Organizational-level correlates of the provision of detoxification services and medication-based treatments for substance abuse in correctional institutions
Organizational-level correlates of the provision of detoxification services and medication-based treatments for substance abuse in correctional institutions
复制标题
DOI：
10.1016/j.drugalcdep.2008.11.005
复制
发表时间：
2009-08-01
影响因子：
4.2
通讯作者：
Leukefeld, Carl
中科院分区：
文献类型：
--
作者：
Oser, Carrie B.;Knudsen, Hannah K.;Leukefeld, Carl
近年来，对药物滥用治疗组织中组织层面创新采用的审查越来越多。然而，这些研究大多集中在社区治疗中心。药物滥用治疗系统的一个研究不足的领域是教养机构。本研究使用刑事司法药物滥用治疗研究（CJ-DATS）合作社的国家刑事司法治疗实践（NCJTP）调查，以检查通过戒毒服务和药物治疗的药物滥用治疗的全国代表性样本的惩教机构（n = 198）。在提供戒毒服务和药物的组织的百分比方面，监狱和看守所之间有很大差异。具体而言，5%的监狱和34%的监狱提供戒毒服务; 6%的监狱和32%的监狱提供药物。二元逻辑回归模型被用来研究这些服务和组织特征之间的关联，包括上下文，资源，以前介绍的做法，文化和系统集成。衡量组织背景和以前采用的做法的变量是戒毒服务和药物的提供显着的相关性。多变量结果表明，在控制了其他组织因素后，监狱和监狱之间的差异仍然显着。虽然采用戒毒服务和药物治疗可能是惩教机构的一个有争议的话题，但这些服务有可能改善罪犯的福祉，减少与药物滥用有关的公共健康风险。(C)2008爱思唯尔爱尔兰有限公司版权所有。
In recent years, there has been an increased examination of organizational-level innovation adoption in substance abuse treatment organizations. However, the majority of these Studies have focused on community-based treatment centers. One understudied area of the substance abuse treatment system is correctional institutions. This Study uses the Criminal justice Drug Abuse Treatment Studies (CJ-DATS) cooperative's National Criminal justice Treatment Practices (NCJTP) Survey to examine the adoption of detoxification services and pharmacotherapies for the treatment of substance abuse across a nationally representative sample of correctional institutions (n = 198). There were significant differences between jails and prisons in the percentage of organizations offering detoxification services and medications. Specifically, detoxification services were offered by 5% of prisons and 34% of jails: and, medications were offered by 6% of prisons and 32% of jails. Binary logistic regression models were used to examine the associations between these services and organizational characteristics, including context, resources, previously introduced practices, culture, and systems integration. Variables measuring organizational context and previously introduced practices were significant correlates of the provision of both detoxification services and medications. Multivariate results indicated that the differences between jails and prisons remained significant after controlling for other organizational factors. Although the Adoption of detoxification services and pharmacotherapies may be a controversial topic for correctional institutions, these services have the potential to improve offender well-being and reduce public health risks associated with Substance abuse. (C) 2008 Elsevier Ireland Ltd. Ail rights reserved.