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www.ibr.tcu.edu/
pubs/datacoll/
cjotforms.html

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ibr@tcu.edu

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Updated:
15-Sep-2009

The Correctional Outpatient Treatment Forms include a set of data collection instruments focused on assessing services and treatment process in outpatient settings.  For technical questions, contact Dr. Kevin Knight at k.knight@tcu.edu.

A comprehensive battery of segmented TCU assessment forms for client needs, risks, and progress now offers optimum flexibility in addressing program objectives.  These targeted assessments have been configured as a series of 1-page Automated Data Capture (ADC) Forms which can be used in a customized approach to client assessment.  A summary report on these forms is provided.

CJ Forms List of Correctional: Outpatient Treatment Forms
Additional Information Recommended Citation for TCU Correctional Residential Forms


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

Counseling Session Records

The Counseling Session Record -- Individual (Counselor) describes the length and type of session as well as the issues addressed. (5 minutes)  Download Counseling Session Record -- Individual (by Counselor) (PDF; 8K / 1 page)

The Counseling Session Record -- Group (Counselor) describes the length and type of session as well as the issues addressed. (5 minutes)  Download Counseling Session Record -- Group (by Counselor)   (PDF; 10KB / 2 pages)

The Evaluation of Self and Treatment 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; 24KB / 8 pagesDownload the Item-Scoring Guide for Evaluation of Self and Treatment  Item-Scoring Guide (PDF; 15 KB / 4 pages)

The Services Tracking Record (Monthly) serves as the overall monitoring record of client services and transactions, and is completed each month by agency staff. It contains information concerning counseling session attendance, medications prescribed, urinalyses results, and ancillary services provided. (Time to complete this form varies, depending on agency record-keeping systems.)  Download Services Tracking Record (Monthly)  (PDF; 10KB / 2 pages)

The Discharge Report documents dates and reasons for leaving treatment. (5 minutes)  Download Discharge Report  (PDF; 10KB / 2 pages)


Recommended Citation for TCU Correctional Outpatient Forms

Simpson, D. D. & Hiller, M. (1999). TCU data collection forms for correctional outpatient 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


TCU Short (ADC) Forms


Community Treatment Forms

CJ Treatment Forms


Methadone Outpatient Forms

Correctional Outpatient Forms

Correctional Residential Forms

Women & Children

Adolescents

Specialized Forms


Psychometric Information and Assessment Workshops


 


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