Mady Chalk

1
Defining Outcomes for Offender Treatment

• Mady Chalk
• Treatment Research Institute
• A. Elizabeth Griffith
• Bureau of Justice Assistance
• Nancy Wolff
• Rutgers University
• Implementing and Sustaining Evidence-Based Drug
  Treatment in Criminal Justice Settings
• CEICA Conference
• Philadelphia, PA
• December 6-7, 2006

2
Outcome measurement in treatment of offenders

• Who uses data?
•   -Policy makers
•        -Practitioners (treatment, criminal and
  juvenile justice)
•        -Researchers
• What are the questions?
• - Did the policy or program work? For whom?
  Under what conditions?
• - Why might it not work?
• - What parts of the program, policy, or
  organizational arrangement contribute to its
  success or failure?
• - How does the policy, organizational
  arrangement, or treatment process affect
  outcomes?
•  

3
Outcome measurement in treatment of offenders

• What are the information needs of data users?
•        - Detailed policy, program,
  organizational/financing information
•        - Conceptual model
•        - Definition of risk and its management
   
•   - Data on structure, process, and
  outcomes
• - Measures of rate of return on
  investment (cost-benefit and cost-effectiveness)

4
Need for a Reference Case Model for Program
Outcomes

• Program Description
• Philosophy, incl. relationship with court
• Organizational Characteristics incl., components
  duration
• Selection criteria for clients
• Data on potential clients accepted/rejected
• Data on representative sample
• Termination philosophy criteria
• Staff characteristics and its stability
• Market area

5
Need for Inclusion of System and Policy Level
Outcomes

• Policy Outcomes
• Public Safety
• Health (Treatment, incl. mental and physical
  health)
• Continuing care and recovery
• System Level Outcomes
• Cross-system and cross-agency financing, incl.
  purchasing strategies
• Collaboration and coordination

6
Outcome Measures Data Sets

• Individual
• - Screening and Assessment
• - Strengths Deficits
• -Services and Dosage
• -Treatment Outcomes
• -Costs Benefits
• -Criminal Activity

• Organizational
• -Treatment Capacity
• -Access to other services
• -Supervision
• -Training/Professional Development
• - Performance Rates
• - Program Costs

7
Outcome Measures Data Sets

• Systems
• -Collaboration
• -Increased capacity of responsible partner
• -Information Sharing
• -Reduced crime
• -System costs
• -Cost offsets

8
Key Discussion Points andAction Steps

• Identification and Piloting of Needed Recovery
  Support Services to Improve Client Outcomes.
• Demonstration and Evaluation of Performance-based
  Contracting Between the Justice and Treatment
  Systems to Improve Outcomes.
• Development of Performance Indicators for
  Identified Outcomes (both proximal and distal)
  incl. specification and testing.
• Development of data sharing agreements among
  State and local treatment, criminal justice, and
  mental health agencies to support research,
  management, and adaptation of clinical services