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Inward Change for Lasting Effect will inform and stimulate debate on the current rehabilitation work
with offenders.
International and national research has underpinned programme design that uses cognitive behavioural
techniques to target the very thought processes that can lead to criminal behaviour.
The accreditation process was introduced to ensure that offending behaviour programmes are delivered to
the highest standard by properly trained and motivated staff employed by the National Probation Service,
HM Prison Service, and the contracted prisons.
The reduction of re-offending, the protection of the public and the appropriate targeting of scarce resources
to medium and high-risk offenders, are among the main aims of the National Offender Management Service
(NOMS) which brings the work of the Prison and Probation Services together.
The cognitive behavioural approach has been carefully planned and evaluated to halt the ‘revolving door
of criminality’ that sees offenders entering the Criminal Justice System only to offend again after their
sentence has been served. A key part of the approach is to ensure that only those offenders whose risk profile
matches the target group for the programme attend it.
The successful completion of a cognitive behavioural-based programme by properly targeted offenders gives
motivated offenders the ‘thinking tools’ to look and manage life differently.
Inward Change for Lasting Effect explores the complex issues and looks at the research that surrounds this
area of work with offenders, many of whom live chaotic lifestyles that lead to repeat offending. Within the
framework of punitive well-targeted sentencing, the correctional services are delivering a researched and
evaluated approach that can reduce crime in our communities.
December 2007
CONTENTS
SECTION ONE
OFFENDERS:
THE PEOPLE WE WORK WITH
Men and women with a criminal conviction are part of Information from 2004 data on reconviction rates reveal
society and are therefore part of our everyday lives. that after a two year period 64.7% of prisoners (a total of
Walk down a street. Sit on a train or bus. supervision had re-offended. The predicted reconviction
Go to work. Shop at the supermarket. rates were 67.8% for the Prison Service and 54.1% for the
The odds are that at some stage during the day you will
have sat next to, queued with, spoken to or have been To combat these high ‘return’ rates, more and more
served by someone with a criminal conviction. offenders are completing cognitive behavioural programmes
men aged between 21 to 45 years have a criminal conviction. These programmes are designed to reduce re-offending by
The figure for women in the same age group is 7%. helping offenders to learn new skills that improve the way
in which they think and solve problems, rather than acting
Our Criminal Justice System seeks to provide a range of impulsively without forethought. Programme participants
sentencing options that both punish the convicted offender, learn how to cope with pressure, consider the
and act as a deterrent against resuming criminal activities. consequences of their actions – and to see things from
The number of people being sent to prison for indictable other people’s perspectives.
The increasing severity of sentencing sees the Prison and offenders to use their new skills to deal in an effective,
Probation Services dealing with greater numbers of offenders, lawful manner with future problems or certain situations
who may have received a fine or a community sentence for that have played a contributory factor in their past offending.
COGNITIVE BEHAVIOURAL
BASED PROGRAMMES
main offending groups: acquisitive crimes to obtain money Cognition - n. the mental action
or possessions, motoring offences, substance abuse, or process of acquiring
violence, racially motivated and sex crimes. knowledge through thought,
experience, and the senses.
The cognitive behavioural approach has been evaluated
and steadily increased to offer a more targeted suite of
Probation Service.
A trainer for programme tutors
offending history,
which cannot be altered. Criminal justice agencies use a range of assessment
Dynamic risk factors - their background and a classification on their potential risk
neurological deficits.
SECTION TWO
DEVELOPMENT &
ACCREDITATION
OF PROGRAMMES
measured and evaluated intervention that has evolved from the intervention work of cognitive behavioural programmes
the National Probation Service’s ‘What Works’ agenda. were identified and consolidated.
development of basic skills education, drug treatment and The principles are:
As the What Works title suggests the main aims of the strategy specifically targets the causes of crime, and are drawn from
are to develop the supervision of offenders, serving collated ‘grass roots’ observations and experiences,
community or custodial sentences, so that: - the range of programmes are developed to deal with the
- interventions are based on evidence that shows the work is different risk levels of offenders i.e. more intensive
having an impact on re-offending rates, programmes should be targeted at high and medium
ensure that their partnership work remains coherent and - programme design ensures that each module is delivered
planned to maintain quality standards, in such a way that the group members can see it is
- each agency supports the ongoing assessment of interventions meaningful to them and their lives, and ways of learning,
to ensure that the quality of delivery and content is monitored - tutors adapt cognitive behavioural techniques to teach
and upheld throughout England and Wales, how the development of new problem solving skills can be
- interventions are designed to be of use with all groups used in all aspects of their lives,
of offenders including ethnic minorities, women and those - tutors create opportunities for group members to practise
deliver a general offending behaviour programme, at least particularly for some offenders, who have to confront their
one of the sex offender treatment programmes; an anger beliefs, as they learn new skills and acquire knowledge to
management programme, such as Aggression Replacement stop further offending. Programme tutors report that drop-
Training (ART) or CALM; an accredited Domestic Violence out rates increase when an offender’s attention and
Programme; and the Drink Impaired Drivers’ Programme. motivation are compromised by other issues in their lives
Most Probation Areas have a programme to address such as worries concerning accommodation, unemployment,
substance-related offending, and some deliver the or reducing drug or alcohol misuse.
and the cognitive skills booster to specific groups. There will inevitably be programme participants who
In 2006/2007, a total of 19,875 offenders on community literacy levels. Programme teams make detailed assessments,
supervision completed a specified offending behaviour and an offender with these deficits will be supported and
programme. During the past six years the figures on work will commence to boost their literacy skills.
2005/06 15,000 17,127 114% Programmes reveals that actual re-offending rates were
2006/07 17,500 19,869 114% significantly lower and therefore better than the predicted
views of 337 offenders who had finished or only partially the needs of women and offenders from minority ethnic
completed their programme order. The group divided into groups are provided for.
The programmes involved included a general offending specifically for minority ethnic offenders in the form of
behaviour programme, Controlling Anger and Learning additional modules for general offending behaviour
Manage (CALM), the Drink Impaired Drivers (DIDs), programmes, and has adapted the Drink Impaired Drivers’
Integrated Domestic Abuse Programme (IDAP) and the Programme (DIDs). Special groups are run exclusively for
The findings reveal that 72% of the offenders who failed The Probation Service has created a special programme for
to complete said that their non-attendance was due to female offenders convicted of acquisitive offences, which
issues such as relationship difficulties, childcare issues and was accredited in October 2003 by the Correctional Services
illness. Nearly 40% said that they had experienced Accreditation Panel.
difficulties with the literacy elements of the course. There is now research evidence to show that women have
One offender wrote that he ‘didn’t like writing in front of certain additional criminogenic needs to those of male
the group, as he was unable to read it back.’ offenders, and that these must be addressed as part of
An important fact from the group who completed was that current abusive relationships.
Correctional Services
Accreditation Panel
PROGRAMMES:
Content and Delivery
Correctional Services
Accreditation Panel
Skills orientated - the programme must teach skills, which will help
participants to live and work without re-offending. There must be a
clear description on how skills are selected and taught, and how
participants’ learning is evaluated.
Programme Tutor
INWARD CHANGE FOR LASTING EFFECT - OFFENDING BEHAVIOUR PROGRAMMES - 12
PROGRAMMES:
Content and Delivery
related to offending.
13 to 26 weeks.
SEX OFFENDER GROUP- There are four accredited sex offender treatment
sex offenders.
13 - INWARD CHANGE FOR LASTING EFFECT - OFFENDING BEHAVIOUR PROGRAMMES
SECTION THREE
NATIONAL AND
INTERNATIONAL RESEARCH
ON OFFENDING BEHAVIOUR PROGRAMMES
programmes are effective at reducing re-offending. The majority of the findings are from research that has been carried out
in North America and Europe during the last 30 years, although there are now more offenders in the UK attending and
The standard assessment is to look at reconviction rates during a specified follow-up period, usually two years. The reconviction
time line is usually calculated from the start of the community sentence or release from custody.
International evidence
PROGRAMMES FOR ADULT SEX OFFENDERS
A meta-analysis approach uses an amalgam of results
- A recent international review found that cognitive
that have been obtained from a series of separate behavioural treatments for sex offenders in both prison
studies. The individual findings are statistically and the community were – on average – effective at
UK evidence
significant reduction in sexual and/or violent reconviction
PROGRAMMES FOR VIOLENT OFFENDERS within two years of release, when compared to offenders
& ANGER MANAGEMENT who had not attended the programme. However, the small
International evidence
- A number of international evaluations of anger management sample size in the probation-based study means that the
programmes, or programmes designed specifically for violent findings should be viewed with caution.
offenders, have shown mainly positive effects. However, the
GENERAL OFFENDING BEHAVIOUR PROGRAMMES
International evidence
in programmes (and other interventions) revealed that people who completed the programme did better than those who
programme delivery can be compromised and is less effective. The essential four are:
accurate risk assessments - to ensure offenders are assigned to the most appropriate programme that will target their
offending behaviour. The Controlling Anger and Learning to Manage Programme (CALM) is suitable for violent offenders
who act impulsively, not for offenders who commit their crimes with prior thought and purpose.
motivation - feeling positive about what they may learn from the programme is a crucial factor in successfully engaging
with the schedule of work - and finishing it.
support in dealing with other criminogenic needs - the range can include substance abuse, basic skill deficits and homelessness.
excellent standards - successful completions of the programme and their long term effect appears, to some extent,
to be dependent on the expertise and commitment of the tutors and the maintained quality of programme delivery.
A research study carried out in 30 prisons on the The team concluded that the second study indicated that
pre-accredited Enhanced Thinking Skills (ETS) and the participants’ motivation had been poor and the study
Reasoning and Rehabilitation (R&R) looked at reconviction ran at a time of rapid programme expansion in prisons.
rates after two years. The study found a significant This speedy expansion may have affected the way the
for medium to high risk offenders. A small study was undertaken that looked at Enhanced
serving a custodial sentence of two or more years, and the there were significantly lower reconviction rates of 10
comparison group was made up of offenders who had percentage points for the experimental group when
not taken part in such treatment. compared to the non-participating control group.
A second study was carried out after the two prison-based After a two year period, the significant difference had
cognitive skills programmes had been accredited. The disappeared, but the experimental group had taken longer
researchers found no difference in the two year reconviction to re-offend and had committed significantly fewer crimes
rates for prisoners who had participated in accredited after two years.
cognitive skills programmes between 1996 and 1998 –
Treatment Programme.
“Basically, CALM brings to the forefront of The study compared 155 adult male sex offenders (including
your mind what you know but don’t always child sex abusers, rapists and exhibitionists) who had been
think about. You learn to identify your on the programme with 74 offenders with similar groupings.
triggers, and learn to recognise the signs
Between Jan 1995 and June 1996 the study’s findings
when you are going to lose your temper.”
Offender on the CALM programme showed significant reductions in reconviction ranging from
Information was obtained from seven Probation Areas The results were: 18.1% of the programme completers were
concerning the effectiveness of the Drink Impaired Drivers’ reconvicted, with only 7.3% reconvicted with a drink-drive
(DIDs) Programme. DIDs is for offenders convicted of offence, compared to 30.6% of the non-programme group,
drink-drive related offences who have no more than four with 15.8% reconvicted of a drink-drive offence.
previous convictions.
However, the non-completers had a higher reconviction
To evaluate the programme’s effectiveness the reconviction rate than both completers and those who had not attended
rates of participants, who had completed all the sessions, or the programme. The reconviction rate for the drop-out
only part of the programme, were compared to a comparison group was 36.8% with 19.4% being reconvicted of a drink
group of drink-drive offenders who had not attended DIDs. drive offence.
completer groups.
The survey conducted a comprehensive statistical review involving 291 programme evaluations produced during the last
40 years in the USA and other English-speaking countries. The research team found a number of programmes for adult
reductions in re-offending.
As there are only baseline figures for the general offending
Example Conclusions
Redondo, Sanchez-Meca and Garrido 1999 carried out a The main findings from the four country evaluations were:
meta-analysis of all treatment interventions for offenders - the meta-analysis suggests that the R&R programme is
undertaken in Europe. Thirty-two published and effective in both institutional and community settings,
unpublished studies from 1980 to 1991 were included in - the programme benefited both low and high risk offenders,
their study. They found that, on average, treatment caused - the impact was greater with low-risk offenders, possibly
a significant decrease in re-offending. Programmes applied because of the greater likelihood of high risk offenders
to violent offenders were the most successful. dropping out of the programme and faring worse than
those who had never participated in the programme.
Example
Canadian Correctional Service: pilot study - offenders were
RESEARCH STUDY
selected on the basis of their high risk and high need levels.
A 2002 meta-analysis of 69 research studies found that
There were 50 high-risk offenders in the experimental R&R
the cognitive behavioural programmes were more effective
group and 26 offenders in the waiting list control. The two
in reducing recidivism than the behavioural ones.
groups were comparable in age, IQ and sentence length.
The first follow-up was carried out on 33 offenders who of ‘what works’ Home Office Research, Development
had been conditionally released. The follow-up period was and Statistics Directorate. February 2005.
at least three months, with an average period of 6.2 (ii)Evidence-based Adult Corrections Programmes:
months. Fewer programme participants were re-admitted what works and what does not. Washington State Institute for
for new offences or technical violations (26.3%) compared Public Policy. January 2006
The second follow-up was carried out on 63 offenders who and Behaviour. April 2005.
had been conditionally released. The follow-up period was (iv)The Positive Effects of Cognitive-Behavioural Programmes for
at least six months, with an average period of 19.7 months. Offenders: A meta-analysis of factors associated with effective
The reconviction rate for the experimental group was 20% treatment. Journal of Experimental Criminology, 2005.
while the control group had a higher figure of 30.4% (v)How effective is the ‘Reasoning and Rehabilitation’ programme
SECTION FOUR
S TA N D A N D D E L I V E R
COMMENTS FROM GROUPWORK
Tutors in conversation…
“The strength of ETS is that it can be applied to any “The exercise shows that if they just react like that - with no
area of life, not just with offenders. The crux of the ETS thought - they will probably lose the job that they really
programme is to show how thought affects what you do. enjoyed, and get arrested as a consequence. We showed that
this with a role-play exercise involving three characters. “I don’t feel I could deliver the programme if I did not
There’s a football ‘hooligan-type’, a shop owner and a believe in its approach. There are the self-talk sequences
grandfather who wants to take his grandchild to a football that we teach, which is about relieving stress in certain situ-
match. Each offender takes a turn in the different roles and ations. I know they are effective because I use them myself.
tries to see things from the three different perspectives.
feel intimidated. ETS gives very practical examples. In the past they may have been told that they were stupid,
so how are they going to cope with ETS? It’s our job to
“Another scenario is that they have just started a new job show them they can.”
and they like it, and want to stay. But someone is making
“The different role plays in ETS helped me understand things. I did one with another guy who pretended to be a drug
pusher. You have to think of it like a real situation. ETS teaches you how to stop and think. The tutors try and get into your
mind. I have learnt that other people have a right to their own opinion. You may disagree with it, but they have a right to
say it. In the past I didn’t respect that. I feel that you have to embrace ETS, you have to see the programme as a positive
thing. To get something out of it, you have got to put something in. You have to stay focussed.”
INWARD CHANGE FOR LASTING EFFECT - OFFENDING BEHAVIOUR PROGRAMMES - 20
Tutors in conversation…
“The CALM programme works best with participants who are ready to change their lives. They are tired of getting into
trouble with the law and hurting the people around them. Our skill as tutors is to turn the theory into practice and make
it real for each member of the group so they can use it in their own lives. We get them to understand that no-one is born
with a bad temper, we learn our responses. In other words they have learnt how they react from people around them.”
“Getting this supervision order and going on the CALM programme has helped me so much.
“You start the programme and some of the other lads thought it was going to be a waste of time. But going through it
teaches you so much. Basically, CALM brings to the forefront of your mind what you know but don’t always think about.
You learn to identify your triggers, and learn to recognise the signs when you are going to lose your temper. These are
arousal triggers such as sweaty palms and increased heart beats. Then you learn how to control it.
“You take time out when dealing with a confrontational situation. Sit down, now think about the short term and long
term consequences. When you have cooled off, then you are better able to handle the problem. You have to go back and
“The tutors also teach you about assertive thinking. I have learnt how to say no without being violent. One of the ways is
called ‘the broken record technique.’ For example, a mate comes to the door and wants you to go to the pub, but you
don’t want to. Don’t say, ‘No. I can’t go because I have no money.’ The mate might offer to lend you some cash. Instead,
just say ‘No’, and keep repeating it… because you mean it.
“I know there are always going to be temptations, and there are always going to be issues. But I’ve changed and the
longer I stay out of trouble, the more that people will believe me. It’s no good just saying it, I’ve got to prove it by living it.”
21 - INWARD CHANGE FOR LASTING EFFECT - OFFENDING BEHAVIOUR PROGRAMMES
Tutors in conversation…
“Men who abuse women come from all walks of life and
“We have been married for 16 years, and I suppose - “The children had never seen him like this or been involved
in the early days - when I said something at home …. in our rows. They were not hurt. Neighbours called the
then it wasn’t challenged. In more recent times we have Police and he was taken away that night. We were apart
had rows, and sometimes we would not speak to each for three months before he came home.
how some people behave. I could tick nearly all the boxes.
“I guess I had a fear of arguments developing,
“One of the things was coming home and not talking but we talk much more now. I have the confidence to say
about what had upset you at work. I would return to the what I feel. I have got the husband I always wanted.”
Describing the programme : The Community Sex Offender Groupwork Programme (C-SOGP)
Tutors in conversation…
“This is a fairly new programme but 20 to 30 years of work “The classic comment is ‘nothing much happened’.
with sex offenders has been fed into C-SOGP. Each offender must take responsibility for their actions.
“A group usually consists of about eight people with two decisions. Committing an offence is a matter of choice.
facilitators. That’s the ideal size. The attrition rates are low.
Most people come and stay. We work with groups that “Our skill as programme facilitators is to constantly assess
include both paedophiles and sex offenders who have the participants. We need to fill in the blanks on:
- extent of offending
“Sex offenders are from all walks of life. Some people - how much empathy they have for the victims, and
may not believe that. Sex offenders often look like very - what is their risk going to be in the future?
attend the group who are ‘workable’ and are ready and
“I completed the adapted Sex Offender Treatment Programme while I was in prison. I also finished the Better Life booster
module. I went on the adapted programme because I am dyslexic and I thought I would struggle with a lot of writing.
“The course taught me an awful lot about me and what lead up to my offending. Before, I could not understand why I did
what I did.
“I have never talked about issues from my childhood and how they impacted on the way I was living. To get something
out of this programme, you have got to want to change your life. I wanted to do that and change my outlook. I didn’t
“The staff in the prison were brilliant. I think about all the stuff they have to listen to day after day. The programme runs
in blocks. Everybody dreads block seven. We call it the hot seat session. You sit there and talk about what you have done.
That’s difficult but each member of the group has got to do it.
“I’ve completed about 360 hours of work on the programme. I had never spoken about what happened to me as a child.
“My brother was sexually abusing me. I never told anyone about what happened at home. If you had a problem, you dealt
“Looking back I hid behind a mask. I never settled in one place, or managed to hold onto a job or a relationship.
“I know that things just don’t happen. I understand better what I did. I have no contact with my family and I have moved
SECTION FIVE
WHAT DOES
THE FUTURE HOLD?
The development of offending behaviour programmes is a Established offender behaviour programmes are also
continual process that is directed by international and reviewed to assess if there is a need to introduce changes.
national research - and the findings of pilot projects. Work is underway to establish a new general offending
Changes are made in response to advances in psychological behaviour programme that will eventually replace
theory and methods and changes in criminal activity. Enhanced Thinking Skills and Think First.
Pilot modules and programmes are tried and tested for ETS teaches how to improve an individual’s thinking skills to
effectiveness in real life settings. Individual Probation Areas achieve worthwhile goals, while Think First focuses more on
run the pilots as part of the accreditation process. the offence – and the thinking and assumptions that lead to
the crime.
Two new initiatives have seen the development of the Low
Intensity Alcohol Module (LIAM) and the internet Sex In the future there will be changes to the training regime
Offender Treatment Programme (i-SOTP). for tutors that will build on existing experience. The current
LIAM runs for 12 sessions and is aimed at offenders who The new approach is expected to include an initial core-
have a problem with their level of drinking that is affecting training module, followed by individual modules for each
their lives and leading to offending behaviour. Participants accredited programme when required by the tutor.
also keep drink diaries to help them consider how alcohol is
influencing their decision-making and problem solving skills. The integrity of the offending behaviour programmes has
completion rates.