Read FLORIDA STATE HOSPITAL COMPETENCY EDUCATION text version

THE COMPKIT:

A Comprehensive Approach to Competency Restoration Training for Criminal Defendants

Compiled by the 2006 Florida State Hospital Strategic Plan Workgroup for Competency Restoration Curriculum

Presented by: Wayne Anderson, PhD

2006 Florida State Hospital Strategic Plan Workgroup for Competency Restoration Curriculum Members

Wayne Anderson, PhD, Sr. Psychologist Larry Annis, PhD, Psychological Services Director Robert Chitwood, PhD, Sr. Psychologist Leslie Dellenbarger, PsyD, Sr. Psychologist David Gustafson, MS, Research Specialist Annie D. Jackson, MSW LCSW, Assistant Hospital Administrator Steve Lacy, Operations Review Specialist Ellen Resch, PhD, ABPP, Director of Psychology Training Glen Watson, PhD, Sr. Psychologist Pete Whiddon, Management Review Specialist

Acknowledgements

Competency Education materials from these sources were used in compiling the CompKit. Some were adapted for use at Florida State Hospital and in the CompKit. We gratefully acknowledge their work and their contributions to this document. Colorado Mental Health Institute Florida Department of Children and Families Florida Developmental Disabilities Council, Inc. Florida State Hospital Education Services Bob Gibson, QM Director, North Florida Evaluation and Treatment Center Program Development Team Peter Oropeza, PsyD, North Texas State Hospital Angela Register, PhD, Florida State Hospital Ellen Resch, PhD, Florida State Hospital Michi H. Wong, PhD, AMHD FMHS Forensic Coordinator, Hawaii AMHD Forensic Mental Health Services Lori Yates LMSW RDT & Troy Martinez, PsyD, Behavior Management and Treatment Program, North Texas State Hospital

SOME BACKGROUND

Florida State Hospital (FSH) is a Forensic and Civil State psychiatric hospital with a variety of treatment settings:

Highly secure forensic Secure civil Moderately secure forensic and civil transition or step-down Simulated outpatient transition

MANAGEMENT COMMITMENT IS ESSENTIAL

FSH management is committed to the development of innovative ways to increase the effectiveness of treatment for all residents, including Incompetent to Proceed defendants committed to the Florida Department of Children and Families. This facilitated the effort resulting in the CompKit.

SOME BACKGROUND

Numerous competency restoration curricula have been developed over the years, both at FSH and in other settings. No comprehensive standard curriculum or Best Practice was found that had been clearly identified for judicial competency restoration in acute inpatient settings.

THE CHALLENGE

To develop a sound and useful curriculum for competency restoration that is:

Useful and adaptable for competency training in a variety of settings

Classrooms Inpatient residence areas (pods or wards) where direct care staff deliver training Community and outpatient settings Jails

Useful and adaptable for competency training with a broad range of students having varying abilities and challenges.

A COMPREHENSIVE RESPONSE:

THE COMPKIT

THE COMPKIT

Provides a standard set of information and material for use throughout FSH and in other settings Provides resources for training students with widely varying abilities and challenges. Provides materials to accommodate a variety of learning styles and education levels. Provides resources for teachers or trainers with widely varying abilities, knowledge, and skill levels.

COMPKIT COMPONENTS

Curriculum Content Resources:

Factual Knowledge Manual Rational Understanding Manual

Classroom Instructional Resources:

Student workbook

Student "Take Home" Resources:

"Pocket" Guide Student Pamphlet

COMPKIT COMPONENTS

(continued)

FSH Competency Training Video/ DVD A CD with electronic copies of CompKit documents for duplication Appendices including current Florida crime severity and penalties with Web references

COMPKIT DEPLOYMENT

Each CompKit can be entirely contained in a binder to be provided to anyone delivering competency training to FSH residents. Once a provider has the materials inhand, curriculum materials may be duplicated as needed for additional instructors. Student "take home" materials may be duplicated as needed.

COMPKIT DELOYMENT

Training the trainers has been conducted throughout the FSH campus in settings where competency education is conducted

Direct care staff Psychiatric Rehabilitation staff Education Services Staff Psychology staff Social Services staff

COMPKIT DEPLOYMENT

All CompKit materials are available on the FSH intranet.

Widely accessible and available

The CompKit has been made provided to and training has been conducted with community service providers.

THE RESULT

The CompKit provides an easy to use package of standard materials for use in competency restoration throughout FSH and in other settings. It is adaptable for use with a broad range of students and instructional settings. Materials are readily accessible.

GOALS/OUTCOMES

A standardized competency education curriculum A Best Practice educational model Easy access to sound competency education materials throughout the FSH community. A comprehensive training component as part of FSH efforts to decrease length of stay A tool for remediation of difficult competency cases

UNANTICIPATED BENEFITS

Increased FSH wide focus on Incompetent to Proceed defendants/residents. Training the trainers

Many persons assigned to teach judicial competency restoration classes at FSH lacked basic understanding of the concept of judicial competency or fitness. The deployment of the CompKit and the nature of the resources in the CompKit facilitate the basic training of trainers who need information about the concepts related to competency.

INSTRUCTOR RESPONSE

CONSUMER RESPONSE

Conclusions

The CompKit appears to be useful for its intended purposes. The CompKit may be useful in settings other than acute inpatient settings. Unanticipated benefits accrue through the CompKit deployment and training the trainers.

Future Considerations

The CompKit is a work in progress. Future research

Data on the effectiveness of the CompKit in reducing length of stay and increasing admission rates of Incompetent to Proceed defendants is needed. Data on the usefulness of the CompKit in settings other than FSH is needed.

Information

FLORIDA STATE HOSPITAL COMPETENCY EDUCATION

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