The Standardized Program Evaluation Protocol (SPEP): Using Meta-analytic Evidence to Assess Program Effectiveness

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The Standardized Program Evaluation Protocol (SPEP): Using Meta-analytic Evidence to Assess Program Effectiveness Mark W. Lipsey Gabrielle L. Chapman Peabody Research Institute Vanderbilt University American Society of Criminology November 2015 Part 1. Effective Use of Research to Meet the Juvenile Justice Challenge 1

The juvenile justice challenge A high proportion of adult offenders (70-80%) were prior juvenile offenders who appeared in the JJ system They were thus on a pathway to continued criminal behavior that effective JJ intervention might have interrupted But, at the same time: A high proportion of the juveniles who come into the juvenile justice system (70-80%) are not on a path to adult crime; they are just afflicted with adolescence Over-involvement with the JJ system can make things worse for those juveniles The juvenile justice challenge So, the JJ system needs to be able to do three things Distinguish youth at high risk for continued criminal behavior from those at low risk Administer supervision and treatment programs to the high risk youth that protect public safety and reduce their risk Do no harm to the youth at low risk And do all this in a consistent and sustained manner 2

Guiding evidence-based JJ practice with structured decision support tools Risk assessment instruments Provides an estimate of the probability of reoffending Disposition matrices Guides risk based level of supervision and treatment Needs assessment instruments Supports matching of programs to criminogenic needs Program practice guidelines and assessments Evaluates the expected effectiveness of programs for reducing recidivism; e.g., Standardized Program Evaluation Protocol (SPEP) The essential platform for use of these tools: Well-developed data systems that track juvenile characteristics, service, and outcomes. The evidence-based juvenile justice system Prevention Programs Arrest Level of Supervision Counsel & release Diversion; Informal probation Probation Incarceration Intervention Programs Program A Program B Program C Program D Program E Program F Recidivism Outcomes T% U% V% W% X% Y% Minimize reoffending Z% Risk assessment and risk-based dispositions Needs assessment; match program to criminogenic needs Evidence-based disposition matrix Effective programs; assessed against evidence-based practice guidelines Total Reoffense Rate 3

Part 2. A Critical Component: Effective Evidence- Based Programs The prevailing definition of an evidence-based program: A certified model program The program part: A brand name program, e.g., Functional Family Therapy (FFT) Multisystemic Therapy (MST) Big Brothers/Big Sisters mentoring Aggression Replacement Training (ART) The evidence-based part: Credible research supporting that specific program certified by, e.g., Blueprints for Violence Prevention OJJDP Model Programs Guide CrimeSolutions.gov NREPP (National Registry of EB Programs & Practices) 4

A broader perspective on EBPs: Evidence-based generic program types Interventions with research on effectiveness can be described by the types of programs they represent rather than their brand names, e.g., family therapy mentoring cognitive behavioral therapy These types include the brand name programs, but also many home grown programs as well Viewed this way, there are many evidence-based program types familiar to practitioners The evidence base: A comprehensive collection of studies of interventions for juvenile offenders Meta-analysis of delinquency intervention research: Studies: 500+ controlled studies of interventions with juvenile offenders Outcomes: Focus on the programs effects on recidivism (reoffending) 5

Program types sorted by general approach: Average recidivism effect Discipline Deterrence Therapeutic approaches Surveillance Restorative Control Control approaches approaches Skill building Counseling Multiple services -10-5 0 5 10 15 % Recidivism Reduction from.50 Baseline Recidivism effects for generic and brand name family therapy programs Family Interventions Covariate-Adjusted Recidivism Effect Sizes (N=29) >.00 FFT MST -.40 -.30 -.20 -.10.00.10.20.30.40.50.60 Median Effect Size (zphi coefficient) 6

Key characteristics of effective programs Use a therapeutic approach aimed at internalized behavior change (vs. external control, deterrence) Within a therapeutic category, some program types are more effective than others (e.g., CBT, mentoring, family therapy) For a given program type, service must be delivered in adequate amounts and quality (dose) The more effective programs have an explicit treatment protocol and procedures for monitoring adherence Effects are largest with high risk cases Instrument for rating how well a program profile matches the guidelines: The Standardized Program Evaluation Protocol (SPEP) Points assigned proportionate to the contribution of each factor to recidivism reduction Target values from the meta-analysis (generic) OR program manual (EBP brand name) Standardized Program Evaluation Protocol (SPEP) for Services to Juvenile Offenders Recalibrated version, 2013 Points Possible Primary and Supplemental Service Types [Identified according to definitions derived from the research] Primary Service Type for Program Being Rated Group 1 services (5 points) Group 4 services (25 points) Group 2 services (10 points) Group 5 services (30 points) 30 Group 3 services (15 points) Supplemental Service Type Qualifying supplemental service used: Yes (5 points) Quality of Service Delivery [Determined from a systematic assessment of the relevant features of the provider and provider organization] Rated quality of services delivered: Low (5 points) Medium (10 points) High (20 points) Amount of Service [Determined from data for the qualifying group of service recipients] Duration [Target number of weeks specified for each service type] % of youth who received at least the target weeks of service: 0% (0 points) 60% (6 points) 20% (2 points) 80% (8 points) 40% (4 points) 99% (10 points) Contact Hours [Target number of hours specified for each service type] % of youth who received at least the target hours of service: 0% (0 points) 60% (6 points) 20% (2 points) 80% (8 points) 40% (4 points) 99% (10 points) No (0 points) Risk Level of Youth Served [Determined from risk ratings on a valid instrument for the qualifying group of service recipients] % of youth with medium or high % of youth with high risk risk scores (greater than low): scores (greater than medium): 0% (0 points) 75% (7 points) 0% (0 points) 25% (8 points) 30% (2 points) 85% (10 points) 15% (3 points) 30% (10 points) 50% (5 points) 95% (12 points) 20% (5 points) 35% (13 points) Provider s Total SPEP Score 100 5 20 10 10 25 Points Received (Insert Score) 7

Generic program types with sufficient research to support practice guidelines Cognitive behavioral therapy Behavioral contracting; contingency management Social skills training Group counseling Family counseling; family crisis counseling Individual counseling Mentoring Challenge programs Victim offender mediation Restitution; community service Remedial academic programs Job related programs (vocational counseling, training, etc.) Feedback on outcome improvement with use of SPEP program assessment: Arizona data 6-month recidivism difference: High score -0.12 6-Month Recidivism Difference -0.01 6-month recidivism difference: Low score SPEP 50 SPEP < 50 12-Month Recidivism Difference 12-month recidivism difference: High score -0.13-0.01 12-month recidivism difference: Low score -0.14-0.12-0.1-0.08-0.06-0.04-0.02 0 0.02 Actual Minus Predicted Recidivism Difference 8

OJJDP Juvenile Justice Reinvestment and Reform Initiative (JJRRI) Partners Federal: OJJDP, OMB Partnership Fund Implementation TA: Center for Juvenile Justice Reform (Georgetown), Peabody Research Institute (Vanderbilt) Evaluation and cost analysis: Justice Policy Center, Urban Institute Sites Delaware, Iowa (1st, 3rd and 6th judicial districts), Milwaukee Components Implementation Standardized Program Evaluation Protocol (SPEP) Program improvement plans and procedures System alignment: Risk & need assessment, disposition matrices Evaluation / Cost-Benefit Analysis Goals of the JJRRI Short-term outcomes Improved SPEP scores as a result of program improvement plans Improved matching of youth to services based on assessed risk/need Development of practices and policies for system-level decision making based on risk, need, SPEP, and disposition data Long-term outcomes Decreased recidivism rates Improved cost effectiveness of juvenile justice services 9