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MDRC

George Mason University, Center for Advancing Correctional Excellence!


Informed Consent Form


Title of Research:
Evaluation of the Multi-site Demonstration Field Experiment: What Works in Reentry Research (CHAMPS: Changing Attitudes and Motivation in Parolees)

Principal Co-Investigators:
Dan Bloom, M.P.P.
Faye Taxman, Ph.D.

Collaborating Research Institutions:
MDRC
George Mason University

RESEARCH PROCEDURES
This research is being conducted by Mr. Dan Bloom of MDRC and Dr. Faye S. Taxman at George Mason University (GMU) and is being funded by the National Institute of Justice (NIJ) and Bureau of Justice Assistance (BJA). The purpose of this study is to understand the effect that different models of supervision have on outcomes for parolees. Part of this research is to understanding the current practices and organizational climate of the organization. If you agree to participate, you will be asked to complete two surveys. First you will be asked to complete an initial baseline survey that will include questions regarding the structure and operations of your organization, and your views about your organization. Approximately three years later you will be asked to complete a survey that will be similar to that first baseline survey. Each survey will take approximately 45-60 minutes to complete. Individual survey findings will not be reported, only aggregate findings will be reported.

RISKS
The foreseeable risks or discomforts are that you may provide information or opinions that are critical of your organization or may be viewed unfavorably by administrators, your supervisors, or fellow employees, with the attendant risk that this information or opinions may be seen by others. Research staff will implement procedures to reduce these risks that protect the confidentiality of the information you provide, as described below.

BENEFITS
There are no direct benefits to you as a participant other than to help the field learn more about the usefulness of various supervision strategies and interventions as a tool to improve offender behavior.

CONFIDENTIALITY
The data in this study will be confidential. The researchers will abide by the federal statute for confidentiality and privacy (28 CFR Part 22). To help protect your confidentiality only limited identifying information will be included on the survey instruments and other collected data. Once the survey is submitted, we will replace your name with a unique number code. Your responses will only be linkable to your identity through the use of an identification key which only approved researchers from GMU and MDRC will be able to access. You will remain anonymous in any reports on the study and your responses will be kept confidential by the researchers. No administrators in your organization, including your supervisor, will be told about your participation in the survey. They will also not be told if you choose to not answer some survey questions or to terminate your participation in the survey. All information collected will be stored in locked file cabinets or in secured computerized files that are accessible only to designated GMU and MDRC staff. At the end of the study, a de-identified dataset will be submitted to National Archive of Criminal Justice Data (NACJD) for archiving.

PARTICIPATION
Your participation is voluntary, and you may withdraw from the study at any time and for any reason. If you decide not to participate or if you withdraw from the study, there is no penalty or loss of benefits to which you are otherwise entitled. There are no costs to you or any other party. There is no compensation for participating.

ALTERNATIVES TO PARTICIPATION
You have several choices. You can answer any questions that you desire during the survey. Or you can decide not to participate in the study. Your decision whether or not to participate in the study will not affect your status with your organization.

CONTACT
This research is being conducted Faye Taxman at George Mason University and Dan Bloom at MDRC. Dr. Taxman may be reached at 703-993-8555 and Mr. Bloom may be reached at 212-340-8611 for questions or to report a research-related problem. You may contact the George Mason University Office of Research Integrity & Assurance at 703-993-4121 or MDRC at 212-340-7584 if you have questions or comments regarding your rights as a participant in the research.

This research project has been reviewed by the Institutional Review Boards (IRBs; an Ethics Committee) at MDRC, New York, the National Institute of Justice, Washington, and George Mason University, Fairfax.

CONSENT
I have read this form and agree to participate in this study.
 
 
 
Please answer each question by marking the appropriate box and/or by filling in the requested information in the space provided. Remember that all your answers are completely confidential and will not be shared with the agency.


1. To what extent do you employ each of the following procedures in referring and monitoring offenders on your caseload to non-residential treatment or services? (Check one for each row)
Never Some of the time About half the time Most of the time Always
a. Schedule a specific date/time for the offender’s initial appointment with service/program.
b. Discuss with the offender what to expect at initial admission to program (e.g., paperwork needed, who offender will meet with, how to behave, etc.).
c. Accompany offender to admission/intake appointment.
d. Establish a schedule with the service provider to report the offender’s progress and attendance in the program/service
e. Talk or meet in a 3-way conversation with offender and service provider
f. Offender returns and submits a slip to me (or other documentation of attending program/service).
 
 
2. Below is a list of common activities between organizations. Please check all activities that apply to your organization’s working relationship with the judiciary, and other community-based agencies on issues specific to assessment, treatment planning, service referrals, and placement. (Check all that apply)
Courts Social Services Mental Health Community-based Service Providers
a. We share information on offender needs for treatment services.
b. We have agreed to similar requirements for program eligibility for some programs.
c. We hold joint staffings/case reporting consultations.
d. We have developed joint policy and procedure manuals.
e. We have pooled funding for some offender services.
f. We share operational oversight of some treatment programs.
g. Our organizations cross-train staff on treatment issues.
h. We have written protocols for sharing offender information.
 
 
3. How often do you typically have contact with someone in each of the following agencies? Contact here refers to all means of communication, including written correspondence and memoranda, emails, telephone calls, and face-to-face meetings with people in this organization. If you have weekly or more communication with any agency not listed here, please specify in the last row. (Check one for each row)
Less than once a month At least once monthly (but less than weekly) At least once weekly (but less than daily) At least once daily
a. Community-based substance abuse service providers
b. Community-based mental health service providers
c. Other community-based service providers
d. Courts
e. Local Police Department
f. Local Coordinating Council (LCC) /Local Management Board (LMB)
g. Local or state correctional agencies
h. Department of Social Services (DSS)
i. Other, specify:
 
 
Other, specify
   
 
 
4. Please rate the quality of your organization’s relationship with the following agencies. (Check one for each row)
Very Unfavorable Unfavorable Neutral Favorable Very Favorable
a. Community-based substance abuse service providers
b. Community-based mental health service providers
c. Other community-based service providers
d. Courts
e. Local Police Department
f. Local Coordinating Council (LCC) /Local Management Board (LMB)
g. Local or state correctional agencies
h. Department of Social Services (DSS)
i. Other, specify:
 
 
Other, specify:
   
 
 
5. To what extent do you use the following case management practices with offenders on your caseload? (Check one for each row)
Never Some of the time About half the time Most of the time Always
a. Provide the offender with a written plan that includes rules and conditions of supervision and addresses their criminogenic needs.
b. Review the written plan with the offender.
c. Offender signs a written copy of plan.
d. Graduated sanctions.
e. Graduated incentives.
 
 
6. In monitoring the progress of offenders on your caseload who is attending a treatment program or other service, how frequently do you typically engage in each of the following activities? (Check one for each row)
Never Every 2-3 months Once a month Every 2 weeks Weekly or more
a. Face-to-face contact with offender
b. Face-to-face contact with offender’s family
c. Telephone contact with offender
d. Telephone or face-to-face contact with program staff
e. Contact with or reporting to court or parole officials
f. Review urinalysis results
 
 
7. Please indicate the extent to which you feel comfortable in doing the following. (Check one for each row)
Very uncomfortable Uncomfortable Neutral Comfortable Very comfortable
* a. Praise the offender for successful completion of a task or for achieving a goal.
* b. Establish or review a behavioral contract for services/control.
* c. Remind the offender that he/she should be more committed to change.
* d. Letting the offender know that they have a valid point.
* e. Telling the offender that they have to tell their family and/or friends about their problems.
* f. Asking questions that allow the offender to comment on their progress made.
* g. Summarize what the offender said to allow him/her to hear their own ideas.
* h. Repeating the exact words that the offender said to get feedback from him/her.
* i. Telling the offender that he/she needs to change their behavior or they will be violated.
* j. Reiterating to the offender an area that they should desire to change.
Very uncomfortable Uncomfortable Neutral Comfortable Very comfortable
* k. Working at getting the offender to discuss change.
* l. Exploring how the offender can strengthen their commitment to change.
* m. Indicating to the offender that what they are doing is not right.
* n. Helping the offender see the difference between where his/her life is and where the offender wants to be in the future.
* o. Asking the offender to identify different ways that they could handle a difficult situation in the future.
* p. Telling the offender to take your advice since you have handled many problems in the past.
* q. Asking only specific questions to avoid getting into a lengthy discussion.
* r. Reminding the offender that he/she is under supervision and needs to be more careful in his/her decision.
 
 
8. Please indicate the extent to which you feel comfortable doing the following. (Check one for each row)
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
* a. Collaborating with offenders to identify their triggers for offending behavior.
* b. Discussing with offenders how their thoughts are linked to their core beliefs and values.
* c. Helping offenders identify the connection between their thoughts, feelings, and behaviors.
* d. Telling offenders how their triggers influence their offending behavior.
* e. Reviewing with offenders the link between how they think and actions that get them into trouble with the law.
* f. Talking with offenders about thoughts that drive their behavior.
* g. Talking with offenders about conflicting thoughts and behaviors.
* h. Walking offenders through a situation in which their thoughts lead to offending behavior.
* i. Talking to offenders about thoughts that lack consideration of others
* j. Helping offenders link offending situations to their core belief system.
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
* k. Helping offenders identify antisocial thoughts and attitudes.
* l. Working with offenders to reduce antisocial thoughts.
* m. Helping offenders identify prosocial attitudes to replace antisocial attitudes.
* n. Helping offenders develop voluntary behavior intended to benefit others.
* o. Telling offenders how prosocial attitudes differ from antisocial attitudes.
* p. Helping offenders to recognize situations that are likely to lead them to crime.
* q. Using a cost-benefit analysis to help offenders weigh the pros and cons of offending behavior.
* r. Helping offenders focus on alternative situations/behaviors to lead them to make prosocial choices.
* s. Telling offenders if they don’t change they will end up back in trouble.
* t. Exploring the pros and cons of alternative situations/behaviors to crime.
* u. Discussing new (prosocial) ways to handle situations in which offenders previously got into trouble.
* v. Walking through the steps (with offenders) of new ways to handle situations.
* w. Role playing with offenders to show them how to handle situations more effectively.
* x. Giving offenders a chance to practice new skills during an office visit.
* y. Giving offenders feedback about the new skill they are using.
 
 
9. Please indicate the degree to which you agree or disagree with the following statements.(Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. I can effectively link offenders’ life problems to managing criminogenic needs.
b. I encourage offenders to be involved in creating their case plan.
c. I can effectively establish a rapport with offenders.
d. I help offenders build their motivation to change.
e. I tell the offenders I work with that they can change and maintain a crime-free lifestyle.
f. I develop action plans with my offenders, including target behaviors to address.
g. I help offenders build problem solving skills.
h. I help the offenders on my caseload to identify realistic, non-offending strategies to attain goals.
i. I respond appropriately to offender ambivalence and/or roll with resistance.
j. I demonstrate a firm but fair supervision style when working with offenders.
 
 
10. How frequently do you typically speak to an offender about the following? (Check one for each row)
Not at all Occasionally (1-2 times a month) Once a week Several times a week Everyday
a. Their attendance on a job.
b. An argument with their work supervisor/co-workers.
c. An argument with family member.
d. Their employment plans (if seeking employment).
e. Wearing proper clothing to the parole office.
f. Their education plans.
g. Completing a task given by an officer.
h. Their desire for any programming or services.
i. How to improve future job interviews.
 
 
11. Please indicate the extent to which you agree or disagree with the following statements about your organization. (Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. I talk up this organization to my friends as a great place to work.
b. Since joining this organization, my personal values and those of the agency have become more similar.
c. I attend trainings with an open mind and a willingness to learn.
d. The reason I prefer this organization to others is because of what it stands for; that is, its values.
e. My attachment to this organization is primarily based on the similarity of my values and those represented by the office.
f. How hard I work for this organization is directly linked to how much I am rewarded.
g. I enjoy going to trainings to learn new things.
h. In order for me to get rewarded around here, it is necessary to express the right attitude.
i. My private views about this organization are different from those I express publicly.
j. Unless I am rewarded for it in some way, I see no reason to expend extra effort on behalf of this organization.
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
k. I never have time to use new skills learned in training.
l. What this organization stands for is important to me.
m. I only go to training because it is required by my agency.
n. If the values of the organization were different, I would not be as attached to this organization.
o. I attend trainings to earn credits, not to learn new information or skills.
p. I am proud to tell others that I am a part of this organization.
q. I seek out opportunities to use new skills I have learned in various trainings.
r. I feel a sense of “ownership” for this organization rather than just being an employee.
s. Training is a great way to learn new skills that I can use on the job.
t. I have such a large workload that I do not have the time or motivation for new training.
u. I was satisfied with the training opportunities available to me in the last year.
v. I learned new clinical skills and/or techniques from training in the past year.
w. New policies and procedures learned in training are too difficult for me to implement with my current caseload.
 
 
12. Please indicate how much you agree or disagree with each of the following statements about the condition and functioning of your organization. (Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. We have few difficulties in adequately staffing our organization.
b. We have funding available to introduce new programs and/or initiatives if they are needed.
c. We have had to cut or significantly reduce programs and/or services due to funding constraints.
d. We have enough staff to meet the needs of this organization.
e. We have trouble retaining highly competent staff.
f. Our staff frequently say that they are overworked and/or don’t have enough time to get done what they need to do.
g. Our staff lacks access to the training and development programs they need.
h. Our staff integrates new knowledge and techniques into their work to improve the way in which services are provided.
i. Our staff stays current with new techniques that relate to their jobs.
j. The training and development programs for our staff are of very high quality.
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
k. Attending training and development programs is a priority of our management.
l. We would significantly expand/enhance certain programs and/or services if funding were available.
m. Our organization is designed to meet the specific needs of most of the important services and programs we run.
n. Our organization is well maintained and are kept fully functional.
o. We have the necessary physical space for the services and programs we run.
p. We have computers and information technology tools/resources to efficiently access offender records.
q. Our staff feels very comfortable using computers and information technology tools to do their jobs.
r. Our staff lacks the computer skills necessary to proficiently access offender records.
s. We regularly integrate new services, programs, and/or initiatives into our organization operations.
t. Our programs, services, and/or initiatives are designed to address multiple offender needs.
u. We have a high level of coordination across units and/or departments when it comes to delivering services and programs to offenders.
v. We have significant challenges in generating the necessary political support for important priorities, new programs, and/or initiatives for offenders.
w. We have the support we need from communities for important priorities, new programs, and/or initiatives for offenders.
x. We have extensive collaborations/partnerships with external groups (e.g. outside service providers) that facilitate important priorities, new programs, and/or initiatives for offenders.
 
 
13. Please indicate how much you agree or disagree with each of the following statements about the conditions and functioning of your organization. (Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. Ideas and suggestions from employees get fair consideration by management.
b. Managers and staff periodically meet and talk about what is working well and what isn’t to improve our performance.
c. Learning new knowledge and skills and using them in your job is highly valued by supervisors.
d. We systematically measure important outcomes for this organization that assess our performance.
e. Staff feel comfortable promoting different ideas or suggestions, even if they conflict with established policy or practice.
f. We have well-defined performance outcomes and specific plans in place for how to achieve them.
g. The formal communication channels here work very well.
h. Opportunities are provided for staff to attend training or other developmental opportunities.
i. Innovative actions and initiatives undertaken by staff are highly valued.
j. The informal communication channels here work very well.
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
k. Employees are always kept well informed.
l. Information on new or best practices is routinely available to staff to use in their work.
m. My supervisor is open and willing to try new ideas or ways of doing things.
n. Employees always feel free to ask questions and express concerns in this facility.
o. There is a shared understanding of the changes needed to help our organization to achieve its long-term objectives.
p. There are discussions involving all of the staff about the vision of the organization and ways to achieve it.
q. Staff generally feel comfortable discussing mistakes, errors, or problems with supervisors and managers.
r. Most staff here believe that they can have open discussions with supervisors and managers about work-related difficulties or problems.
s. Most staff are aware of and agree about where we should be in the future.
t. When mistakes or errors are made, managers tend to treat them as opportunities to learn rather than respond by using punishment.
 
 
14. Please indicate the extent to which you agree or disagree with the following statements about efforts to make changes in your organization. (Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. I’ve pretty much given up trying to make suggestions for improvements around here.
b. Changes to the usual way of doing things at this organization are more trouble than they are worth.
c. When we try to change things here they just seem to go from bad to worse.
d. Efforts to make improvements in this organization usually fail.
e. It’s hard to be hopeful about the future because people have such bad attitudes.
 
 
15. Please indicate how much you agree or disagree with each of the following statements about the need for additional guidance or training in your organization. (Check one for each row)

My organization needs additional guidance or training in…
Strongly Disagree Disagree Neither agree nor Disagree Agree Strongly Agree
a. Matching offender needs with services.
b. Developing more effective case management strategies.
c. Using offender assessments to guide case management decisions.
d. Using offender assessments to track offender progress.
e. Assessing offenders’ problems and needs.
f. Increasing offender participation in treatment.
g. Monitoring offender progress.
h. Improving rapport with offender.
 
 
16. Please indicate the extent to which you agree or disagree with the following statements about the emphasis and priority given to the quality of case management in this agency. (Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. There is a strong commitment to improving the quality of the case management services we provide.
b. Staff are given the necessary tools and means to provide effective case management services to offender.
c. Efforts to improve the quality of case management services that are provided here are recognized and appreciated.
d. Managers recognize and appreciate providing effective case management services to offender.
e. A high value is placed on the job knowledge and skills of staff to provide effective case management services.
f. There is a high level of leadership shown by management to improve the quality of our case management services.
 
 
17. Please indicate the extent to which you agree or disagree with the following statements about your immediate supervisor. (Check one for each row)

My immediate supervisor…
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. Inspires others with his/her plans for this unit for the future.
b. Leads by example.
c. Treats each of us as individuals with different needs, abilities, and aspirations.
d. Takes time to listen carefully to and discuss people’s concerns.
e. Encourages new ways of looking at how we do our jobs.
f. Gives special recognition to others’ work when it is very good.
g. Provides well-defined performance goals and objectives.
h. Stays well-informed in what is being done in my work group.
 
 
18. Please indicate the extent to which you agree or disagree with the following statements about coordination between different departments or units within this organization. (Check one for each row)
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. People from different departments who have to work together do their jobs properly and efficiently without getting in each other’s way.
b. Staff from different departments in this agency work well together.
c. Staff from other departments help out case management staff in ways that keep things running smoothly.
d. Staff from different departments work together to solve problems involving case management services as they arise.
e. Staff in the field offices feel supported by staff at headquarters.
f. Staff from headquarters communicate well with staff in the field offices.
 
 
 
19. What is the vision or mission statement for this organization?
   
 
 
 
Skill Quiz
Please answer each question by marking the appropriate box. Remember that all your answers are completely confidential and will not be shared with the agency.



20. The Risk Principle states that recidivism is reduced when the intensity and duration of interventions are matched with the offender’s risk to reoffend.
 
True
 
False
 
 
 
21. Criminogenic Need is a component of Risk.
 
True
 
False
 
 
 
22. Which of the following is NOT a Criminogenic Need?
 
Criminal Peers
 
Substance Abuse
 
Dysfunctional Family
 
History of criminal behavior
 
 
 
23. Responsivity is unrelated to the concepts of Risk and Need.
 
True
 
False
 
 
 
24. Problem-Solving Skills can be taught to clients and generalized to target different types of high risk behaviors.
 
True
 
False
 
 
 
25. All offenders Desist from crime at some point during their life span.
 
True
 
False
 
 
 
26. Which of the following is NOT a factor related to Desistance?
 
Believing that the probation officer has the offender’s best interests at heart
 
Developing enduring supports in life
 
Building connections in the community
 
Wanting to invest in life with more maturity
 
 
 
27. One way to encourage Desistance is to ask questions that investigate what the offender’s current Strengths mean to them.
 
True
 
False
 
 
 
28. When attempting to introduce new stabilizers into an offender’s life, it does not matter what activities the offender prefers or the goals they have for their crime-free future.
 
True
 
False
 
 
 
29. The movement from offender to a non-offender identity is an example of _____________.
 
Primary Desistance
 
Secondary Desistance
 
Responsivity
 
Risk
 
 
 
30. The offender’s perception of their likelihood for success will affect their motivation to change.
 
True
 
False
 
 
 
31. The Change Process includes resistance, ambivalence, motivation, and relapse.
 
True
 
False
 
 
 
32. Which of the following is NOT an example of Sustain talk?
 
“I don’t think that anger is really my problem”
 
“I tried to get a job, but I can’t do it.”
 
“I heard about a new job and I am planning to apply for it.”
 
“This is just the way I am.”
 
 
 
33. Which of the following is part of the SAC acronym?
 
Seek out, Affirmations, Cope
 
Stabilizers, Avoid, Collaborate
 
Seek out, Avoid, Cope
 
Stabilizers, Affirmations, Cope
 
 
 
34. Which of the following is a form of discord?
 
Defending
 
Squaring off
 
Disengagement
 
All of the above
 
 
 
35. Steps to enhancing the case plan should involve the offender in reviewing risk and needs assessments, identifying destabilizers, and deciding on the goals of supervision.
 
True
 
False
 
 
 
36. When developing the case plan, which of the following should NOT be incorporated?
 
Special conditions imposed by the court
 
Target behaviors
 
Current offense
 
The offender’s interests
 
 
 
37. The meeting structure involves the PO checking in with the client, reviewing areas from the previous meeting, and providing encouragement.
 
True
 
False
 
 
 
38. The goal of reinforcement is to strengthen the desired behavior and increase the likelihood that it will be repeated.
 
True
 
False
 
 
 
39. Optional strategies for avoiding offending MUST…
 
Focus on negative consequences and identifying options that have negative costs
 
Contradict the negative effects of offending behavior
 
Enhance motivation for desistance by offering positive reinforcement for non-criminal behavior
 
None of the above
 
 
 
Case Scenario 1– Tim Smith
Tim is a moderate-risk offender on parole for drunk driving. He has a friend by the name of David that is also on parole for DUI. While Tim does not have a long criminal history, this is his third time having contact with the criminal justice system. Tim is mandated by the court to attend Alcoholics Anonymous meetings, which he does regularly. Tim also meets with his PO, PO Garner. Tim has recently enrolled in GED classes and expressed a desire to find a job. However, Tim has not been able to find a job that he enjoys. Tim has been in a new relationship for the past two months. Tim tells PO Garner that although he and his girlfriend get along most of the time, for the last week they have been arguing a lot. Tim expresses that because of this arguing he wants to drink to get over his anger. Tim also admits that he has been hanging out with David more since he started having relationship problems.



40. What would Tim’s Risk/Need Assessment identify as Problem Behaviors?
 
Antisocial attitude
 
Substance use disorder
 
History of violent crime
 
Housing instability
 
 
 
41. Which of the following factors is a Destabilizer that may negatively affect Tim’s ability to follow through on supervision requirements? (check all that apply)
 
Girlfriend
 
Substance use
 
Anti-social peers
 
All of the above

 
 
 
42. Which of the following factors might be considered Stabilizers in Tim’s life? (check all that apply)
 
Attending GED classes
 
Family support
 
Stable employment
 
All of the above

 
 
 
43. How should PO Garner respond to Tim? (check all that apply)
 
Help Tim problem solve his relationship troubles
 
Help Tim consider alternatives to hanging out with David
 
Strengthen pro-social support network
 
All of the above

 
 
 
44. Which of the following is a short-term step that Tim should take to promote building pro-social supports? (check all that apply)
 
Hang out more with David
 
Stop attending AA meetings
 
Tim should seek out a supportive sponsor at AA
 
All of the above

 
 
 
Case Scenario 2– Daniel Taylor
In the past, Daniel, age 34, has been reluctant to take responsibility for his behavior, including the events that led to his convictions for dangerous driving, driving on a suspended license, and manslaughter. While high on drugs and alcohol, Daniel drove at speeds above 100 mph, showing off for the passengers of the car, who were screaming for him to slow down. The car crash fatally injured his girlfriend, but paramedics’ testimony suggests that she probably would have survived if he had gotten medical attention for her right away. Daniel served time in prison for the convictions.

Daniel has been out of prison for a few years and has a job as a repairman and assistant manager at a mechanic’s shop. He regularly meets with his PO. He and his new girlfriend moved in together recently and are thinking about buying new furniture together.

In some ways, Daniel does not seem too different from before. He still enjoys partying with his friends and he is saving up money to buy a motorcycle. Lately, however, Daniel has been trying to stay away from drugs, including attending Narcotics Anonymous (NA) meetings on a regular basis. Daniel still drinks alcohol at parties, but he always makes sure not to drive afterwards. Daniel is also making reasonable plans for his future with his girlfriend and taking advice from his boss, his NA sponsor, and other supportive people in his life.



45. Which of the following factors might be considered Stabilizers in Daniel’s life? (check all that apply)
 
Having good friends to party with
 
Drinking alcohol
 
Planning for the future with his girlfriend
 
Narcotics Anonymous sponsor

 
 
 
46. Which of the following activities is an example of Daniel making changes to the way he thinks about himself and his responsibilities? (check all that apply)
 
Attending Narcotics Anonymous
 
Buying a motorcycle
 
Living with his girlfriend and planning for the future
 
Finding a good job

 
 
 
47. Commitment to change is an Internal Desistance Factor for Daniel.
 
True
 
False
 
 
 
48. Continued drug use is an External Desistance Factor for Daniel.
 
True
 
False
 
 
 
49. Where is Daniel in the change process?
 
Resistant to change
 
Ambivalent to change
 
Actively desisting
 
None of the above
 
 
About You

What is your email address?
* Email Address : 
 
 
 
51. What is your job title?
   
 
 
 
52. Do you work in a special unit?
 
No
 
Yes
 
 
52a. If yes, please specify which special unit you work in:
   
 
 
 
53. What is the highest academic degree you hold? (Check one)
 
HS diploma
 
Associates
 
Bachelors
 
RN/LPN
 
Masters
 
PhD
 
Other
 
 
 
 
54. Do you hold any professional credentials, certifications, or licenses?
 
No
 
Yes
 
 
54a. If yes, please specify which professional credentials, certification, or licenses you hold:
   
 
 
 
55. How would you describe yourself? (Check all that apply)
 
American Indian/Alaska Native
 
Asian/Pacific Islander
 
Black or African-American
 
Hispanic/Latino
 
White
 
Other
 

 
 
 
56. What is your age? __________ years old
   
 
 
 
57. What is your gender? (Check one)
 
Male
 
Female
 
 
 
* 58. How many years have you worked for this organization?
 
 
* How many months have you worked for this organization?
 
 
 
59. What is your typical caseload size?
   
 
 
 
60. What type of training have had you in the past two years? (check all that apply)
 
EPICS
 
Motivational Interviewing
 
Counseling
 
Thinking for a Change (T4C)
 
Other
 

 
 
 
61. Have you taken the desistance e-course?
 
No
 
Finished fewer than four modules
 
Finished more than four modules
 
Completed the course
 
 
 
62. Have you completed the 3-day Next Generation training?
 
No
 
Yes
 
 
 
63. Have you completed any booster sessions?
 
No
 
Yes, 1-2
 
Yes, 3-4
 
Yes, 5 or more