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Laney College *
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Course
1B
Subject
History
Date
Dec 6, 2023
Type
Pages
11
Uploaded by MinisterRiver3551
Nevada Department
of
Corrections
Instructions to complete form DOC 2061
Proposal for an Evidence-Based Correctional Program/Class
Section 1
-
Name
of
proposed correctional program/class ("intervention")
This is the official program/class name as it will
be
listed
in
the approved merit
credit programs/classes roster (e.g.,
Thinking for a Change).
Section 1.a) Date proposal submitted
This is the date the proposer
emails
the form to the Program Review Committee
at the following address:
ndocprogramreviewcommittee@doc.nv.gov
Section 2
-
Proposer's Information
This is the proposer's contact information. The "proposer" is the person who fills
out the form and answers any questions regarding the proposal.
Section 3
-
Proposer's Program Area
Choose only one area.
If
the proposer's area is not listed on the form, check the
"other" box and specify the area.
Section
4-
Which criminal-producing risk factor(s) does this intervention
address?
Check all the boxes that apply. However, the proposer only needs to identify one
risk factor to meet this criterion.
If
the proposed intervention does not address at
least one of the risk factors, the intervention does not qualify as an evidence-
based practice for offenders. At the same time, the intervention may meet the
criteria for an optional program
or
activity (see
AR
801
).
Section 5.a)
-
Is the intervention listed on Substance Abuse and Mental
Health Services Administration's (SAMHSA) National Registry
of
Evidence-
Based Programs and Practices? (See:
www
.nrepp.samhsa.gov/)
Note:
The intervention does not need to be listed on the registry
in
order to be
considered an evidence-based practice.
Section 5.
b)
-
Does the National Institute
of
Corrections (NIC) recognize the
intervention as an evidence-based practice? (See: http://nicic.gov/)
Note:
The intervention does not need to be recognized by NIC in order to be
considered an evidence-based practice.
I
of
4
DOC 2061-I / Instrnctions (11/13)
Section 6 -
What criminal-risk area(s) does the intervention target?
Check
only
the area(s) that apply as listed
in
the curriculum
or
manual.
Note:
If a
particular risk area is not
specifically
identified
in
the curriculum, do not check the
box (e.g., a person's mental health may improve as a result
of
participating
in
Thinking for
a
Change,
but the program is not specifically designed to target that
area.)
Section 7 -
Briefly,
list the primary intervention goals per the curriculum
or
manual.
Refer to the curriculum or manual for this section. The goals are usually found
in
the beginning
of
the document. List only the goals that are identified
in
the
---------"'-1JFFie1Jl1Jm-0r-manua<-.----------------------------
Section 8.a) -
What performance indictors(s) will be used to determine
whether the intervention is having the desired effect on the inmates?
Check only the boxes that
specifically
relate to the intervention goals that were
identified in Section
7,
above.
Section 8.b) -
For each performance indicator checked, identify
an
objective
instrument, such as a pre- and post test that will be used to
evaluate the inmates' targeted behavior.
--··
-If
none of tnelistea-inaicators
relatefotne
p~r-o~po~s~e~a~p-r-o-g-ra~m~7class,
cnecl<the-
---
--
"other" box and specify the indicator(s) that will be used for evaluation.
Section 8.c) -
For each performance indicator checked, attach a
performance indicator instrument(s)
Attach a copy
of
each instrument, as listed
in
8.b).
Section 9 -
How will the facilitator's supervisor evaluate whether the
facilitator is maintaining fidelity to the practice?
If none
of
the listed methods apply, check the "other" box and specify the method
that will be used.
Section 10 -
How will inmates be prioritized for this intervention?
Check at least one box. If none
of
the listed methods apply, check the "other" box
and specify the method that will be used.
Section 11.a) -
Is
this intervention a treatment program?
A "treatment program" is defined as an intervention that is specifically for inmates
who have been assessed by a qualified clinician and who meet the diagnostic
criteria for a condition that is classified
in
the Diagnostic and Statistical Manual
of
Mental Disorders -
Fifth Edition. The diagnosis needs to relate to the specific
intervention as listed in section
7,
above.
Note:
The intervention does not need
to
be
a treatment program to qualify as an evidence-based practice.
2of4
DOC 2061-1
I
Instructions
(l
1/13)_revised 4-8-2020
Section
11
.b) -
If
this is a treatment program, which discipline
is
addressed?
Check only one box.
Section 12 -
Do the facilitators need a certain educational level in order to
deliver this intervention?
If
the answer is "yes", identify the level. Example: Master's degree.
Section 13 -
Do the facilitators need to
be
licensed or certified in a
particular field in order to deliver the intervention?
If
the answer is "yes", list the field and the credential. Example: Substance
------
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-----------------
Section
14
-
Can a volunteer facilitate the intervention?
A volunteer is defined as someone other than a NDOC staff. The volunteer must
meet any educational, licensure,
or
certification requirements as listed
in
sections
12 and 13 above.
Reminder: Per
AR
801, Correctional Programs/Classes/Activities, inmates are prohibited from
teaching
or
facilitating any correctional program
or
classes that are approved for meritorious
credits.
Section 15.a) - Do the facilitators need to
be
trained by the developer
of
the
intervention
in
order to deliver it?
Some developers require the facilitators to be trained before they can deliver the
intervention. Example, in order to facilitate the
Cognitive Behavioral Interventions
in Substance Abuse
curriculum, the facilitator must first be trained by the
developer. Training requirements can usually be found at the beginning
of
the
source document
or
by contacting the developer.
Section 15.b) - If the facilitators need to be trained by the developer, how
will the training be obtained?
If the facilitators must be trained
by
the developer, list the training funding
source(s). Examples: general funds, grant,
or
donations.
Section 16.a) - Does the intervention include facilitator and participant
manuals?
Check only one box.
Section 16.b)
If
the intervention includes manuals, are they free
of
charge
or otherwise available
in
the public domain?
Check only one box. If the manuals are in the public domain but have
restrictions, list the restrictions (e.g
.,
training by the developer).
Section 16.c) -
If the manuals are not available free
of
charge in the public
domain, how will funding be obtained?
If the materials are not free, list the funding source(s). Examples: general funds,
grant
or
donations.
3
of
4
DOC 2061-I / Instructions
(
11
/l
3 )_revised 4-8-2020
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Section 17 - Which evidence-based practice (EBP) level are you requesting
for this intervention?
The levels range from Level 5, which is the gold standard of scientific rigor to
Level 0, which has no scientific merit. To determine the level, refer to pages six
and seven of DOC 2061. Attach copies of all supportive documents (e.g., journal
articles).
Note; If you have any questions, please send an email requesting assistance to:
ndocprog ramreviewcomm ittee@doc.nv.gov
-
-
-
----
--
--
-----------
-
---
---
-- --
4 of4
DOC 2061-1 / Instructions
(11/13)_revised 4-8-2020
Nevada Department of Corrections
Proposal for an Evidence-Based Correctional Program/Class
(Please submit a completed DOC 2060 AND DOC 2061 via e-mail to:
ndocprogramreviewcommittee@doc.nv.gov
).
Prior to completing this form, please see DOC 2061-lnstructions
1.
Name of proposed conectional program/class ("intervention"):
a)Date proposal submitted:
2.Proposer's Infonnation:
a) Name:
b) Position:
c) Phone:
d) Email:
3.Proposer's
Program Area
4. Which
crime-producing risk
factor(s) does this intervention
address?
D
Case Work
D
Education
D
Mental Health
D
Re-Entry
D
Substance Abuse
D
Transitional Center
D
Vocation
D
Other (specify):
Check all that apply, but you only need one:
D
Antisocial behavior
D
Antisocial personality
D
Criminal associates
D
Criminal thinking
D
Dysfunctional family
D
Leisure and recreation
D
Mental health issues
D
Substance abuse
D
Unemployment and education
D
None
(If none, the intervention does not qualifv as an evidence-
based practice for offenders)_
5. a) Is the intervention listed on
Substance Abuse and Mental
Health Services Administration
(SAMHSA's) National Registry of
Evidence-Based Programs and
Practices?
(See:
www.nrepp.samhsa.gov
/)
Page I of7
□
Yes
□
No
DOC 2061 (11/13)
----
---
5. b) Does the National Institute of
Corrections (NIC) recognize the
intervention as an evidence-based
practice?
(See: http://nicic.gov/)
6. What
criminal-risk area(s)
does the intervention target?
Yes
No
Unknown
Check only the area(s) that apply, as listed in the curriculum or
manual):
D
Anger/hostility/aggression
D
Antisocial peers
D
Co-occurring substance abuse and mental health issues
-
-
---+-
-
-
-
-
-
-
-
-
-
-
-
-
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r
i
m
i
na
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- - --
--- -------------
--·
7.
Briefly,
list the
primary
intervention goals, per the
curriculum or manual.
If more than six, attach on a
separate page.
8. a)
What performance
indicator(s)
will be used to
Page2 of7
D
Domestic violence
D
Family issues
D
Gang involvement
D
Interpersonal conflict
D
Lack of constructive use of leisure time
D
Lack of education
D
Lack of emotion regulation
D
Lack of healthy life skills
D
Lack of marketa_i)le
job_skills
D
Lack of reliable re-entry plan
D
Lack of social skills
D
Lack of victim awareness/empathy
D
Mental health issues (including abuse history, trauma)
D
Negative attitude about work or school
D
Parenting issues
D
Risk of relapse
D
Self-control, self-management, problem solving
D
Sexual deviancy
D
Substance abuse
D
Unhealthy communications
D
Other (specify):
I.
2.
3.
4,
5.
6.
Check only the indicator(s) that
specifically
relate to the
intervention goals (as identified in section 7 above):
DOC 2061 (I 1/13)
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determine whether the intervention
is having the desired effect?
8. b) As applicable, for each
performance indicator you check,
please
identify an objective
instrument, such as a pre-and
post test,
which will be used to
evaluate the inmates' targeted
behavior.
Percentage
of
inmates who demonstrate a positive attitude about
school and increased pro-social values, as evidenced
by
earning
High
School Equivalency (HSE).
Percentage
of
inmates who demonstrate positive attitudes about
school and pro-social values, as evidenced
by
earning
High School
Diplomas
Percentage
of
inmates who demonstrate positive attitudes about
work and pro-social values, as evidenced
by
earning
Vocational
8.
c)
Attach performance
Certificates
---1-indfoator-instmment(s),~.
---
-
•----------------·-·---------1---
Percentage
of
mentally
ill
inmates whose mental health conditions
stabilize, as evidenced by compliance with prescribed
psychiatric
medications
Percentage
of
mentally
ill
inmates who have better symptom
management, as evidenced
by
a reduction
in
the number
of
psychiatric
appointments
·-·--
-··
...
--
-
-------
1
·--Percentage-of.inmates who increase their-problem-solving skills-and·
Pago 3
of7
ameliorate their high risk situations, as evidenced by
role playing
increasingly difficult situations and completion
of
staff-approved
relapse prevention plans
Percentage
of
inmates who demonstrate an increase
in
prosocial
attitudes; values; and motivation to change, as evidenced by negative
urinalysis tests
Percentage
of
inmate.s who demonstrate an increase
in
prosocial
attitudes and values, as evidenced
by
successful completion
of
the
program
or
class
Percentage
of
inmates who demonstrate a reduction in criminal
thinking, as evidenced
by
scores on standardized
pre-
post tests
(Attach copy
of
performance indicator instrument)
Percentage
of
inmates who demonstrate a decrease in anger;
hostility; and aggression, as evidenced
by
scores on standardized
pre-
post tests (Attach copy
of
perfonnance indicator instrument)
Percentage
of
inmates who demonstrate increased motivation for
change, as evidenced by scores
on
standardized
pre- post tests (Attach
copy
of
performance indicator instrument}
Percentage
of
inmates who demonstrate improved social
functioning, as evidenced
by
scores on standardized
pre- post
tests
DOC 2061
(1
!/l3)
9. How will the facilitator's
supervisor evaluate
whether the
facilitator is maintaining fidelity to
the practice?
10. How will inmates be
prioritized
for this intervention?
11.a) Is this intervention a
treatment
program? i
1
l.b) If this is a
treatment
program, which discipline is
addressed?
12. Do the
facilitators
need a
certain educational level in order
to deliver this intervention?
Page 4 of7
(Attach copy of performance indicator instrument)
Percentage of inmates who increase prosocial peer associations and
prosocial values, as evidenced by participation in volunteer-sponsored
groups, organized peer-support meetings, and religious activities (e.g.,
(Veterans, Pups on Parole, Toast Masters, Alcoholics Anonymous and
God Behind Bars).
Percentage of inmates who improve parenting skills, as evidenced
by
role plays
and scores on a standardized
pre- post test (Attach copy
of performance indicator instrument)
Percentage of inmates who demonstrate improved pro-social
attitudes and values, as evidenced by
Parole Board approving re-
entry plans
Percentage of inmates who demonstrate positive attitudes about
work and pro-social values, as evidenced by obtaining and maintaining
employment
·
· Other-(specify):
D
Record/chart reviews
D
Inmate feedback on surveys/interviews
D
Group/class/session observation
D
Other (specify):
D
Risk and needs assessment
D
NOTIS Secondary Education Services Eligibility Report
D
Mental Health assessment
D
Release date eligibility
D
Sex offender assessment
D
Other (specify):
0Yes
□
No
D
Co-occurring (a substance related disorder(s) with a mental health
disorder(s))
D
Mental health
D
Sex offender
D
Substance related disorder
0 Not Applicable
D
Yes (If yes, what level?):
□
No
DOC 2061 (11/13)
13. Do the facilitators need to be
licensed or certified in a particular
field in order to deliver this
intervention?
14.Can a volunteer facilitate this
intervention? (A volunteer is
someone other than DOC staff)
15. a) Do the facilitators need to
be trained by the developer in
order to deliver this intervention?
15.b) If the facilitators need to be
trained by the developer, how will
the training be obtained?
16.a) Does this intervention
include facilitator and
-- ------·-
-participant-manuals?---- ------- -
16. b) Are the manuals available
free of charge in the public
domain?
16.c) If the manuals are not
available free of charge in the
public domain, how will funding
for the materials be obtained?
17. Which evidenced-based
practice (EBP) level are you
requesting for this intervention?
(See this page below and on page
7)
(Attach documentation that
supports the practice level you
are requesting)
Page 5 of7
D
Yes (If yes, list field and credential):
□
No
□
Yes
□
No
□
Yes
LI
No
D
Will be obtained by (list):
D
Not applicable
□
Yes
□
No
---
·----------------
. --
·-
D
Yes, with no restrictions
----------
D
Yes, with restrictions (list):
□
No
D
Not applicable
D
Will be obtained by (list):
D
Not applicable
□
Level 5 (EBP)
□
Level 4 (EBP)
□
Level 3 (EBP)
-
--
------
··-----
-
-- -
-
D
Level 2 (Not EBP -
Promising practice)
D
Level 1 (Not EBP � Anecdotal with public recognition)
D
Level O (Not EBP -Anecdotal only)
DOC 2061 (11/13)
----------···
i
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Definitions for Evidence-Based Practice levels
~vidence-Based Practices:
Program, practice, or intervention that is based on scientific research
, nd has been shown to improve outcomes
for offenders.
~on-refereed professional publication:
Trade journals or magazines that use less rigorous
tandards
of
screening prior to publication.
'eer-reviewed journal:
Journal in which the articles it contains have been examined by people with
redentials in the article's field
of
study before it was published.
lefereed, professional journal:
A professional or literary journal in which articles or papers are
elected for publication by a panel ofreferees who are experts in the field.
Evidence-Based Practice Levels
LEVEL 5 -
Evidence-Based Practice
Experimental
--
-
-----
----- -
The intervention is based on a highly rigorous research design with a control group and random assignment.
It
has been studied in multiple places with multiple populations and has been generally shown to have high
· credibility and generalizability.
It
has been determined the intervention generally has positive outcomes.
Replication
of
the intervention has been documented in several refereed, professional journals.
•
Attach articles from at least two refereed professional journals.
LEVEL 4 -
Evidence-Based Practice
Quasi-Experimental
The intervention is based on sound-theory and has some scientific rigor but no random assignment. The
research design used multiple groups or multiple measurement points. A trained biostatistician has
conducted a statistical review
of
many studies (meta-analysis) and determined the intervention generally
has positive outcomes. The meta-analysis has been published in several refereed, professional journals.
•
Attach articles from at least two refereed, professional journals.
LEVEL 3 -
Evidence-Based Practice
Some aspects
of
research, some scientific merit:
The intervention is based on sound-theory and multiple expe1is, usually individuals with doctorates and
extensive research experience in the corrections or social services field, have reviewed the research and
determined the designs met the standards
of
scientific rigor and the results were sufficiently positive.
The practice has been modified or adapted for a population or setting that is different from the one in
which it was formally developed and documented.
A key indicator would be the research was published in a peer-reviewed journal.
•
Attach a copy
of
an article that was published in a peer-reviewed journal, or
•
Cite relevant published research (author, article title, name
of
journal, etc.)
Page 6
of?
DOC 2061 (11/13)
****************************************************************
THE THREE LEVELS BELOW
ARE NOT
EVIDENCE-BASED PRACTICES:
LEVEL 2 -
Not an Evidence-Based Practice
Promising practice, but no scientific merit:
The intervention is based on sound theory and has received some
s01i
of
recognition from a group
of
expe1is in the conections or social services fields. The recognition should be in the
fonn
of
acknowledgement in a non-refereed professional publication
or
trade journal.
•
Attach a description
of
the intervention, including an identification
of
the theory
-----~
•-
Attach a copy
of
the ait 1cle(s),
or
•
Cite relevant published research (author, article title, name
of
journal, etc.).
LEVEL 1 -
Not an Evidence-Based Practice
Anecdotal with public recognition; becoming a promising practice; no scientific merit:
The intervention has not been sufficiently documented and replicated through scientifically sound
research procedures. However, the intervention is building evidence through documentation
of
procedures and outcomes, and it fills a gap
in
the service system.
It
has also been recognized
publicly and has received awards, honors, or mentions.
•
Attach a copy
of
the award, honor, article, or other method
of
recognition.
LEVEL
O -
Not an Evidence-Based Practice
Anecdotal only, no scientific merit:
•
The intervention is based solely on clinical opinion.
Distribution:
DOC
2060
as
well
as
this
DOC
2061 should be submitted via e-mail to:
ndocprogramrc
vicwcom
mitt
cc@doc.nv.gov
Page 7 o
f7
DO
C 2061 (11/13)