Criminal conduct and substance abuse treatment

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Criminal Conduct and Substance Abuse Treatment: Strategies for Self-Improvement and Change (SSC). SSC provides a standardized and structured approach to the rehabilitation of adult substance- abusing offenders. When compared with other CBT strategies, SSC intervention is unusually long and requires 9 to 12 months of rigorous programming. The SSC curriculum comprises 12 treatment modules organized around three phases of recovery. These phases are Challenge to Change, in which the offender engages in a reflective–contemplative process aimed at the development of motivation to change and positive therapeutic alliance; Commitment to Change, in which the offender is shown new cognitive and behavioral patterns and asked to practice these skills to foster a law-abiding and drug-free lifestyle; and Ownership of Change, in which the offender actively consolidates both the internalization of prosocial thinking and the stabilization of new behaviors in different settings and social situations. Moral Reconation Therapy (MRT). Originally developed for substance-abusing offenders, MRT has since been applied to drunk drivers and offenders who commit violence against women. Moral reconation is the continuous evaluation and adjustment of decisions about behaviors based on socially accepted values. MRT seeks to address the fundamental obstacle in the rehabilitation of offenders: their failure to replicate new attitudinal and conduct patterns learned in therapeutic settings in noncontrol environments. This failure to implement prosocial thinking and behaviors in high-risk situations causes recidivism and is caused by deficient personality traits in treated offenders. Reasoning and Rehabilitation (R&R). R&R is a CBT strategy derived from the idea that cognitive deficits in the offender have an important social dimension and that important people in the offender's life must be involved in the process of skill acquisition. Offenders are taught specific reasoning skills such as thinking before acting, anticipating consequences of actions, and considering alternative behaviors. The combination of these cognitive habits is expected to enhance self-control, conflict solving, social perspectives, and communitarian attitudes. Typical R&R therapy operates in groups of six to eight and takes 8 to 12 weeks. Relapse Prevention Therapy (RPT). RPT was initially designed to prevent and manage substance use relapse after addiction therapy. This program teaches offenders to anticipate and cope with relapse and to see their substance abuse as what they do rather than who they are . RPT teaches clients monitoring and management of their own thoughts and behaviors. Relapse is less likely when a person is alert to meaningful cues, avoids high-risk situations, and controls internal cravings. Successful experiences enhance the sense of self-efficacy and increase abstinence from problem behaviors. Even when relapse occurs, the person is trained to immediately apply damage control procedures to minimize adverse consequences and to remain engaged in the therapeutic process.

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