Intensive Residential Treatment

Philosophy

Larimer County Community Corrections philosophy of the Residential Treatment Programm is to facilitate the development of a pro-social community based milieu. In this environment interactions amongst group members are to provide the opportunity for them to develop an atmosphere of quality interactions which reflect: honesty, self responsibility, work ethic, and community responsibility. The purposes of these interactions are in order that they may develop a manner of being that conveys respect for self, others and the community. We have found this pro-social interaction to be a necessary component in aiding a person to obtain a level of commitment to sobriety that they may function in society in a positive, constructive, and successful manner.

An eco-psychological approach to recovery is needed for a person's clean and sober living. Community members therefore are encouraged to reach a healthy balance between mind, body and spirit for each of themselves. We do not promote any given denomination or spiritual programme, however we have found this to be an essential component of long term changes with persons recovering from substance abuse issues. We therefore wish to provide the consumer the opportunity to acknowledge; and, where possible practice the method of practicing their beliefs as you determine these to be valuable to their recovery process. The consumer is also encouraged to develop an understanding of their impact on the community. In keeping with restorative justice principles they are therefore also asked to consider how they will restore the harm they have created by their use and criminal behaviours.

Family participation in recovery is strongly encouraged in the changes of long-term health, and opportunities to develop this are encouraged.

We believe every person entering treatment deserves to be treated with dignity and respect. By providing this opportunity for persons in the correctional system we believe that, persons can become productive members of their community.

Referrals to IRT

Admission, Assessment, and Client Placement Criteria

The following is a summary of information we are requesting to assist us in considering potential candidates for our IRT program. Your assistance in providing this information is greatly appreciated.

We are also enclosing information to assist you in determining if this program would be beneficial to your clientele.

In keeping with CRS 16-11.5 all offenders considered for treatment within Larimer County Community Corrections will be assessed in an objective and uniform manner. Therefore, it follows that candidates for the program will be assessed through the use of the Standardized Offender Assessment:

Required Information

(Please check the following information is being forwarded)

• Standardized Offender Assessment instruments from the referring agency [SUHM, ASUS, LSI, SSI]. Please submit the instruments rather than summaries. To assess for the offender's risk of criminality and recidivism, the severity of the offender's substance abuse needs; in order to determine the appropriate level of treatment.
• Prior treatment history information( inpatient and outpatient, and outcomes)
• Criminal history
• PSIR (Pre-sentence Investigation reports)
• Pretrial records and assessments.

Additional Information that may assist us in assessing your client's treatment needs

• Information from family support systems
• Additional Demographic, medical, and intellectual functioning data not available from other screening instruments
• Actuarial Assessment Tools: DV-BCL(domestic violence behavioural checklist) PCL-R (psychopathy checklist-revised) VRAG(violence risk appraisal guide) DVI(domestic violence inventory)DVSI (domestic violence screening inventory) SARA (spousal assault risk assessment)
• Recognizing the high percentage of co-occurring mental illness in addicted offenders (59.9% of individuals with substance disorders may also have an identifiable psychiatric diagnosis - Kessler et al, 1996), the IRT program will assess all offenders for comorbid disorders. Such tools as are appropriate to this population will be used: MCMI-(Millon Clinical Multiaxial Inventory) Diagnostic Interview Schedule [DIS], Beck Depression Inventory [BDI], MMPI-2 -(Minnesota Multiphasic Personality Inventory-2)
• Any previous mental health assessments and history will be obtained from collateral agencies and families, in addition to referral sources. Potential IRT clients, with mental health issues, will have an initial assessment by the Pretrial Services Mental Health Therapist. When indicated, a more extensive evaluation will be completed by the Community Corrections contract psychologist and he will choose from the above assessment tools.

General Admission Criterion includes:

1. Non-violent offenders between the ages of 20 and 55; an offender who incurred a weapons offense in conjunction with substance abuse charges will be evaluated on a case by case basis for lethality.
2. Offenders who have no escape charges within the past two years.
3. Offenders for whom previous lower level intensity programs have failed to produce favourable results in keeping with ASAM (American Society of Addiction Medicine) protocols.
4. Offenders who meet the SOA clinical treatment level criteria for a level 5 placement utilizing the combined scores of the LSI (Level of Supervision Inventory) and the ASUS (Adult Substance Use Survey)
5. Offenders who also meet criteria for a Level lll.5 placement per ASAM dimensional criteria.
6. Candidates for this program shall not meet criteria for sex offenders programs given the requirements for complete disclosure in the therapeutic environment; and, the requirement for participation in this community based program as a venue for the development of future community supervision and empathetic development.
7. Offenders who do not have excessive physical needs given the limitations to physically accommodate certain levels of physical handicaps.

We wish to thank you in advance for your assistance in this matter, and very much appreciate your referral. We trust the requested information conveys to you the desire for excellence in meeting your client's needs, we have as our mission.

We would be very glad to address any additional questions you might have:

Please fax all requested information to (970) 498-7532

IRT Services

After Care Program

Upon completion of the 45-Day IRT Program, clients will begin the After Care Program. This program is offered in order to be in keeping with the Continuum of Care; and as an opportunity for consumers to resume the practice of concepts obtained from IRT. Thus, consumers are offered an Outpatient Program during After Care and will be receiving 4.5 to 5.5 hours per week depending on how many individual sessions they attend per week based on treatment needs. Each consumer is evaluated for their ongoing needs based on the success of their treatment, issues identified in their aftercare plan and the further assessment by their aftercare counselor.

After Care Offerings

1. Clients will attend a minimum of 1 Individual Session per month throughout the After Care Program.
2. Clients will continue the SSIC Program sessions 20-50.
3. Clients are also required per ADAD Standards to do a New Treatment Plan every 90 days, or sooner upon any major change in treatment such as moving from IRT to After Care, a relapse, a change in treatment, any arising non-compliant issues such as attendance, participation, etc.
4. At the beginning of the After Care Program, clients are required to attend 3 Support Groups per week, after completing Phase II of the SSIC Program, which ends at session # 42 the Support Groups will drop down to 2 per week.

   ****** After Care Groups do not count toward a Support Group.

   ****** Individual Sessions also do not count toward a Support Group, unless you are meeting with your therapist on a weekly basis, and you have been approved both by the therapist and case manager that the weekly individual session will count toward a support group.

5. Upon completion of After Care, clients will be required to attend only a minimum of 1 Support Group per week and the Individual Sessions would terminate at that time.

Any client may request that individual sessions continue upon completion of After Care if they desire to continue working on issues. In addition, upon completion of the After Care Program, any client may request from the After Care Therapist an individual session at any time if one is struggling and needs additional support. This would be a service offered at no cost until the person is no longer a client of Larimer County Community Corrections.