Benefits and costs of substance abuse treatment programs for state prison inmates: results from a lifetime simulation model.
Benefits and costs of substance abuse treatment programs for state prison inmates: results from a lifetime simulation model.
复制标题
州立监狱囚犯药物滥用治疗计划的效益和成本：终生模拟模型的结果。
DOI：
10.1002/hec.1735
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发表时间：
2012
期刊：
影响因子：
2.1
通讯作者：
Keyes,Vince
中科院分区：
文献类型：
--
作者：
Zarkin,GaryA;Cowell,AlexanderJ;Hicks,KatherineA;Mills,MichaelJ;Belenko,Steven;Dunlap,LauraJ;Houser,KimberlyA;Keyes,Vince
监狱关押的社会吸毒者人数过多，这反映了整个1990年代和2000年代的吸毒模式和刑事司法政策。大约50%的州囚犯符合药物滥用或依赖的诊断标准，但只有10%接受基于医学的药物治疗。由于药物滥用和犯罪之间的联系，治疗药物滥用和依赖国家囚犯，而监禁有可能产生巨大的经济效益。在本文中，我们模拟了改善监狱药物滥用治疗和释放后善后的一组国家囚犯的终身成本和收益。我们的模型捕捉了药物滥用作为一种慢性疾病的动态;估计了药物滥用治疗对个人一生的好处;并跟踪了与治安，裁决和监禁相关的犯罪和刑事司法成本。我们估计了当前治疗系统和五种政策方案对刑事司法系统的净社会效益和成本节约。我们发现，五个政策方案中的四个提供了积极的净社会效益和成本节约的刑事司法系统相对于目前的治疗系统。我们的研究证明了改善国家囚犯药物治疗系统的社会收益。版权所有© 2011约翰威利父子有限公司.
Reflecting drug use patterns and criminal justice policies throughout the 1990s and 2000s, prisons hold a disproportionate number of society's drug abusers. Approximately 50% of state prisoners meet the criteria for a diagnosis of drug abuse or dependence, but only 10% receive medically based drug treatment. Because of the link between substance abuse and crime, treating substance abusing and dependent state prisoners while incarcerated has the potential to yield substantial economic benefits. In this paper, we simulate the lifetime costs and benefits of improving prison‐based substance abuse treatment and post‐release aftercare for a cohort of state prisoners. Our model captures the dynamics of substance abuse as a chronic disease; estimates the benefits of substance abuse treatment over individuals' lifetimes; and tracks the costs of crime and criminal justice costs related to policing, adjudication, and incarceration. We estimate net societal benefits and cost savings to the criminal justice system of the current treatment system and five policy scenarios. We find that four of the five policy scenarios provide positive net societal benefits and cost savings to the criminal justice system relative to the current treatment system. Our study demonstrates the societal gains to improving the drug treatment system for state prisoners. Copyright © 2011 John Wiley & Sons, Ltd.