DOC 2061 Grow with Google

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-Instructions 1. Name of proposed correctional program/class (“intervention”): Grow with Google a) Date proposal submitted: 2. Proposer’s Information: a) Name: Robert Eap b) Position: Training and Education Manager c) Phone: 415-572-8473 d) Email: roberte@hopeforprisoners.org 3. Proposer’s Program Area Case Work Education Mental Health Re-Entry Substance Abuse Transitional Center Vocation Other (specify): 4. Which crime-producing risk factor(s) does this intervention address? Check all that apply, but you only need one: Antisocial behavior Antisocial personality Criminal associates Criminal thinking Dysfunctional family Leisure and recreation Mental health issues Substance abuse Unemployment and education None ( If none, the intervention does not qualify 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/ ) Yes No Page 1 of 7 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/) Yes No Unknown 6. What criminal-risk area(s) does the intervention target? Check only the area(s) that apply, as listed in the curriculum or manual): Anger/hostility/aggression Antisocial peers Co-occurring substance abuse and mental health issues Criminal thinking/behavior Domestic violence Family issues Gang involvement Interpersonal conflict Lack of constructive use of leisure time Lack of education Lack of emotion regulation Lack of healthy life skills Lack of marketable job skills Lack of reliable re-entry plan Lack of social skills Lack of victim awareness/empathy Mental health issues (including abuse history, trauma) Negative attitude about work or school Parenting issues Risk of relapse Self-control, self-management, problem solving Sexual deviancy Substance abuse Unhealthy communications Other (specify): 7. Briefly , list the primary intervention goals, per the curriculum or manual. If more than six, attach on a separate page. 1. Training in high-need, well-paying fields 2. IT literacy and support, data management, project management 3. 4. 5. 6. 8. a) What performance indicator(s) will be used to Check only the indicator(s) that specifically relate to the intervention goals (as identified in section 7 above): Page 2 of 7 DOC 2061 (11/13)

(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): 9. How will the facilitator’s supervisor evaluate whether the facilitator is maintaining fidelity to the practice? Record/chart reviews Inmate feedback on surveys/interviews Group/class/session observation Other (specify): 10. How will inmates be prioritized for this intervention? Risk and needs assessment NOTIS Secondary Education Services Eligibility Report Mental Health assessment Release date eligibility Sex offender assessment Other (specify): 11.a) Is this intervention a treatment program? Yes No 11.b) If this is a treatment program, which discipline is addressed? Co-occurring (a substance related disorder(s) with a mental health disorder(s)) Mental health Sex offender Substance related disorder Not Applicable 12. Do the facilitators need a certain educational level in order to deliver this intervention? Yes (If yes, what level?): No Page 4 of 7 DOC 2061 (11/13)

13. Do the facilitators need to be licensed or certified in a particular field in order to deliver this intervention? Yes (If yes, list field and credential) : No 14. Can a volunteer facilitate this intervention? (A volunteer is someone other than DOC staff) Yes No 15. a) Do the facilitators need to be trained by the developer in order to deliver this intervention? Yes No 15. b) If the facilitators need to be trained by the developer , how will the training be obtained? Will be obtained by (list): Not applicable 16. a) Does this intervention include facilitator and participant manuals? Yes No 16. b) Are the manuals available free of charge in the public domain ? Yes, with no restrictions Yes, with restrictions (list): No Not applicable 16. c) If the manuals are not available free of charge in the public domain, how will funding for the materials be obtained? Will be obtained by (list):Hope for Prisoners Not applicable 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) Level 5 (EBP) Level 4 (EBP) Level 3 (EBP) _____________________________________________________ Level 2 (Not EBP - Promising practice) Level 1 (Not EBP – Anecdotal with public recognition) Level 0 (Not EBP – Anecdotal only) Page 5 of 7 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 sort of recognition from a group of experts in the corrections or social services fields. The recognition should be in the form 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 article(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 0 - 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: ndocprogramreviewcommittee@doc.nv.gov Page 7 of 7 DOC 2061 (11/13)