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pubs/datacoll/
cjforms.html

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Updated:
28-Feb-2008

The Correctional Residential Forms include a comprehensive set of intake and during-treatment data collection instruments for assessing functioning and services in residential settings. Instructions and item wording have been tailored to address issues related to an offender being confined prior to assessment.  For technical questions, contact Dr. Kevin Knight at k.knight@tcu.edu.

List of Correctional Residential Treatment Forms List of Correctional: Residential Treatment Forms
TCU Project using these forms TCU Project using these forms
Additional Information
For Additional Information and References
Recommended Citation Recommended Citation for TCU Correctional Residential Forms


List of Correctional: Residential Treatment Forms
(Listed in sequence in which forms occur during treatment; times indicate typical length to administer.)

The TCU Survey of Criminal Justice Program Treatment Needs (PTN) is used to help identify and prioritize treatment issues that programs believe need attention. PTN-D (i.e., directors’ version) asks for a brief description of the program and staffing, followed by ratings of program training needs and pressures as well as diagnostic and billing procedures.  PTN-S (i.e., staff version) asks about facilities and climate, satisfaction with training, preferences for training contents and procedures, computer resources, and barriers to training. (15 minutes)

PTN-S  Staff Version
Download TCU Survey of Criminal Justice Program Training Needs -- Staff Version  (PDF; 183KB / 5 pages)  

PTN-D  Program Director Version
Download TCU Survey of Criminal Justice Program Training Needs -- Program Director Version  (PDF; 222KB / 6 pages)

  
The TCU Drug Screen II (TCUDS II) is completed by the offender and serves as a "screener form" for quickly identifying individuals who report heavy drug use or dependency (based on the DSM and the NIMH Diagnostic Interview Schedule) and therefore might be eligible for treatment options. (5-10 minutes)  Download TCU Drug Screen (TCUDS)  (PDF; 155KB / 4 pages)

The Initial Assessment is administered by a counselor within 24 hours of program entry and includes background and psychosocial information, a brief history of illegal drug use, and assessments of alcohol, cocaine, opioid, and cannabis abuse based on DSM-IV criteria. (20 minutes)  Download Initial Assessment  (PDF; 67KB / 16 pages);   Download Answer Cards for Initial Assessment  Answer cards

The Intake is administered by a counselor in a face-to-face interview held approximately 5 days after the Initial Assessment, when the probationer has had time to reach greater stabilization and cognitive focus. It is comprehensive and includes sections on sociodemographic background, family and peer relations, health and psychological status, criminal involvement, in-depth drug use history, and an AIDS-risk assessment. (90 minutes)  Download Intake  (PDF; 113KB / 31 pages);  Download Answer Cards for Intake  Answer cards

The Self-Rating at Intake is completed by the probationer immediately following the Initial Assessment. It includes short scales for psychological adjustment (i.e., self-esteem, depression, anxiety, and decision-making), social functioning (i.e., childhood problems, hostility, risk-taking, and social conformity), and motivation scales (problem recognition, desire for help, treatment readiness) as well as the Pearlin Mastery Scale. (10 minutes)  Download Self-Rating at Intake  (PDF; 16KB / 6 pages);   Download Item Scoring Guide for Self-Rating at Intake   Item-Scoring Guide (PDF; 14KB / 4 pages)

The Counselor Rating of Client is completed by the counselor for the purpose of describing probationer functioning and therapeutic strategies used in the preceding 3 months. (5 minutes)  Download Counselor Rating of Client  (PDF; 9KB / 2 pages)

The Evaluation of Self and Treatment (for the previous 3 months) records probationer ratings of the counselor, therapeutic groups, and the program in general. It also contains scales assessing psychological adjustment, social functioning, and motivation. (15 minutes)  Download the Evaluation of Self and Treatment  (PDF; 19KB / 7 pagesDownload the Item-Scoring Guide for Evaluation of Self and Treatment  Item-Scoring Guide (PDF; 15KB / 4 pages)


TCU Projects using these forms

Prison-Based Treatment Assessment (PTA) Project Summary

Residential Substance Abuse Treatment (RSAT) Project Summary


For Additional Information and References

References

Broome, K. M., Knight, K., Joe, G. W., & Simpson, D. D. (1996). Evaluating the drug-abusing probationer: Clinical interview versus self-administered assessment. Criminal Justice and Behavior, 23(4), 593-606.  [Abstract]

Hiller, M. L., Knight, K., Devereux, J., & Hathcoat, M. (1996). Posttreatment outcomes for substance-abusing probationers mandated to residential treatment. Journal of Psychoactive Drugs, 28(3), 291-296.  [Abstract]

Knight, K., Simpson, D. D., Chatham, L. R., & Camacho, L. M. (1997). An assessment of prison-based drug treatment: Texas' in-prison therapeutic community program. Journal of Offender Rehabilitation, 24(3/4), 75-100.  [Abstract]

Knight, K., & Hiller, M. L. (1997). Community-based substance abuse treatment for probationers: 1-Year outcome evaluation of the Dallas County Judicial Treatment Center. Federal Probation, 61(2), 61-68.  [Abstract]

Hiller, M. L., Broome, K. M., Knight, K., & Simpson, D. D. (2000). Measuring self-efficacy among drug-involved probationers. Psychological Reports, 86, 529-538.  [Abstract]

Criminal Justice Evaluation Publications
  


Recommended Citation for TCU Correctional Residential Forms

Simpson, D. D. & Knight, K. (1998). TCU data collection forms for correctional residential treatment. Fort Worth: Texas Christian University, Institute of Behavioral Research. [On-line]. Available: www.ibr.tcu.edu.


Forms Section
Contents

Background and Overview

Selecting Forms

List of Forms

Permissions and Obtaining Forms


Community Treatment Forms

CJ Treatment Forms

TCU ADC Forms


Methadone Outpatient Forms

Correctional Outpatient Forms

Correctional Residential Forms

Women & Children

Adolescents

Specialized Forms


Psychometric Information and Assessment Workshops


 


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