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Process Analysis of GDC RSAT Program, Draft Final Report

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Process Analysis of GDC RSAT Program, Draft Final Report The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: Process Analysis of GDC RSAT Program, Draft Final Report Author(s): Audry Moffett Document No.: 189586 Date Received: August 8, 2001 Award Number: 99-RT-VX-K008 This report has not been published by the U.S. Department of Justice. To provide better customer service, NCJRS has made this Federally- funded grant final report available electronically in addition to traditional paper copies. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Process Analysis of GDC MAT Program Draft Final Report PROPERTY OF National Criminal JustiCe Reference SWh @.a%)” -.y.@*,. 80x 6000 /’ .b Rockviile, MD 20849-6000 Presented to: Programs Development Unit Georgia Department of Corrections July, 2000 Presented by: Wellsys Corporation ACCEPTED AS FINAL REPORT This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Wellsys Corporation 4708 Elam Forest Dr. Stone Mountain, GA 30083 * 404-299-9373 404-299-9361 (fax) 1-800-293-7322 www .wellsyscorp.com wellsys 0wellsyscorp.com CORPORATION Navigating directions for people and systems. GDC RSAT Process Evaluation - Wellsys Corporation Draft Final Report Page -ii- July 17,2000 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Table of Contents ExecutiveSumm;w ........................................................ vi Section I .Summary of Project ................................................ 1 Wellsys Corporation ........................................................ 1 SummaryofProposal ................................................. 1 Framework of the RSAT process evaluation ............................... 1 Scope of work, involved parties ......................................... 3 Programsites .................................................. 3 Methodology of the Process Evaluation ................................... 5 Intewiews ........................................................... 5 Review of written records and documentation ............................. 5 Administration of a survey instrument ................................... 6 Site visits and observation ............................................. 6 Examination of computerized databases ................................. 6 Section I1 .Substance Abuse and Criminality .................................... 8 Substance Abuse Issues .Prevalence and Incidence ....................... 1. 8 Substance Abuse Issues .Treatment .................................... 9 Substance Abuse Issues .Recidivism .................................... 9 Spectrum Health ServiceslCiviGenics Inc . (SHS) .......................... 11 Background of company ........................................ 11 Programs offeredby SHS in the GDC .............................. 12 Overview of proposed RSAT program offerings ..................... 12 GoalsoftheRSATprogram ........................................... 13 Meansofachievinggoals ....................................... 14 Section 111 .Participant referral and selection process for the RSAT Program ........ 17 Eligibility criteria for participation in the RSAT Program ...................-17 Proposed referral process of selected inmates ........................... 18 Problems identified with the RSAT Program referral process ................20 TentativeParoleMonthIssues ......................................... 20 Other inappropriate referrals ......................................... 23 Referralprocessingeneral ........................................... 24 How counselors refer inmates to the RSAT program ....................... 25 GDC RSAT Process Evaluation . Wellsys Corporation Draft Final Report Page -iii- July 17. 2000 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Sourceofreferrals .................................................. 29 Results of the problems with the selection and referral process .............29 Section IV .Implementation of the RSAT Program ............................... 30 Selectingprogramlocations ........................................... 30 Facilities at the Four RSAT Sites ........................................ 30 Initial Program Implementation ........................................ 32 Overview of staffing structure ......................................... 33 Selection and training of staff ......................................... 34 Staff selection criteria, requirements .................................... 34 Training required. provided by GDC andlor SHS .......................... 38 Staff-to-inmateratios at the RSAT sites .................................. 39 Timelines of MAT Program ........................................... 39 Statistics of MAT Program Partidpants ................................. 41 CompletionStatus ................................................... 45 CounselorRatingForm ...............................................46 Counselor Rating Form Findings ....................................... 46 Classroomobservation ............................................... 50 Graduation ......................................................... 51 Chartreviews ....................................................... 51 Clinical Chart Storage and Retrieval .................................... P2 ~er~p18nnin8 ................................................... 54 GapsinResources ............................................ 56 Section VI .S~lmmqly and Conclusions ........................................ 58 Recommendations ......................................................... List of Figures Figure 1 BAT program logic model ............................................ 2 Figure2LocationsofRSATprograms .......................................... 4 Figure 3 Substance abuse intervention programs within the GDC................... 18 Figure 4 GDC substance abuse intervention programs flow chart. ..................19 Figure 5 Flow diagram of initial RSAT referral process........................... 21 Figure 6 SHS organizational chart. ........................................... 35 Figure 7 RSAT program logic model........................................... 58 GDC RSAT Process Evaluation . Wellsys Corporation Draft Final Report Page -iv- July I?. 2000 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. List of Tables Table 1 MAT prison locations, number of beds, and type of facility. ................4 Table 2 Reasons MAT referrals were found to be ineligible.. .................... .27 Table 3 Instant offense of RSAT partidpants. ................................. .41 Table 4 Drug of choice for RSAT partidpants. ..................................42 Table 5 Admissions to the RSAT Programs ................................... .43 Table 6 Discharge dispositions of MAT participants ........................... .45 Table 7 Summary statistics for the Counselor Rating Form. ...................... .48 Table 8 Average number of chart audits for the RSAT sites.. ..................... .52 Appendices ix 1 RSAT evaluation interview protocol ix 2 Counselor Rating Form (CRF) 1x3 RSATschedule Appenc ix 4 Agreement of procedures between GDC and Board of Pardons and Parole I Appenc lix 5 Inmate diagnostic behavior problem table lix 6 Substance involvement section from inmate diagnostic interview ix 7 Testing materials used in the RSAT program ix 8 SHS chart review form lix 9 Current MAT charting policies, procedures, and forms GDC RSAT Process Evaluation - Wellsys Corporation Draft Final Report Page -v- July 17,2000 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Executive Summary e This document reports the findings of a process evaluation of the Residential Substance Abuse Treatment (RSAT) program operating within the Georgia Department of Corrections (GDC). The process evaluation was conducted by Wellsys Corporation, under contract to the GDC. The RSAT program is provided by Spectrum Health ServicesKiviGenics (SHS), an independent vendor of health services operating in the GDC since 1994. There are seven RSAT programs operating at four prisons in the GDC system: Scott, Macon, Calhoun, and Pulaski State Prisons. A total of 310 beds are available for program participants. The report focuses on and is organized according to four aspects
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