1、THE USE OF DBT TO REDUCERECIDIVISMRATES2021WWW.JLWEAVERLLC.COMJennifer Weaver-Breitenbecher MA,CAGS,LMHC JL Weaver&Associates,LLC www.JLweaverLLC.com IG:JLweaverLLC*I dont not have any relevant financial relationships to disclose 2021WWW.JLWEAVERLLC.COMSEPTEMBER 2020Learning Objectives:*Review exist
2、ing research regarding both CBTand DBT and their use with the incarceratedpopulation.*Identify the 4 types of criminal/addictivethinker.*Develop ability to apply specialized DBT skillsto each of the 4 types.PRISON IS BAD FOR MENTALHEALTH.World Health Organization,2018.Individuals with mentalillness
3、are THREE times morelikely to be in the criminaljustice system than a hospitalsetting.N A T I O N A L I N S T I T U T E O F M E N T A L H E A L T H,2 0 1 0The WhysThe Whys segregationfunding issuesburnoutproviders:offendersclinical training data&researchEXISTING 80%of individuals in prison meetingdi
4、agnostic criteria for substance useand/or mental health disorders.(bjs.gov)Commonly Presenting Symptoms:*PTSD*Trauma Responses*Substance Abuse*Impaired Self-Control*Poor Emotional RegulationSUB STAN C E Sand ar r e sts38%stimulants28%opioids24%alcohol*10%other80%will use illicit substances within 12
5、mos of arrest 65%met criteria for diagnositicabuse or dependence compared to 10%of population www.BJS.govOverpopulationStigmaDecreased TrustSymptomatic VictimizationToxic Masculinity Only 1/3 will receive an accurate diagnosis andtreatment prior to release.TraditionalTreatment Robert Martinson resea
6、rch*participation in therapy had little impacton recidivism*strongest link found between prioreducation and recidivism*therapuetic models most successful whenadministered by licensed and speciallytrained clinicians*lack of appropriate training blamed forlimited success CognitiveBehavioralTherapy Ass