Estimating drug treatment needs among state prison inmates
Estimating drug treatment needs among state prison inmates
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DOI：
10.1016/j.drugalcdep.2004.08.023
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发表时间：
2005-03-07
影响因子：
4.2
通讯作者：
Peugh, J
中科院分区：
文献类型：
--
作者：
Belenko, S;Peugh, J
美国监狱人口的增长主要是由于与毒品有关的犯罪和滥用毒品。然而，接受治疗的囚犯相对较少，现有的干预措施往往是短期的或非临床的，需要更好的方法来使吸毒的囚犯与护理水平相匹配。使用数据从1997年的国家惩教设施，全国代表性样本的14,285名囚犯从275个国家监狱的囚犯调查，我们提出了一个框架，估计他们的治疗需求水平。该框架部分来自美国成瘾医学会患者安置标准和其他客户匹配协议，包括药物使用严重程度，药物相关行为后果以及其他社会和健康问题。结果表明，毒品参与程度很高，但在严重程度/最近使用以及健康和社会后果方面存在相当大的差异。我们估计，三分之一的男性和一半的女性囚犯需要住院治疗，但一半的男性和三分之一的女性囚犯可能不需要治疗或短期干预。州立监狱的治疗能力相对于需求而言是相当不足的，需要改进评估、治疗匹配和囚犯激励措施，以保护稀缺的治疗资源，并促进囚犯获得不同程度的护理。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Growing prison populations in the U.S. are largely due to drug-related crime and drug abuse. Yet, relatively few inmates receive treatment, existing interventions tend to be short-term or non-clinical, and better methods are needed to match drug-involved inmates to level of care. Using data from the 1997 Survey of Inmates in State Correctional Facilities, a nationally representative sample of 14,285 inmates from 275 state prisons, we present a framework for estimating their levels of treatment need. The framework is drawn partly from the American Society of Addiction Medicine Patient Placement Criteria and other client matching protocols, incorporating drug use severity, drug-related behavioral consequences, and other social and health problems. The results indicate high levels of drug involvement, but considerable variation in severity/recency of use and health and social consequences. We estimate that one-third of male and half of female inmates need residential treatment, but that half of male and one-third of female inmates may need no treatment or short-term interventions. Treatment capacity in state prisons is quite inadequate relative to need, and improvements in assessment, treatment matching, and inmate incentives are needed to conserve scarce treatment resources and facilitate inmate access to different levels of care. (c) 2004 Elsevier Ireland Ltd. All rights reserved.