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Results for cognitive-treatment programs

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Author: Helmond, Petra

Title: Inside Out: Program Integrity and Effectiveness of the Cognitive-Behavioral Program EQUIP for Incarcerated Youth

Summary: This dissertation focuses on the program integrity and effectiveness of the cognitive-behavioral program EQUIP for incarcerated youth. The title 'Inside Out' refers to opening the 'black box' of the implementation of EQUIP. We will uncover the actual implementation of the EQUIP program by bringing out what happens inside group meetings of the EQUIP program. In another sense, we will turn the implementation of EQUIP inside out by assessing the program integrity of EQUIP and the impact of program integrity on the effectiveness of EQUIP in a detailed way. Last but not least, we hope to contribute to the 'what works' literature in correctional treatment with the knowledge on program integrity obtained in our research. In this way, the present dissertation hopes to contribute to keeping youths inside out, from inside correctional facilities to outside, out into society. Effective intervention outcomes can be established on the condition that interventions contain effective ingredients and that interventions are implemented with high levels of program integrity (see Table 1). Although program integrity is widely recognized as an important factor influencing the effectiveness of interventions, many studies still fail to include measures of program integrity (Durlak & DuPre, 2008; Landenberger & Lipsey, 2005; Roen, Arai, Roberts, & Popay, 2006). Although correctional treatment researchers have written extensively about the importance of program integrity for the success of rehabilitation programs (Andrews & Dowden, 2005; Gendreau, Goggin, & Smith, 1999; Landenberger & Lipsey, 2005; Lipsey, 2009), studies on the effectiveness of correctional treatment that include measures of integrity are almost nonexistent (Andrews & Dowden, 2005; Landenberger & Lipsey, 2005; Lipsey, 2009). Yet, it is crucially important to know whether interventions have been implemented with high levels of program integrity for two reasons. First, without any information on program integrity we do not know whether the experimental manipulation (i.e., the intervention) has succeeded and whether positive, negative or absent outcomes can and should be attributed to the intervention program (Dane & Schneider, 1998; Durlak & DuPre, 2008; Mowbray, Holter, Teague, & Bybee, 2003). Second, in general, studies have shown that higher levels of program integrity are related to higher levels of program effectiveness (Caroll et al., 2007; Durlak & DuPre, 2008). For instance, the intervention Multisystemic Therapy (MST) showed that higher levels of program integrity predicted higher effectiveness of MST, in terms of rates of youth criminal charges after the intervention (Schoenwald, Chapman, Sheidow, & Carter, 2009). In a correctional setting, Family Functional Therapy (FFT) and Aggression Replacement Training (ART) produced greater reductions in recidivism when implemented competently (Barnoski, 2004). A major shortcoming of this latter study was that the measurement of "competence" was based on post-hoc recollections of involved supervising staff rather than on real time measurement (Barnoski, 2004). In this dissertation, we have examined the program integrity and effectiveness of EQUIP, a cognitive-behavioral program aimed at reducing antisocial behavior of incarcerated offenders. Previous studies on the effectiveness of EQUIP showed diverse results (Brugman & Bink, 2011; Devlin & Gibbs, 2010; Leeman, Gibbs, & Fuller, 1993; Liau et al., 2004; Nas, Brugman, & Koops, 2005). However, none of these previous studies included measures of program integrity. Thus, for these previous studies on EQUIP it is unclear whether the program was actually implemented as intended and whether the diverse findings should be attributed to poor program implementation or to a lack of effectiveness of the EQUIP program itself. Therefore, the aim of this dissertation was to assess the program integrity of EQUIP, and to examine whether higher levels of program integrity would stimulate the effectiveness of EQUIP on program outcomes (i.e., cognitive distortions, social skills, and moral development) and behavioral outcomes (i.e., recidivism).

Details: Utrecht: Universiteit Utrecht, 2013. 213p.

Source: Internet Resource: Dissertation: Accessed May 26, 2015 at: http://dspace.library.uu.nl/bitstream/handle/1874/272325/helmond.pdf?sequence=1

Year: 2013

Country: Netherlands

URL: http://dspace.library.uu.nl/bitstream/handle/1874/272325/helmond.pdf?sequence=1

Shelf Number: 129791

Keywords:
Cognitive-Behavioral Treatment
Cognitive-Treatment Programs
Correctional Programs
Juvenile Offenders
Juvenile Treatment Programs