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DocSnipes
DocSnipes·August 18, 2021

Reducing Recidivism with the PACER Method: A Trauma-Informed Integrative Approach

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Summary

This episode delves into the pervasive problem of recidivism, highlighting alarming statistics: 68% of people released from prison are re-arrested within three years, and 83% return to the criminal justice system within nine years. Dr. Snipes introduces the PACER method, a trauma-informed, integrative framework that views criminal behavior as a form of communication, signaling unmet needs. The core premise is to reduce reoffending by addressing these underlying needs, fostering motivation, and enhancing self-efficacy through physical, affective, cognitive, environmental, and relational interventions.

The podcast meticulously breaks down various risk factors for recidivism, categorizing them under the PACER acronym. Physical factors include age (undeveloped prefrontal cortex before 24), cognitive abilities (impulse control, FASD), addictions (altering physiology, co-occurring mental illness/ACEs), a history of neglect/abuse (altering brain structure, strengthening the amygdala, creating trauma-informed schema), restlessness/agitation, and weak self-soothing/self-regulation skills often stemming from insecure attachment. Affective and cognitive risk factors encompass fetal alcohol spectrum disorders (FASD), anti-social personality traits (though cautioning against overgeneralization), impulsivity, low frustration tolerance, thrill-seeking (as a way to feel 'normal' due to trauma-induced adrenaline resistance), egocentrism (as a control mechanism), low verbal intelligence, poor educational attainment, and deficient consequential thinking. The discussion emphasizes how trauma and poverty profoundly impact these developmental areas, leading to difficulties in problem-solving, time perspective, and learning from past experiences.

Environmental risk factors are also explored, such as release from prison without parole (lacking structured step-down support), a scarcity of employment opportunities (highlighting programs like the Federal Bonding Program), hostility or resistance to work (often linked to social anxiety, fear of failure, or a desire to maintain control after trauma), job dissatisfaction, and systemic poverty. The type of crime committed, with sexual offenders and DUI offenders showing higher recidivism rates, is also noted. The overarching message is that these factors are deeply intertwined, with trauma often serving as a foundational element contributing to mental illness, substance use, and subsequent criminal behavior.

Ultimately, the episode advocates for a compassionate, comprehensive approach to rehabilitation. Practical insights include helping individuals identify past traumas, fostering a sense of safety and empowerment, teaching self-regulatory and self-soothing skills, addressing educational deficits without judgment, developing consequential thinking, and connecting behavioral patterns to their underlying causes. The broader implication is a call for a criminal justice system that moves beyond punitive measures to embrace trauma-informed care, recognizing the complex interplay of psychological, physiological, and environmental factors that drive recidivism and supporting individuals in developing the skills and resources needed for pro-social living.

Key Quotes

more than two-thirds 68% of people released from prison will be re-arrested within the first three years of release and 83% will be returned to the criminal justice system within nine years of release
the pacer method is a trauma-informed integrative approach to reducing risk and enhancing resilience from the perspective of the pacer method people's behavior is a way of communicating
when people are younger generally before the age of 24 their prefrontal cortex which is where we have a lot of our impulse control stuff isn't fully developed yet
when people have adverse childhood experiences it actually alters the structure of their brain it enhances if you want to think about it this way it makes the amygdala stronger
the majority of people that i've worked with that have been involved in the criminal justice system... tended to have difficulty with self-regulation and self-soothing
45% of people who are in jail or prison reported childhood trauma
there are intertwined connections between psychological and physiological trauma and addiction
approximately a 31% 31% of people that are incarcerated are estimated to have fetal alcohol spectrum disorders
we don't want to make that assumption that people who are involved in the criminal justice system are anti-social or a term i like even less psychopaths
thrill seeking is often a way of increasing adrenaline and dopamine in order to feel something because when they're not engaging in thrill-seeking behavior they don't feel
poverty itself can promote engaging in high risk behaviors to make ends meet can also promote relapse on substances because people feel so hopeless and helpless
we need to make sure that everybody knows about the federal bonding program for hard to place employees

Concepts

Themes

  • The communicative nature of behavior
  • Trauma's pervasive impact on development and behavior
  • Systemic failures in rehabilitation and reintegration
  • Holistic approaches to criminal justice reform
  • The importance of early childhood experiences
  • Empowerment and self-efficacy in recovery

Related to:

Psychology Insights

Clinical Recommendations

  • Implement PACER interventions (Physical, Affective, Cognitive, Environmental, Relational)
  • Provide trauma-informed care to address past experiences and foster safety
  • Teach self-regulatory and self-soothing skills, building on existing strengths
  • Address educational deficits and undiagnosed learning disabilities without judgment
  • Develop consequential thinking and problem-solving skills
  • Advocate for employment opportunities and utilize programs like the Federal Bonding Program

Therapeutic Techniques

  • Trauma-informed therapy
  • Cognitive restructuring (evaluating thought accuracy)
  • Emotional regulation skills training
  • Distress tolerance skills development
  • Problem-solving training
  • Attachment-based interventions to address early developmental deficits

Paradoxical Mechanisms

  • Thrill-seeking as a way to feel 'normal' due to trauma-induced adrenaline receptor resistance
  • Egocentrism as a coping mechanism to control one's environment after a traumatic, unstable upbringing
  • Hostility or resistance to work stemming from a fear of losing control or experiencing failure
  • Impulsive behavior as a default mode response to feeling unsafe or disempowered

Case Examples

  • Young individuals (under 24) with undeveloped prefrontal cortex leading to impulsivity
  • Individuals with Fetal Alcohol Spectrum Disorders struggling with nonverbal cues and comprehension
  • People with histories of neglect/abuse exhibiting difficulty with self-regulation and trust
  • Those with serious mental illnesses (e.g., bipolar, schizophrenia) at higher risk due to impulsivity and substance misuse
  • Individuals experiencing poverty and housing instability resorting to high-risk behaviors or substance relapse

Research Mentioned

  • Recidivism rates: 68% re-arrested within 3 years, 83% returned within 9 years
  • Co-occurrence of substance use disorders and mental illnesses: 60-85%
  • Childhood trauma reported by incarcerated individuals: 45%
  • Estimated prevalence of Fetal Alcohol Spectrum Disorders in incarcerated individuals: 31%
  • Higher recidivism rates for offenders with serious mental illnesses (schizophrenia, bipolar disorder)
  • Higher recidivism rates for sexual offenders and DUI offenders

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