COGNITIVE BEHAVIORA TREATMENT REVIEW

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1 COGNITIVE BEHAVIORA TREATMENT REVIEW & Moral Reconation Therapy (MRT ) News Correctional Counseling, Inc. L CORRECTIONAL COUNSELING INC. MEMPHIS, TENNESSEE VOLUME 14, #1/2 FIRST & SECOND QTRs 2005 Table of Contents Reasoning & Rehabilitation... 1 MRT Evidence-Based Practice... 3 Tidewater Community College Graduates Studies on Rewards and Punishers in Substance Abuse Treatment...7 Research Reports...10 Upcoming Training Dates for MRT, Domestic Violence & Adv. MRT Meta-analysis of MRT Results From Probation & Parole Cognitive Behavioral Treatment Review & Moral Reconation Therapy (MRT ) News 3155 Hickory Hill Suite 104 Memphis, TN (901) FAX (901) WEB SITES: Kenneth D. Robinson, Ed.D. Executive Editor E. Stephen Swan, M.Ed. Editor Katherine D. Burnette, M.S. Associate Editor Gregory L. Little, Ed.D. Associate Editor Kimberly J. Prachniak, M.S. Associate Editor CBTR is a quarterly publication focusing on enhancing and improving treatment outcomes for offenders, substance abusers, at-risk youth, domestic violence perpetrators, and others with resistant personalities. Article submissions are encouraged. Copyright 2005 by CCI. All rights reserved. Reasoning & Rehabilitation Recidivism Research Continues To Show Poor Outcomes: More Replication Failures Reported in Literature Evidence that Reasoning and Rehabilitation leads to reduced recidivism is called questionable The Reasoning & Rehabilitation (R & R) cognitive program continues to show increasingly poor results, according to several newly published journal reports. The cognitive-skills program, which was started in Canada in 1985 by Ross and Fabiano, had been the subject of several recidivism studies by its developers after its inception, which showed highly beneficial results. But several more recent studies, performed by other researchers, have failed to replicate the earlier significant, desirable outcome results. These studies began appearing in the literature in the mid-1990s. For example, a 1996 Colorado Division of Criminal Justice report (Pullen, 1996) found that juveniles exposed to the program actually showed a 15% higher recidivism rate than controls, as well as worsened attitudes on all 14 objective scales of an attitude measurement instrument used to assess program effectiveness. Newer studies show similar results to the Colorado study and found that R & R seems to produce no significant results. Between 1998 and 2000, Georgia s parole districts implemented Reasoning and Rehabilitation at 28 separate sites (Voorhis, et. al., 2003). A total of 1155 parolees and 192 pre-release inmates were randomly assigned to an R & R- treated group (n = 678) or nontreated control group (n = 669). Recidivism (reincarceration) rates were collected at 12- and 30-months and technical violations were also collected on participants at 3, 6, and 12-months. There were no significant differences in recidivism rates between treated (.417) and control groups (.450), but the R & R participants showed a significantly higher rate of technical violations (.61) during the program than did controls (.42). Results for treated minority groups were also much worse than white participants. Results from an attitude survey instrument showed that R & R participants actually showed less favorable attitudes after treatment than did controls, confirming the results from Colorado. Recent Studies More recently, a replication study of R & R was published, which detailed findings from a implementation of the program in U.K. prisons continued on next page

2 2 CBTR First & Second Quarters 2005 (Falshaw, et. al., 2004). Based upon a review of evaluation studies provided by the R & R developers, the UK s Prison Service accredited and implemented the program. Two-year reconviction rates of a group of adult male offenders who had participated in R & R or another cognitive program created by the UK Prison Service, which was based on R & R (n = 649), were compared to reconvictions in a matched control group (n = 1947) of offenders who did not participate. Results showed no significant differences in reconviction rates between the groups. The cognitive- and R & R-treated group showed a.394 two-year reconviction rate as compared to a.392 two-year reconviction rate for non-treated controls. The study then removed treatment dropouts and their respective matched comparisons from the study, but the results again showed no significant differences. An additional analysis compared the R & R-treated offenders to those who participated in the Prison Service s own cognitive program, but no significant differences were found between these groups nor to their respective matched comparison groups. The study also showed no significant differences between treated and nontreated groups on time to reconviction nor on one-year reconviction rates. The study also classified all offenders into various risk levels and compared reconviction results in the risk classifications, because, as the report states, R & R was designed for medium- to high-risk offenders. However, the results of the cognitive program on medium to high-risk offenders were disturbing: In this case, the treatment group had a higher reconviction rate than their matched counterparts. In brief, in discussing their findings, Falshaw, et. al. state that the result certainly contrasts with a previous study... * * * Another 2004 study of R & R, employed with juveniles in an English prison, also found nonsignificant results (Mitchell & Palmer, 2005). In this study, only those who completed R & R (n = 31) were compared to a matched comparison group of juveniles (n = 31) who did not participate. Reconviction and reincarceration rates were Cognitive Behavioral Treatment Review (CBTR) is a quarterly publication published by Correctional Counseling, Inc All rights reserved. Correctional Counseling, Inc. provides a wide range of services and products and specializes in cognitive-behavioral interventions. Our major service areas are: Cognitive-Behavioral Training and Materials Moral Reconation Therapy Training and Materials Domestic Violence Treatment & Materials Relapse Prevention Drug Treatment Programming Drug Court Services DWI Programming Criminal Justice Staff Training compiled on the study s participants at 18 months. The results showed no significant differences between the R & R-treated participants and controls in either reconvictions or reincarcerations. The study described the disappointing differences between the treated and nontreated groups as slight and small. * * * Finally, a 2005 study on juvenile offenders in the U.K. also found negative results on R & R outcomes (Wilkinson, 2005). While R & R is accredited by the British Prison Service, the study states, Evidence the programme achieves significant reductions in offending is questionable. The study also made a most interesting finding when it utilized a prosocial attitude scale commonly utilized in R & R research: Offenders whose attitudes changed prosocially were more likely to be reconvicted than were offenders whose attitudes did not change positively. This finding is consistent with the 1996 Colorado study, which found that R & R participants actually worsened in all 14 attitude scales that were measured, as well as with the Georgia study. One other note of interest is a slight but noticeable change in how R & R is described by the British reports. Reasoning and Rehabilitation has typically been characterized as a cognitive or cognitive-skills program in most of the literature that has been published on it. The program is an educational curriculum taught in a sequential educational/ discussion format. The British reports are characterizing it as a cognitive-behavioral program. This change could be viewed by some as trivial, but the term cognitive-behavioral refers to specific forms of programming not embodied in cognitive or cognitive-skills programs. References Falshaw, L., Friendship, C., Travers, R., & Nugent, F. (2004) Searching for What Works: HM Prison Service accredited cognitive skills programmes. The British Journal of Forensic Practice, 6 (2), Mitchell, J, & Palmer, E. J. (2005) Evaluating the Reasoning and Rehabilitation Program for young offenders. Journal of Offender Rehabilitation, 39, Pullen, S. (1996) Evaluation of the Reasoning and Rehabilitation cognitive skills development program as implemented in Juvenile ISP in Colorado. Washington, DC: National Institute of Justice. Voorhis. P. V., Spruance, L. M., Ritchie, P. N., Johnson- Listwan, S., Seabrook, R., & Pealer, J. (2003) The Georgia Cognitive Skills Experiment Outcome Evaluation: Phase II Final Report. Published jointly by the University of Cincinnati Division of Criminal Justice and Georgia Department of Pardons and Paroles, NIJ funded. Wilkinson, J. (2005) Evaluating evidence for the effectiveness of the Reasoning and Rehabilitation programme. The Howard Journal of Criminal Justice, 44 (1),

3 CBTR First & Second Quarters MRT as an Evidence-Based Best Practice We are often asked what recognized agencies or authorities have accredited MRT as an effective, evidence-based, and/ or innovative practice. Here is brief review on the treatment areas in which MRT has gained these distinctions MRT cited as an Innovative Practice in the Adult and Juvenile criminal justice systems. Source: Koch Crime Institute, a private, non-profit organization devoted to improving criminal justice. Ref: Koch Crime Institute (1998) Innovative Practices in the Criminal and Juvenile Justice Systems. Topeka, KS: Koch Crime Institute MRT cited as a Program That Works to reduce juvenile violence. Source: Seifert, K. (1999) The violent child: profiles, assessment and treatment. Paradigm, Fall, MRT cited as Effective Approach for ex-offender employment. Source: Buck, M. L. (2000) Getting Back To Work: Employment Programs For Ex-Offenders. Field Report Series, Public/Private Ventures, Fall MRT cited as one of few programs that actually Reduces Recidivism. Source: United Nations Programme Network Institutes Ref: MacKenzie, D. L. (2001) United Nations Programme Network Institutes Technical Assistance Workshop; Vienna, Austria, May 10, 2001: Sentencing and Corrections in the 21st Century: Setting the Stage for the Future. National Institute of Justice MRT cited Successful Approach to reduce recidivism. Source: University of Maryland research Ref: Allen, L. C., MacKenzie, D. L., & Hickman, L. J. (2001) The effectiveness of cognitive behavioral treatment for adult offenders: a methodological, quality based review. International Journal of Offender Therapy and Comparative Criminology, 45, MRT cited as a Proven Treatment to reduce recidivism. Source: Oregon Office of Alcohol and Drug Abuse Programs Ref: What works for offenders in substance abuse treatment? (January 2001). Oregon Office of Alcohol and Drug Abuse Programs MRT cited as Cost Effective and Proven to Reduce Recidivism. Source: Citizens Crime Commission of Portland, Oregon Ref: A report of the recidivism reduction committee of the Citizens Crime Commission of Portland, Oregon (May 2002) MRT cited as Evidence-Based Practice with Adults and Promising Practice with Juveniles. Source: SAMHSA - Appendix II: Examples of Evidence-Based Programs, Guidelines for Building Mentally Healthy Communities MRT cited as a Best Practice for offender substance abuse treatment. Source: North Carolina Department of Correction Ref: Pearce, S. C., & Halbrook, D. (August 2002) Research findings and best practices in substance abuse treatment for offenders. North Carolina Department of Correction, Office of Research and Planning MRT cited as Evidence-Based Practice in probation and parole. Source: State of Connecticut, Judicial Branch, Court Support Services Division Ref: White, T. F. (February 2004) A Framework for implementing evidence-based practice in probation and parole. State of Connecticut, Judicial Branch, Court Support Services Division.

4 4 CBTR First & Second Quarters 2005 Job-Skills Program at Tidewater Community College Graduates 600 People, Shows 95% Job Placement: Our secret is MRT, says program developer. Starting with a pilot program begun in 1997, Virginia s Tidewater Community College has continuously operated a Job-Skills program initially designed for the then, newly mandated Welfare to Work initiative. Since their small 1997 beginning, the program has now graduated over 600 people, with only a 21% dropout rate. According to Leslie Boughton, the Program Coordinator and developer, the national dropout average in similar programs is 28%. The program teaches basic job skills, provides classes for its participants to obtain GEDs, and offers 24-hour counseling. Boughton explained, Our students are mostly women on welfare, many without a GED, and who want to change their lives. The program has formed strong bonds to the local business community and offers internships prior to guaranteed jobs paying at least $18,000 a year. Based on those criteria, the program has successfully placed 95% of its graduates in jobs. As to the key element in the program that changes the students, Boughton stated, Our secret is MRT, Moral Reconation Therapy. The program won the Virginia Community College System s Excellence in Workforce Development Award in Source: Job-skills grads crash through barriers to employment. Tidewater Comm. Col. Chronicle, June 17, 2004.

5 ANGER MANAGEMENT Group Starter Kit with Training DVD COPING WITH ANGER A Cognitive-Behavioral Workbook Coping With Anger is a 49 page cognitive-behavioral MRT workbook designed for eight (8) group sessions and is one of CCI s most popular programs. Used in probation & parole, prisons, community corrections, and other treatment sites, Coping With Anger is ideal for use with violent offenders, argumentative or oppositional clients, and with those who have trouble expressing feelings of anger. CBTR First & Second Quarters ~NEW~ Training DVD Now Available! A 1.5 hour DVD has been created to assist programs and counselors who want to observe how the anger management program is conducted. The DVD shows how clients should complete homework for each of the program s 8 modules and how the homework in each module is presented in group. It is available in a newly packaged, discounted Group Starter Kit or can be purchased individually. A FREE CD with the training on a Quicktime file is included in the Group Starter Kit (for use on computers). Anger Management Group Starter Kit contains: 15 Coping With Anger workbooks 2 Facilitator Guides 2 5-Minute Stress Manager cassette tapes 2 Basic Relaxation/Progressive Muscle Relaxation cassette tapes 1 Anger Management Training DVD 1 FREE Anger Management Training Quicktime file on CD PRICES Complete Group Starter Kit $195 Training DVD $100 Coping With Anger workbook $10 each Facilitator s Guide $5 each Tapes $8.95 each Call for more information or to order Probation & Private Probation Program Materials Shoplifting Program Something for Nothing This program recently gained highly positive media attention in Nashville, TN where 70 shoplifters completed the program at one time in a private probation service. Participants comments, which were unexpectedly insightful and remorseful, were reported in the news. Something for Nothing is an eight-hour, 17- page CBT workbook designed to be utilized in weekend or weekly groups with shoplifters by Greg Little. Easy to implement, easy to follow workbook, shows virtually 100% completion rate with initial offenders in program. $10 each. Underage Drinker & False ID Program Rules Are Made to be Followed is a 4- session CBT program targeting this difficult-to-supervise client. The program is designed to be employed in ongoing groups and directly focuses on the special issues of underage drinking and the use of false IDs. Court systems are exasperated with this problem and those who supervise such clients have few resources to employ. 16 pages, $10. Comes with Free Facilitator s Guide

6 6 CBTR First & Second Quarters 2005 What is MRT? Moral Reconation Therapy is a systematic, stepby-step cognitive-behavioral treatment system initially designed for offender populations. MRT is designed to alter how offenders think and how they make decisions about right and wrong. MRT: Addresses the unique needs of offender populations including criminologic factors, values, beliefs, behaviors and attitudes. Enhances ego, social, and moral growth in a step-by-step fashion. Develops a strong sense of personal identity with behavior and relationships based upon higher levels of moral judgment. Reeducates clients socially, morally and behaviorally to instill appropriate goals, motivation, and values. Is easy to implement in ongoing, openended groups with staff trained in the method. Your staff can be trained in MRT in a weeklong, state-of-the-art training. Once training is complete, your staff can implement the groups by obtaining copies of the appropriate MRT workbook for clients. Many drug courts require clients to bear the costs of workbooks and groups. Questions? Call Dr. Ken Robinson, President Stephen Swan, Vice President FAX WHY is MRT the Best Choice for Your RSAT or Drug Court Treatment Needs? Because MRT Really Works! Research published over the past 15 years shows that MRT-treated offenders have a 30-50% lower recidivism rate than appropriate controls. MRT can easily be adapted for use in any program. Call Steve Swan at (901) for details. Nationally recognized cognitivebehavioral counseling approach. Open-ended program with flexible client participation and pre-printed materials. Record of effective implementation at multiple sites. Comprehensive, proven training. History of successful Competitive costs. corporate performance for over 10 years. See our website at for more information about MRT. Offenders Think Like Criminals! Offenders believe everyone lies, cheats, and steals. Offenders believe no one can be trusted. Offenders believe that rules and laws don't apply to them. Offenders look for short-term pleasures. Offenders view relationships from an exploitative position. Offenders have a negative identity. Samenow and Yochelson pioneered research that captured the essence of criminal thinking. It is known that treatment approaches that don't alter criminal thinking and behavior fail to produce beneficial changes. MRT effectively alters criminal thinking and behavior and organizes the criminal personality into several stages. These stages also capture the essence of criminal thinking, but MRT does not directly address each criminal thought one by one. Some programs may wish to dispute each specific thought: from fundamental dishonesty, lack of trust, lack of acceptance, to ideas about relationships. Thinking For Good, does just that in preparing offenders for making changes. The MRT stages of Disloyalty, Opposition, Uncertainty, Injury, and Non-Existence are described in detail and specific criminal thinking commonalities are identified in each. Exercises explore each thought and allow for the disputation of each belief in groups. Thinking For Good 70 pages; 8.5 X 11; 10 modules. $10.00 per copy MRT Group Quality Assurance Services Available by Video Send a VHS video of your MRT group to Kathy Burnette, CCI, 3155 Hickory Hill Ste. 104, Memphis, TN An MRT trainer will review the video. A CCI-MRT trainer will call you and provide phone consultation about the group. You will receive a comprehensive written report concerning the group. CCI will return the video. Cost: $150 For details or more information, call Sharron Johnson or Kathy Burnette at: (901)

7 CBTR First & Second Quarters What Do Drug Court Professionals Know That You Should Know? MRT WORKS! Research Shows... Substantial research has been generated and published from programs utilizing MRT. Recidivism research covering 10 years after participants treatment with MRT have shown consistently lower recidivism rates (25-60%) for those treated with MRT as compared to appropriate control groups. A 1996 evaluation of the Stillwater, Oklahoma Drug Court utilizing MRT as its primary treatment modality showed only a 4% recidivism rate of program participants nineteen months after graduation. Other data analyses have focused on treatment effectiveness (recidivism and re-arrests), effects upon personality variables, effects on moral reasoning, life purpose, sensation seeking, and program completion. MRT has been implemented state-wide in numerous states in various settings including community programs and drug courts. Almost 100 research evaluations have been conducted on MRT and published. These evaluations have reported that offenders treated with MRT have significantly lower reincarceration rates, less reinvolvement with the criminal justice system, and lessened severity of crime as indicated by subsequent sentences for those who do reoffend STILLWATER, OKLAHOMA DRUG COURT 4% Recidivism rate for MRT Graduates 110 Over 19 Month Period 13 2 Nationally recognized cognitive-behavioral counseling approach. Open-ended program with flexible client participation and pre-printed materials. History of successful corporate performance for over 10 years. Record of effective implementation at multiple sites. Comprehensive, proven training. For information on implementing MRT in your drug court, call Dr. Kenneth D. Robinson or Steve Swan at Total Offenders Rearrests MRT Grads Rearrests Competitive costs. Studies on Rewards & Punishers in Substance Abuse Treatment Higgins, S. T., & Silverman, K. (1999). Motivating behavior change among illicit-drug abusers. Washington, D.C.: American Psychological Association. This relatively recent book was published by the American Psychological Association and contains 17 chapters by behavioral researchers. The book extensively covers the use of contingency management strategies (including vouchers) with cocaine abusers, opioid abusers, nicotine, and with special groups including the homeless, those with dual-diagnoses, and female populations. The research on contingency management is consistent: compelling evidence that illicit-drug abusers, even those with severe and complicated forms of drug abuse and associated problems, can be motivated to change their behavior through this approach. Unlike the more common treatment approaches, the book asserts that contingency management is distinguished by its robust scientific foundation (p. 5). In general, contingency management provides rewards for the completion of desired activities. Higgins, S. T., & Petry, N. M. (1999). Contingency management: Incentives for sobriety. Alcohol Health & Research, 23 (2), CM has been investigated in terms of its effect on treatment attendance with offenders on parole or probation. Parolees and probationers who must attend treatment or return to prison tend to show more treatment attendance. DUI offenders who are gradually refunded a treatment deposit ($50) made at the initiation of treatment had fewer unexcused absences than when the CM refunds were not made. Modern CM research is structured on four principles: 1) regular drug usage testing for compliance, 2) the provision of tangible reinforcers when compliance is present, 3) the withholding of reinforcers when drug use is detected and, 4) assistance in establishing healthy alternative behaviors. Recent research has also focused on reinforcing treatmentrelated goals other than abstinence. Results of this research tend to show a beneficial effect on abstinence and treatment attendance. For example, clients can choose to attend three activities a week outside of treatment. When the client presents documentation that the goals are met, vouchers are issued.

8 8 CBTR First & Second Quarters 2005 CCI s Affordable Research Services for Programs and Agencies Memphis Starting immediately, CCI is offering specific, targeted research services for smaller programs and agencies (such as drug courts and treatment programs) that will document results and establish a program s effectiveness. Services that are offered include: Identifying appropriate pre- and posttests that can be used to assess the effects of a program on personality variables and other dependent variables related to a program s target population and goals. CCI will supply the tests for agencies to reproduce, all copyright free, from an inventory of over 100 different objective measures. The tests all have normative levels established and are used with males, females, adults, and juveniles. Scoring scales will be supplied to agencies or CCI can score tests with the identity of clients hidden. Recommendations will be made on the utilization of other dependent variables and measures such as rearrests and recidivism as well as specific advice on how to obtain such data. Basic and advanced statistical tests can be applied to data either entered by CCI or supplied by the agency in specified formats. Results of statistical analyses can be furnished with or without a discussion and explanation. Consultation (phone) hours are included in all services to help agencies identify how to obtain and measure variables. Program Reports can be produced from information supplied by agencies and programs that desire to publish Annual Reports, a research study, or a Program Summary. Papers and reports can be produced to various standards: A full-color Annual Report; A Program Briefing; Paper suitable for publication. Research papers that are of publishable quality will include a recommended list of possible journals as well as Cognitive-Behavioral Treatment Review (if CBT methods were employed). Appropriate target populations for these services include offenders, parole and probation clients, substance abuse clients, domestic violence populations, drug courts, employment programs, educational programs, and others. Costs The costs of these services vary from only $100 (the simple selection and supplying of appropriate pre- and posttests) to $2000 (production of a comprehensive full-color annual report). Simple statistical analyses of test results and client characteristics (with small groups, e.g., 100 participants) generally are in the $250 range. The addition of an explanation and description of results would be in the $500 range. For Information If you are interested in obtaining a brochure on these services or to discuss your needs, call Kimberly Prachniak at or MRT-Based Programs MRT based programs that require a fully independent analysis because of federal requirements should contact the nonprofit research agency Glacier Consulting, Inc. at MAKING CHANGES FOR GOOD A Cognitive-Behavioral Approach for Sex Offender Relapse Prevention Making Changes for Good is a 56 page, 10 session workbook designed for sex offender relapse prevention. It is designed to be used in open-ended groups where offenders can enter ongoing groups at any time. Clients read each module prior to coming to group and complete structured exercises. Helps clients identify risky behaviors and thoughts and make plans to cope. Designed for: Parole/Probation Supervision Sex Offender Programs Institutional Programs Making Changes for Good is $18.00 The 12-page Facilitator's Guide is $10.00 UNTANGLING RELATIONSHIPS COPING WITH CODEPENDENT RELA- TIONSHIPS USING THE MRT MODEL Codependency is a controversial concept. But there is no doubt that offenders engage in manipulative and dependent relationships that complicate their many other problem areas. This workbook directly confronts these "codependent" relationships in a systematic, 12-group session format following MRT's model. Each Group Client Should Have Own Copy Of Book Clients Complete Structured Exercises UNTANGLING RELATIONSHIPS Coping With Codependent Relationships Using the MRT Model by Dr. Gregory L. Little & Dr. Kenneth D. Robinson EAGLE WING BOOKS, INC. Prior To Group Clients Share Responses To Exercise In Group 28 Pages, 12 Modules 8.5 X 11 inches Very User Friendly Easy To Implement Addresses All of the Key Issues in Codependence Call (901)

9 CBTR First & Second Quarters Juvenile MRT Workbooks A juvenile version of How To Escape Your Prison is available. Programs and institutions with trained MRT facilitators may order copies of this 117 page workbook. Juvenile MRT is written on a lower reading level but retains the basic flow of MRT concepts and exercises and is very userfriendly. The book is appropriate for delinquents and juveniles in chemical abuse/ conduct disorder programs as well as those in offender programs. Order on page 19 or call CCI at GLACIER CONSULTING, INC. EVALUATION & RESEARCH SERVICES AVAILABLE FOR STATE CRIMINAL JUSTICE PLANNING AGENCIES & DRUG COURTS GCI offers practical, cost-effective evaluation and research services for drug courts, treatment programs, facilities, and departments within the criminal justice and corrections system. GCI will design data collection systems for your agency and interpret the data for evaluation. GCI's research team has many years of research experience evaluating program effectiveness. Call Robert Kirchner, Ph.D., Research Director, at (901) for additional information. Have you wondered why some criminals never seem to learn? Our criminal system is based on punishment...law abiding responsible people inherently know punishment works...it works on them...they use it on their children...they use it on their pets...they vote for politicians that promise to get tough on crime. The Punishment Myth Understanding the criminal mind and when and why conventional wisdom fails. By Dennis A., Challeen, J.D. and Kenneth D. Robinson, Ed.D. In this compelling book, the observations of a criminal court judge with four decades of experience are presented with those of a psychologist with three decades of experience with criminal populations. The result is a penetrating insight into why our justice system is often part of the problem. Is it possible that punishment The insights may anger you, but works best on people who don t you may also think about the cause problems and the least on problem in ways you ve never those who do? If so, what works on before considered. criminals? Published pages 8.5 x 11 $20 See page 19 for ordering details.

10 10 CBTR First & Second Quarters 2005 Georgia Georgia Research Brief: Baseline Recidivism Rates for FY 1998-FY 2002, Department of Juvenile Justice. Prepared by the Research, Planning, and Program Evaluation Unit of the Office of Technology and Information Services for the Department of Juvenile Justice, May 28, This study reported national and Georgia recidivism rates of 84,464 juvenile offenders released from probation, short-term confinement, and long-term confinement during fiscal years 1998 through fiscal year The definition of recidivism included three components: A re-adjudication for a new delinquency charge or adult offense; A standard threeyear follow-up period; Searches of records from DJJ s Juvenile Tracking System and the Georgia Department of Corrections to determine new convictions. Probation. Youth who were placed on probation showed an 11.7% failure rate during their first year of release. The two-year failure rate was 13.3%. The three-year failure rate was 8.0%. Overall, 33% failed within three years. Short-Term Confinement. Youth who were released from short-term programs showed a 40% failure rate within the first year. By the end of the second year, an additional 10.5% had failed. By the end of the third year, an additional 5.4% failed. Overall, 55.9% failed within three years. Long-Term Confinement. In the first year of release from long-term confinement, 27.5% of the young offenders failed. An additional 15.5% failed in the second year. An additional 8.3% failed during the third year. Overall, 51.3% of youth placed in long-term confinement failed within three years. Texas 2004 Review of Agency Treatment Effectiveness, Texas Youth Commission. This report outlined results from the Texas Youth Commissions correctional programs targeting violent and seriously delinquent youths committed to the state s custody in The report defined recidivism as the rate at which youths are rearrested or reincarcerated for offenses within one to three years of release. The rearrest rate for violent offenses within the first year of release was 7.4%. Reincarceration for any offense within one year of release was 26.9%. The three-year felony reincarceration rate was 30.7%. Finally, reincarceration for any offense within three years of release was 47.6%. Do you have a program report or research study you want to be reviewed in Cognitive-Behavioral Treatment Review? If so, send a copy to E. Stephen Swan (address on front) or to CCI at Research Reports Therapeutic Community What is a Therapeutic Community? National Institute on Drug Abuse Research Report Series (August 2002) NIH Number The therapeutic community (TC) has been used for about 40 years as a drug abuse and addiction treatment model. TCs are drug-free residential settings that use a hierarchical model with treatment stages that reflect increasing levels of personal and social responsibility. Peer influence, mediated through a variety of group processes, is used to help individuals learn and assimilate social norms and develop more effective social skills. TCs differ from other treatment approaches principally in their use of the community, comprised of treatment staff and those in recovery, as key agents of change. TC members interact in structured and unstructured ways to influence attitudes, perceptions, and behaviors associated with drug use. In addition to the importance of the community as a primary agent of change, a second fundamental TC principle is self-help. Self-help implies that the individuals in treatment are the main contributors to the change process. Mutual self-help means that the individuals also assume partial responsibility for the recovery of their peers an important aspect of an individual s own treatment. TCs have strict and explicit behavioral norms, which are frequently reinforced through contingencies (both rewards and punishments). These are directed toward self-control and assuming personal responsibility. Residents progress through a hierarchy of increasingly important roles in the program, attaining higher levels of privileges and responsibilities. A variety of groups, including confrontation and cognitive strategies, are utilized. TC members are expected to become role models who actively reflect the values and teachings of the community. Daily routines are employed to teach residents planning and attainment of goals as well as to counter the disorder typically seen in their lives. Ultimately, the TC is designed to help people to appropriately and constructively identify, express, and manage feelings along with building a sense of right living into their thinking and ongoing behavior. TCs can employ a host of specific interventions to achieve their goals including the use of education, work, and cognitive-behavioral treatment. Traditionally, stays in TCs vary between 18 to 24 months. Recent funding restrictions have forced TCs to reduce stays to 12 months. Retention is a key issue since research indicates that longer stays are associated with better outcomes.

11 CBTR First & Second Quarters Special Time-Limited Offer 90% Discount on Books For a limited time, sets of the 424-page book, It Can Break Your Heart: What You and Your Doctor Should Know About Solving Your Weight Problem and the 81-page SmartLoss 60-Day Health Journal (2000), can be purchased for only $4 with any other purchase of CCI materials. Any number of these two books (with a combined retail value of $40.90) can be ordered at a 90% discount for the cost of $4 per set. Note: when placing orders, simply fill out the order form on page 19 or tell the customer representative at ( ) that you also want to order the special combined weight books. The books contain sections on psychological aspects of weight, cognitive-behavioral approaches, genetics, and a full listing of caloric, carbs, and nutritional values of fast food and other foods. It Can Break Your Heart by J. P. Milnor, M.D., Greg Little, Ed.D., & Ken Robinson, Ed.D. 424 pages, 6 x 9 softcover; Retail Price: $29.95 For a limited time, both books (combined) are $4 with any other order. Call SmartLoss 60-day Health Journal by J. P. Milnor, M.D., Greg Little, Ed.D., & Ken Robinson, Ed.D. 81 pages, 8.5 x 11 softcover; Retail Price: $10.95

12 12 CBTR First & Second Quarters 2005 COGNITIVE-BEHAVIORAL TRAINING IN BASIC MRT & MRT DOMESTIC VIOLENCE PROGRAMMING How MRT Is Implemented: MRT is a trademarked and copyrighted cognitive-behavioral treatment system for offenders, juveniles, substance abusers, and others with resistant personalities. The system was developed in the mid-1980s and has had substantial outcome research published in the scientific literature showing that recidivism is significantly lowered for ten years following treatment. MRT is performed in open-ended groups typically meeting once or twice per week. Clients complete tasks and exercises outside of group and present their work in group. The MRT-trained facilitator passes clients' work according to objective guidelines and criteria outlined in training. Programs using MRT must supply clients with a copy of an MRT workbook that are purchased from CCI for $25 per copy. MRT formats are in use for general offenders, juveniles, perpetrators of domestic violence, and others. MRT trainings are held routinely across the United States and monthly in Memphis. Accredited CEUs for MRT training are offered from Louisiana State University at Shreveport for participants who complete training. Training dates and a registration form can be found below. Feel free to call or write for more details. MRT Trainers CCI staff conduct each training session. Trainers may include Dr. Ken Robinson (a co-developer of MRT ), Kathy Burnette, M.S. (CCI's Vice President of Clinical & Field Services), E. Stephen Swan, M.Ed(CCI's Vice President of Administrative Services), Patricia Brown, LADAC, Kimberly Prachniak, M.S., or a regional CCI licensee. Dr. Robinson has over 25 years direct experience in criminal justice programming. Ms. Burnette has over 15 years direct criminal justice and substance abuse treatment experience and was involved in the initial implementation of MRT. Mr. Swan has 30 years in counseling and correctional administration. Those interested in being licensed as exclusive providers of MRT in regions should call Dr. Ken Robinson. CCI's DOMESTIC VIOLENCE PROGRAM: 24 Sessions Printed Formats & Manual Objective Cognitive Behavioral Criteria Meets State's Requirements on Power & Control Model CEUs Offered For Information call or write CCI: Dr. Ken Robinson, Pres. or Steve Swan, V.P Hickory Hill Suite 104 Memphis, TN (901) MRT OR DOMESTIC VIOLENCE TRAINING REGISTRATION FORM Please register the following persons for MRT or Domestic Violence Training: COST NAME 1 $600 NAME 2 $500 NAME 3 $500 NAME 4 $500 CREDIT CARD ORDERS CALL (901) AGENCY ADDRESS CITY/STATE/ZIP PHONE # TRAINING DATES SELECTED: TOTAL: Mail form with payment to: CCI 3155 Hickory Hill Suite 104 Memphis, TN Payment Enclosed (please check one): Check Money Order Purchase Order (attached) Be sure to check that your training dates correspond to the training for which you are registering (e.g. MRT or Domestic Violence). A $50 processing fee will be assessed on refunds due to participant cancellation 10 days or less before training. Note that some training dates have limited availability of open slots. CCI reserves the right to cancel training dates if insufficient participants have enrolled.

13 CBTR First & Second Quarters Upcoming Trainings In MRT & Domestic Violence Note: Additional trainings will be scheduled in various locations in the US. See our website at or call CCI concerning specific trainings. CCI can also arrange a training in your area. Call for details. PARENTING AND FAMILY VALUES A Cognitive-Behavioral MRT Workbook A 12 group session workbook aimed at assisting parents and caregivers to discover and develop appropriate and effective parenting methods while focusing on the underlying family values. In this 75 page workbook, parents confront their own parenting styles, values, and methods of discipline. Parent Values Parenting Young Children Values In Children Handling Children's Problems Parenting Adolescents & Teens Problems In Adolescents & Teens The Healthy Family Tuesday May 3, 2005 to Friday May 6 - MRT in Lafayette, LA Monday May 16, 2005 to Friday May 20 - MRT in Memphis, TN Tuesday May 17 to Friday May 20 - MRT in Bartlesville, OK Monday July 18, 2005 to Thursday July 21 - MRT in Boise, ID Monday July 18, 2005 to Friday July 22 - MRT in Memphis, TN Tuesday August 2 to Friday August 5 - MRT in Anchorage, AK Monday August 22, 2005 to Thursday August 25 - MRT in Idaho Falls, ID Monday August 22, 2005 to Friday August 26 - MRT in Memphis, TN DOMESTIC VIOLENCE TRAINING: Monday June 20, 2005 to Friday June 24 - Domestic Violence in Memphis, TN Tuesday July 26, 2005 to Friday July 29 - Domestic Violence in Yakima, WA T MRT ADVANCED & Half-Day Review TRAININGS: Monday June 6, 2005 to Tuesday June 7 - in Memphis, TN Thursday July 21 to July 22 - in Boise, ID (MRT overview) Thursday August 25 to August 26 - in Idaho Falls, ID (MRT overview) Note: A new, one-day refresher course on MRT is now available. The first day of Advanced MRT is a refresher, call for more information. Parents of Delinquents Offenders With Children Substance Abusers With Children Parents Experiencing Problems Parents Seeking Understanding Parenting and Family Values is $15.00 per copy. RESPONSIBLE LIVING: An MRT Based Workbook An MRT based, 8 session, open-ended, group workbook primarily for misde-meanants in brief programming. Includes modules on rules, relationships, feelings for others, personal exploration of values, goal setting, and making commitments. Bad Checks Repeat Traffic Offenders Shoplifters Petty Larceny Theft Petty Crime Restitution $10.00, 26 pp., 8 modules. Order online at or use form on p. 19.

14 14 CBTR First & Second Quarters 2005 Meta-Analysis of Moral Reconation Therapy Recidivism Results From Probation and Parole Implementations By Gregory L. Little, Ed.D., NCP, LPC Advanced Training Associates Summary A meta-analysis of nine published outcome studies detailing the effects of Moral Reconation Therapy on recidivism in parolees and probationers is presented. The studies included in the meta-analysis had a total of 2,460 MRT-treated individuals and 7,679 individuals in control groups. Only one of the studies included in this report had any affiliation with the developers of MRT. A statistically significant reduction in recidivism, defined as rearrests or reincarcerations, was found (p =.00006) with a transformed effect size of The results are consistent with a prior meta-analysis on MRT recidivism outcomes with incarcerated felons. Meta-analysis has rapidly become the standard to assess the effectiveness of various forms of treatment (Smith, Glass, & Miller, 1980). Meta-analysis is a method of mathematically combining outcome results from different studies to assess the overall effectiveness of a treatment approach upon dependent variables. The statistical approach is especially useful when various research studies use different dependent variables and different time frames. For example, in criminal justice outcome research, the term recidivism is typically used to describe offender rearrests, reconvictions, or actual reincarcerations. Complicating this variable are the timeframes utilized in collecting data. In brief, the longer the timeframe employed, the higher any form of recidivism tends to be. Research in criminal justice treatment outcomes often evaluates recidivism at specific time periods such as six months, one-year, two-years, etc. Meta-analysis is a way to combine results from these differing types of data collected over differing time periods. The most widely employed treatment approaches in criminal justice today are variations of cognitive-behavioral therapy. Moral Reconation Therapy (MRT ) is a cognitive-behavioral treatment approach that has been utilized since 1985 and is probably the most widely researched treatment for offenders (Little, 2001). The program has been implemented in a host of statewide correctional systems and in numerous other venues such as schools, job training programs, halfway houses, etc. The program is conducted in groups that employ workbooks, have homework assignments, and have requirements for performing specific behavior. In a previous report (Little, 2001) 65 previously published outcome studies on the use of MRT with felony offenders were organized according to the type of offenders, place of treatment, and recidivism outcome. The studies included 13,498 MRTtreated individuals and 72,384 non-treated controls. Seven studies were identified that reported one-year rearrest and reincarceration rates for adult offenders who were treated during incarceration and then released. These seven studies included 21,225 subjects. A meta-analysis showed a significant effect size of Since the expected recidivism was approximately 48%, the result showed that MRT treatment cut the expected recidivism rate by nearly one-half. The present study is a metaanalysis of results on MRT-treated probationers and parolees. Sample of Studies In addition to the 65 previously identified studies on MRT (Little, 2000), an exhaustive search was made in journals, government publications, and program reports for probationers and parolees participating in MRT. An additional 51 studies were uncovered between 2001 to the present. The 116 studies were evaluated for those that employed MRT on probation and parole participants and those that also reported on a specified form of recidivism after a set time period. Some studies (i.e., drug court reports) indicated that MRT was utilized as a treatment in their program after a previous time period of operation without MRT. However, if the report did not distinguish outcome results for the nonmrt-treated and MRT-treated participants, the study was eliminated from this analysis. In addition, only reports that used a matched, random, or appropriate control group for comparison were utilized. A total of nine studies met these criteria, and only one of these had any affiliation with any of the developers of MRT. That particular study was performed by staff from the University of Maryland under a NIJ grant. The remaining studies came from master s theses, official government and program reports, and independent university evaluations. The studies include 2,460 MRT-treated individuals and 7,679 individuals in control groups. Summary of the Studies of Interest De Long (2003) reported on the Anchorage, Alaska Wellness Court s implementation of MRT. The program was designed for misdemeanor defendants charged with alcoholrelated offenses as well as for other defendants who have demonstrable alcohol problems. A total of 79 individuals participated in MRT during the two years of operation. Oneand two-year rearrest rates were collected on MRT-treated participants (n = 79) and compared to a random group of misdemeanants (n = 30) who did not participate. Results showed that the MRT-treated group showed a.26 rearrest rate as compared to a rate of.63 in the controls.

15 CBTR First & Second Quarters Shields (2003) reported on the six-month rearrest rate of MRT-treated participants in a voluntary, community-based program in Portland, Oregon. The program was designed to provide community-based adult offenders (on parole or probation) with MRT, followed by job training and job placement. A group of MRT-treated participants (n = 68) was compared to a randomly chosen control group (n = 68) of nonmrt-treated community-based offenders in the same program. The six-month rearrest rate for the MRT-treated group was.09 compared to.21 for the controls. Anderson (2002) reported on the one, two, and three-year reincarceration rates of parolees in Illinois High-Risk Parolee Re-entry Program, which utilized MRT in its treatment component. Between April 1998 until April 2001, a total of 1503 adult parolees were assigned into the program. A matched comparison group was formed from 871 parolees who were released into the same locations during the same time period. The combined one, two, and three-year reincarceration rate (averaging 24-months of release) for the MRT-treated group was.257 as compared to.433 for the controls. The Las Cruces, New Mexico Juvenile Drug Court began using MRT in 1999 after using other treatments during in its first years (1997 until 1999). Wallace (2001) reported on the 7- month recidivism of a group of MRT-treated participants (n = 40) to a prior group of participants (n = 39) who had not been treated with MRT. The MRT-treated participants showed a recidivism (referral back to the District Attorney) rate of.175 as compared to a.44 recidivism rate in nonmrt-treated participants. Burnette (1997) studied the one-year rearrest rate of a group of adult offenders who were treated with MRT during probation/ parole (n = 30) and compared them to a matched control group (n = 30) of probationers/parolees who were supervised at the same field offices. After one year, the rearrest rate of the MRTtreated offenders was.10 as compared to a rate of.20 in the controls. Guerin (2001) evaluated the effects of MRT on a group of youthful offenders assigned to the Albuquerque, NM Juvenile Court. A total of 34 juveniles assigned to the court for DWI or drug offenses were compared to 33 matched juveniles who were assigned to a different court. Recidivism events (new referrals to juvenile court) were collected on participants and controls for a time period of one-year. The MRT-treated group showed a.353 recidivism rate as compared to.60 for the controls. Huddleston (1996) reported on an independent study conducted by the Oklahoma State Bureau of Investigation on the recidivism of 110 graduates who participated in the Payne County (Oklahoma) Drug Court s MRT-based program. After a time period of 18 months, 4% had been rearrested. This figure compares to the overall national drug court graduates rearrest average (Lieupo, 2003) of 16.5% over a similar timeframe (n = 4,020). Fuller (2003) performed an evaluation on the 16 th Judicial District of Tennessee s drug court implementation. A total of 36 program graduates were treated with MRT and subsequently released. The rearrest rate of.08 in these graduates was found to be lower than the national drug courts rearrest rate of.165. MacKenzie, Brame, Waggoner, & Robinson (1995) reported on recidivism outcomes in a system-wide implementation of MRT in the Oklahoma Department of Corrections Parole and Probation Division. A month-by-month recidivism risk analysis was performed on MRT-treated probationers (n = 560) and compared to probationers assigned to any other non-mrt program during probation (n = 2,588). After 30 months, the cumulative recidivism risk for the MRT-treated group was.083 as compared to.153 for the nonmrt-treated group. Statistical Analysis and Results A quality rating of the studies was ruled out because all but three of the studies were performed in a similar manner. One of the reports (MacKenzie, et. al., 1995) was essentially a population study since it included all Oklahoma probationers and parolees assigned to any program. In that study, assignment into MRT was done with probationers/parolees who were deemed to be at the highest risk of recidivism, thus, the remainder of the population would not truly be an appropriate comparison group. However, the results clearly indicated that MRT reduced the recidivism rate to a lower level than the lower risk offenders who were not assigned to it. Two other studies (Huddleston, 1996; Fuller, 2003) evaluated specific drug court graduates and a comparison was made to the national average of drug court graduates, essentially comparing each court to the similar population. Thus, weighting these studies for quality would be difficult. A meta-analysis on the difference between proportions was conducted on data from the nine included studies. The sample contained a total of 10,139 subjects in both treated and comparison groups. The META program (Kenny, 1999) was utilized with arcsin transformation. Results showed a significant effect size of.2257 (t 8 = 7.778; p =.00006) with a transformed effect size of Discussion Results from the present study are similar to those obtained in a prior meta-analysis on the utilization of MRT on incarcerated adult felons. That report found that MRT treatment s effect size was In the present study, the effect size of MRT treatment on probationers was However, in the prior study, the effect size indicated that MRT treatment cut expected recidivism by nearly one-half. The recidivism of the nontreated probationers included in this study is much less than that of felons released from prison. In brief, the treatment of probationers and parolees with MRT appears to cut expected recidivism by nearly twothirds over a time period of 6 months to over two years. MRT outcome research has been extremely consistent in findings. While the program was initially designed for incarcerated populations, it rapidly spread to probation and parole, juvenile programs, drug treatment, and educational settings. Virtually all of the outcome research on MRT has consistently shown a host of beneficial effects. Perhaps the most important of these, from a governmental cost-benefit

16 16 CBTR First & Second Quarters 2005 perspective, is the reduction of recidivism. Outcome research on MRT has been conducted on offenders a full 10 years after treatment and release. In general, by the tenth year, the MRTtreated groups show actual rearrest and reincarceration rates about 20-35% lower than that observed in nontreated offenders. This study, consistent with the prior meta-analysis, shows that short-term recidivism is cut by at least 50% in MRT-treated offenders. References Anderson, J. L. (2002) Overview of the Illinois DOC highrisk parolee re-entry program and 3-year recidivism outcomes of program participants. Cognitive Behavioral Treatment Review, 11 (1/2), 4-6. Burnette, W. L. (1997) Treating post-incarcerated offenders with Moral Reconation Therapy: A two-year recidivism study. Master s thesis, University of Phoenix. DeLong, T. (2003) Anchorage Wellness Court: Summary of Facts. University of Alaska, Anchorage. Guerin, P. (2001) Evaluation of the Second Judicial District Court, County Juvenile Drug Court: Quasi-experimental Outcome Study Using Historical Information. The Institute for Social Research, University of New Mexico. Fuller, D. K. (2003) 16 th Judicial District of Tennessee Drug Court Program 2003 Process Evaluation. Office of Justice Programs supported evaluation. Huddleston, C. W. (1996) CBTI Payne and Logan County, Oklahoma drug court 18-month recidivism study of graduates and ATTAC Program. Cognitive-Behavioral Treatment Review, 5, (3/4), 9. Kenny, D. A. (1999) Meta-Analysis: Easy to answer. University of Connecticut. Lieupo, K. (2003) NIJ report touts the success of drug courts. NADCP News, 10 (3), 3; 19. Little, G. L. (2001) Meta-analysis of MRT recidivism research on post-incarceration adult felony offenders. Cognitive-Behavioral Treatment Review, 10 (3/4), 4-6. MacKenzie, D. L., Brame, R., Waggoner, A., & Robinson, K. (1995) Moral Reconation Therapy and Problem Behavior in the Oklahoma Department of Corrections. National Institute of Justice. Shields, C. (2003) Better People, Annual Report. Portland, Oregon. Smith, M. L., Glass, G. V., & Miller, T. I. (1980) The benefits of psychotherapy. Baltimore: Johns Hopkins University Press. Wallace, A. (2001) Results of Moral Reconation Therapy (MRT) utilization in the Las Cruces, New Mexico Drug Court. Cognitive-Behavioral Treatment Review, 10 (3/4), 1-2. One-Day MRT Review Training for Trained & Certified MRT Facilitators MRT Review Training is a one-day (8-hour) workshop designed to enhance MRT facilitators knowledge of MRT, develop additional group facilitation skills, and review the objective criteria for operating MRT groups. This workshop is a refresher course intended for those individuals who have already completed basic MRT training. A certificate of completion is awarded to all attendees. The workshop: Provides solutions to programspecific problems Reviews each MRT step Reviews the purpose of each step Provides solutions to client Reviews objective criteria for each participation problems MRT exercise Provides an update on MRT Reviews Kohlberg s theory of research moral reasoning Provides solutions to step-related difficulties Provides an opportunity to discuss and problem solve unique situations MRT facilitators may confront This One-Day MRT Review Training will be held periodically in Memphis and can also be arranged on-site. The basic cost is $150 per person. For more information or to schedule a training, call Sharron Johnson at

17 CBTR First & Second Quarters Is your relapse prevention component too complicated for your clients? Is it hard for them to understand or difficult to complete a 300 page "brief relapse prevention" workbook? RELAPSE PREVENTION THAT WORKS The Staying Quit client workbook is $10. A simple-to-follow Facilitator's Guide is available for $5. The Staying Quit Audiotape Set (boxed, $50.00) contains the entire workbook text on cassette tape, a 15 min. relaxation exercise, a 15 min. progressive muscle relaxation exercise, a 20 min. clean & sober visualization, and a 25 min. desensitization tape. A Group Starter Kit is available and contains 11 workbooks, 1 Facilitator's Guide, review article, and a complete Audiotape Set. The Starter Kit is $ (discounted from $170). STAYING QUIT: A Cognitive-Behavioral Approach To Relapse Prevention 40-page client workbook based on principles of cognitive-behavioral relapse prevention designed for eight group sessions. Focuses on risky situations, scripting changes, coping with urges and cravings, being around users, understanding support issues, and taking charge of life. Recent research (Burnette, et. al., 2004; Little, 2002) shows that the addition of the Staying Quit relapse prevention program significantly increases Life Purpose, significantly shifts Locus of Control to a more internal locus, increases moral reasoning, and enhances several measures of social support. Call (901) Staying Quit Starter Kit Contents 11 Staying Quit workbooks 1 Facilitator s Guide Workbook on cassette tape 15-minute Basic Relaxation casette tape 15-minute Progressive Relaxation tape 20-minute Clean and Sober Visualization tape 25-minute Desensitization tape It Can Break Your Heart by J. P. Milnor, M.D., Greg Little, Ed.D., & Ken Robinson, Ed.D. 424 pages, 6 x 9 softcover; Retail Price: $29.95 Special Time-Limited Offer 90% Discount on Books For a limited time, sets of the 424-page book, It Can Break Your Heart: What You and Your Doctor Should Know About Solving Your Weight Problem and the 81- page SmartLoss 60-Day Health Journal (2000), can be purchased for only $4 with any other purchase of CCI materials. Any number of these two books (with a combined retail value of $40.90) can be ordered at a 90% discount for the cost of $4 per set. Note: when placing orders, simply fill out the order form on page 19 or tell the customer representative at ( ) that you also want to order the special combined weight books. The books contain sections on psychological aspects of weight, cognitive-behavioral approaches, genetics, and a full listing of caloric, carbs, and nutritional values of fast food and other foods. SmartLoss 60-day Health Journal by J. P. Milnor, M.D., Greg Little, Ed.D., & Ken Robinson, Ed.D. 81 pages, 8.5 x 11 softcover; Retail Price: $10.95 Call PSYCHOPHARMACOLOGY: Basics For Counselors 279 page authoritative soft cover text for addictions counselors, counselors in training, and those seeking a basic understanding of how drugs work in the brain $ PSYCHOPHARMACOLOGY is designed to assist individuals with gaining the knowledge necessary to pass state exams required for licensure as Substance Abuse Counselors. Visit our websites:

18 18 CBTR First & Second Quarters 2005 COGNITIVE BEHAVIORAL MATERIALS AVAILABLE FROM CCI To order go online at use the coupon on page 19, or call The Punishment Myth Understanding the criminal mind and when and why conventional wisdom fails. 8.5 x 11 softcover by Dennis A. Challeen, J. D. and Ken Robinson. $ Rules Are Made to be Followed 16 page, 4-session workbook designed to be used with underage drinkers and false ID users.$ Ask for a FREE Facilitator s Guide. Understanding & Treating Antisocial Personality Disorder: Criminals, Chemical Abusers, & Batterers 65-page updated softcover text by Drs. Greg Little and Ken Robinson. Covers the gamut of treating the most resistant of clients. With 93 refs.; $ Crisis Intervention Strategies for Chemical Abusers & Offenders 61-page text covering crisis intervention techniques; $ Five-Minute Stress Manager cassette tape of three, 5-minute relaxation segments used in MRT, Domestic Violence, & Anger Management; $8.95. Parenting and Family Values 75 page, 12 session MRT group workbook designed to be used with parents of children experiencing problems; $ Imaginary Future 15 minute cassette tape used in Step 7 of MRT to assist clients in visualizing appropriate goals; $8.95. Imaginary Time Out 15 minute cassette tape used in MRT domestic violence to assist clients in visualizing appropriate time out strategies; $8.95. Family Support 26 page (8.5 X 11 softcover) CBT workbook used in groups with clients who fail to pay child and family support. Exercises for group work; $9.00. Job Readiness 26 page (8.5 X 11 softcover) CBT workbook designed for use in groups with clients who have faulty beliefs about the work world; $9.00. Something for Nothing 17 page (8.5 X 11 softcover) CBT workbook used in groups with offenders who are charged with shoplifting. Exercises for group work; $ You Can Get There From Here 85-page softcover book by Father Bill Stelling telling how addictions can be changed. A priest tells how he overcame alcoholism; $8.95 Effective Counseling Approaches for Chemical Abusers & Offenders 104-page softcover text by Little, Robinson, & Burnette summarizing 7 major counseling theories used with offenders. Designed for assisting counselors preparing for substance abuse certification; $ The Joy of Journaling 110-page softcover by Drs. Pat & Paul D'Encarnacao covers the hows and whys of journaling. Shows how counselors can use journaling as a CBT method of aligning clients' beliefs and behavior; $ PSYCHOPHARMACOLOGY: Basics for Counselors 279 page softcover text covering the basics of the field - up-todate and comprehensive; $ Coping With Anger 49-page anger management cognitive behavioral workbook. Designed for use in 8 group sessions; $10.00 Coping With Anger Group Starter Kit contains 15 Coping With Anger workbooks, 2 Facilitator Guides, 2 5- Minute Stress Manager tapes, 2 Basic Relaxation & Progressive Muscle Relaxation tapes, Training DVD, plus free Quicktime file of training on CD; $ Facilitator's Guide for Coping With Anger 8 page how-to guide for implementing the Coping With Anger anger management groups; $5.00. Coping With Anger Training DVD 1.5 hours, shows how to start and operate an ongoing anger management program; $ Making Changes for Good 56-page workbook designed for sex offender relapse prevention group program; $ Facilitator's Guide for Making Changes for Good - 12 page how-to guide for implementing the sex offender relapse prevention program; $ Untangling Relationships: Coping With Codependent Relationships Using The MRT Model 28-page workbook for use with those who have codependent issues; $10.00 Staying Quit: A Cognitive-Behavioral Approach to Relapse Prevention 40-pg client workbook for relapse prevention groups. 8 program modules; $ Facilitator's Guide to Staying Quit 8 page how-to guide for implementing Staying Quit relapse prevention groups; $5.00. Audiotape set for Staying Quit 3 boxed cassette audiotapes with the Staying Quit workbook on tape, basic relaxation, progressive muscle relaxation, clean & sober visualization, and desensitization; $ Staying Quit Group Starter Kit 11 client workbooks, 1 Facilitator's Guide, review article, and audiotape set; $ Responsible Living 26-page client workbook with 8 group sessions designed for "bad check" writers, shoplifters, and petty crime misdemeanants; $ Thinking For Good Group workbook directly addressing criminal thinking, behaviors, and beliefs from MRT personality stages. 10 sessions Samenow's criminal thoughts are disputed; $ Thinking For Good Facilitator s Guide A simple, easy-to-follow facilitator s guide for implementing Thinking For Good; $5.00. Character Development Through Will Power & Self-Discipline CBT group exercise workbook for use with probationers, parolees, and juveniles. Designed for 16 group sessions with scenarios discussed in group; $ Character Development Facilitator's Guide 54-page counselor's guide to Character Development; $ Objective Tests & Measures Vol copyright-free tests including brief objective tests (ideal for pre-post measures) for relapse prevention, domestic violence, self-esteem, work/employment attitudes, & family/parenting issues; $105. It Can Break Your Heart 424-page softcover book outlines the issues involved in obesity and weight loss comes with SmartLoss 60-Day Health Journal 81-page, large softcover book. Special limited-time offer: both books (normally retailing for $40.90) can bepurchased for a total of $4.00 with any other order from CCI. Programs and individuals can order multiple sets. Only those trained in MRT may order the following materials MRT Counselor's Handbook Bound 8.5 X 11, 20- page book giving the objective criteria for each MRT step. Includes sections on group processes, rules, dynamics, hints, and instructions for starting an ongoing MRT group; $ MRT Freedom Ladder Poster large white paper poster of MRT stages, steps, and personality descriptions (B/W); $ How To Escape Your Prison Cassette Tape Set Three cassette tapes (3.5 hours in length) with the complete text of the MRT workbook, How To Escape Your Prison, containing brief explanations by Dr. Little of exercises and tasks. For use with clients in groups where reading assistance is not present. Boxed in a vinyl tape book with color coded tapes for easy reference to steps; $ How To Escape Your Prison The MRT workbook used in criminal justice, 138 pages, 8.5 X 11 perfect bound format, with all relevant exercises by Drs. Greg Little & Ken Robinson; $ How To Escape Your Prison in Spanish The Spanish MRT workbook used in criminal justice, 138 pages, 8.5 X 11 perfect bound format, identical to English version by Drs. Greg Little & Ken Robinson; $ How To Escape Your Prison Audiotape Set in Spanish The Spanish MRT workbook on three cassette tapes - boxed.; $ Juvenile MRT How To Escape Your Prison MRT workbook for juvenile offenders, 8.5 X 11 perfect bound format, with all exercises.; $ Domestic Violence Workbook 119 pages in 8.5 X 11 format, titled, Bringing Peace To Relationships, for use with perpetrators of domestic violence. The MRT format used on violent perpetrators, contains dozens of exercises specifically designed to focus on CBT issues of faulty beliefs, attitudes, and behaviors leading to violence in relationships; $ (Must be trained in MRT s Domestic Violence program to order.) Domestic Violence Facilitator's Guide 21 pg. how-to facilitator's guide to Bringing Peace To Relationships domestic violence groups; $ Filling The Inner Void MRT workbook, 120-page spiral bound, used with juveniles, in schools - by Drs. Little & Robinson. Discusses the "Inner Enemy" (the Shadow in Jungian psychology), projection, and how we try to fill basic needs; $ Discovering Life & Liberty in the Pursuit of Happiness MRT workbook for youth and others not in criminal justice; $ See page 5 for information on our NEW Anger Management Training DVD

19 CBT Materials Order Form Item Price Each # Ordered Subtotal The Punishment Myth $20.00 Rules Are Made to be Followed (Workbook) $10.00 Something for Nothing shoplifting (Workbook) $10.00 Understanding & Treating APD $10.00 Effective Counseling Approaches text $12.00 Crisis Intervention text $10.00 Five-Minute Stress Manager (audio cassette) $8.95 Parenting and Family Values $15.00 Imaginary Future (audio cassette) $8.95 Imaginary Time Out (audio cassette) $8.95 Family Support (CBT workbook) $9.00 Job Readiness (CBT workbook) $9.00 You Can Get There From Here $8.95 The Joy Of Journaling $11.95 Psychopharmacology: Basics for Couns. $24.95 Coping With Anger (workbook) $10.00 Coping With Anger Facilitator Guide $5.00 Coping With Anger Group Starter Kit $ Coping With Anger Training DVD $ Making Changes Sex Offender Workbook $18.00 Making Changes Facilitator Guide $10.00 Untangling Relationships Workbook $10.00 Staying Quit (workbook) $10.00 Staying Quit Facilitator Guide $5.00 Staying Quit Group Starter Kit $ Responsible Living workbook $10.00 Thinking For Good workbook $10.00 Thinking For Good Facilitator Guide $5.00 Character Development $20.00 Character Development Facilitator's Guide $20.00 Objective Tests & Measures - I $ SPECIAL OFFER: It Can Break Your Heart & 60-Day Health Journal Combo. $4.00 MRT Materials below can only be ordered by trained MRT facilitators MRT Counselor's Handbook $10.00 MRT Poster (Freedom Ladder) $10.00 How To Escape Your Prison (cassette tapes) $59.95 How To Escape Your Prison $25.00 How To Escape Your Prison (In Spanish) $25.00 How To Escape Spanish (cassette tapes) $59.95 Juvenile MRT - How To Escape Your Prison $25.00 Domestic Violence (Must take Dom. Vio.) $25.00 Domestic Violence Facilitator's Guide $10.00 Filling The Inner Void $25.00 Discovering Life & Liberty... $25.00 Name: Agency: Address: City/State/Zip: Phone: You can now order online! See our web site at for additional information. Ordering Instructions To order materials, clip or copy coupon and send with check, money order, or purchase order. All orders are shipped by UPS no post office box delivery. There is a $5.00 shipping fee for all orders of a single item. If you order more than one item, you should call CCI at (901) for UPS shipping, insurance, and handling charges. Orders are typically shipped within 5 working days of receipt. Materials below the line stating "MRT Materials..." can only be ordered by persons or agencies with trained MRT facilitators. Call for details if you have any questions. CREDIT CARD ORDERS: (901) ORDER COUPON Your Name and Shipping Address: Send form and payment to: Correctional Counseling, Inc Hickory Hill Suite 104 Memphis, TN = TOTAL ORDER = (call for) Shipping TOTAL: = Grand Total

20 COGNITIVE-BEHAVIORAL TREATMENT REVIEW 3155 Hickory Hill Suite 104 Memphis, TN Upcoming Trainings Tuesday April 26, 2005 to Friday April 29 - MRT in Chesapeake, VA Tuesday May 3, 2005 to Friday May 6 - MRT in Lafayette, LA Monday May 16, 2005 to Friday May 20 - MRT in Memphis, TN Tuesday May 17, Friday May 20 - MRT in Bartlesville, OK Monday July 18, 2005 to Thursday July 21 - MRT in Boise, ID Monday July 18, 2005 to Friday July 22 - MRT in Memphis, TN Tuesday August 2, Friday August 5 - MRT in Anchorage, AK Monday August 22, 2005 to Thursday August 25 - MRT in Idaho Falls, ID Monday August 22, 2005 to Friday August 26 - MRT in Memphis, TN DOMESTIC VIOLENCE TRAINING: Monday June 20, 2005 to Friday June 24 - Domestic Violence in Memphis, TN Tuesday July 26, 2005 to Friday July 29 - Domestic Violence in Yakima, WA T MRT ADVANCED & Half-Day Review TRAININGS: Monday June 6, 2005 to Tuesday June 7 - in Memphis, TN Thursday July 21 to July 22 - in Boise, ID (MRT overview) Thursday August 25 to August 26 - in Idaho Falls, ID (MRT overview) PRESRT STD. U. S. postage PAID Permit # 1326 Memphis, TN

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