similar conditions and results.

Current revenue streams are the catalysts that predicate client treatment conditions.  A supplemental issue affecting treatment results are agency required tasks that are not appropriate or cannot be completed as required.  These circumstances create the basis for violations.  Who, then, is guilty of the violation?

Additional articles will be provided with examples and remedies.