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Schedule:
Friday, January 18, 2019
Continental Parlors 1-3, Ballroom Level (Hilton San Francisco)
* noted as presenting author
Background: Criminal recidivism and homelessness are two of the most complex and challenging social issues we face in our communities. It is increasingly important that we design and rigorously evaluate programs to address that problems. Implementing innovative community-based programs and ensuring that the referral pathway and the research design are sound are vital to the success of any research project. Designing a pilot phase with measurable performance benchmarks is one way to ensure the program and design is viable for long-term projects.
Methods: This presentation will discuss the quantitative and qualitative results from the pilot period of two multi-year RCTs in the areas of criminal justice and homelessness.
The REACH Program (Recovery, Engagement, Assessment, Career Development, and Housing) is designed for adult males assessed as high-risk, high-need and diagnosed with substance use disorders. The program aims to address the major criminogenic needs that have the greatest impact on reducing recidivism, including antisocial behaviors, antisocial personality/negative emotionality, antisocial attitudes and cognitions, antisocial associates, problems with school and work, lack of prosocial activities, family and marital problems, and substance abuse.
The Homes Not Jails (HNJ) program addresses persistent homelessness and associated criminal justice contact through an enhanced rapid rehousing intervention. The Homes Not Jails (HNJ) program model was built on the framework of the housing first (HF) model. Since this group has relatively high criminal justice contact, the intervention also intends to interrupt the frequency with which individuals cycle in and out jail and emergency shelter.
Results: The authors will provide data on the results of the pilot that allowed the programs to continue, as well as the rationale for setting the minimum pilot performance standards. Prerequisites to launch after the pilot dictate that the REACH program met the following minimum criteria: 1) At least 50% of those randomized have been enrolled, 2) At least 30% of enrolled clients have a minimum of 100 treatment hours within the first three months of enrollment. Prerequisites to launch the HNJ program after the pilot dictate that: 1) a minimum number of randomized clients have been placed in housing; 2) at least 50% of those that have been randomized have been housed within three months of randomization; 3) less than 30% of housing placements of HNJ clients have resulted in a “negative exit,” and 4) one behavioral health clinician on staff for a minimum of six months.
Conclusions: Both program met minimum thresholds for full implementation. The authors discuss the importance of piloting new interventions and study procedures and highlight key learnings that other researchers my find useful to consider when designing multi-year intervention research studies.
Methods: This presentation will discuss the quantitative and qualitative results from the pilot period of two multi-year RCTs in the areas of criminal justice and homelessness.
The REACH Program (Recovery, Engagement, Assessment, Career Development, and Housing) is designed for adult males assessed as high-risk, high-need and diagnosed with substance use disorders. The program aims to address the major criminogenic needs that have the greatest impact on reducing recidivism, including antisocial behaviors, antisocial personality/negative emotionality, antisocial attitudes and cognitions, antisocial associates, problems with school and work, lack of prosocial activities, family and marital problems, and substance abuse.
The Homes Not Jails (HNJ) program addresses persistent homelessness and associated criminal justice contact through an enhanced rapid rehousing intervention. The Homes Not Jails (HNJ) program model was built on the framework of the housing first (HF) model. Since this group has relatively high criminal justice contact, the intervention also intends to interrupt the frequency with which individuals cycle in and out jail and emergency shelter.
Results: The authors will provide data on the results of the pilot that allowed the programs to continue, as well as the rationale for setting the minimum pilot performance standards. Prerequisites to launch after the pilot dictate that the REACH program met the following minimum criteria: 1) At least 50% of those randomized have been enrolled, 2) At least 30% of enrolled clients have a minimum of 100 treatment hours within the first three months of enrollment. Prerequisites to launch the HNJ program after the pilot dictate that: 1) a minimum number of randomized clients have been placed in housing; 2) at least 50% of those that have been randomized have been housed within three months of randomization; 3) less than 30% of housing placements of HNJ clients have resulted in a “negative exit,” and 4) one behavioral health clinician on staff for a minimum of six months.
Conclusions: Both program met minimum thresholds for full implementation. The authors discuss the importance of piloting new interventions and study procedures and highlight key learnings that other researchers my find useful to consider when designing multi-year intervention research studies.