Criminal justice outcomes after engagement in outpatient substance abuse treatment.

Criminal justice outcomes after engagement in outpatient substance abuse treatment.
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DOI:
10.1016/j.jsat.2013.10.005
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发表时间:
2014-03
影响因子:
3.9
通讯作者:
Wright D
Wright D
中科院分区:
医学2区
文献类型:
--
作者:
Garnick DW;Horgan CM;Acevedo A;Lee MT;Panas L;Ritter GA;Dunigan R;Bidorini A;Campbell K;Haberlin K;Huber A;Lambert-Wacey D;Leeper T;Reynolds M;Wright D

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对康涅狄格州、纽约、俄克拉何马州和华盛顿州的客户调查了参与公共部门门诊治疗设施与随后被捕之间的关系。参与被定义为在开始一次新的专科治疗后14天内接受另一次治疗服务,并在接下来的30天内至少接受两次额外服务。数据来自2008年,使用了生存分析模型。生存分析用“风险比”来表示模型协变量的影响,“风险比”反映了因协变量而导致的结果可能性的变化。在所有四个州,参与的客户比不参与的客户任何逮捕的风险都要低得多。在纽约和俄克拉何马州,订婚客户因与物质有关的犯罪而被捕的风险也较低。在CT、纽约和OK参与的客户中,因暴力犯罪而被捕的风险较低。在参与率较高的设施中,客户在纽约和俄克拉何马州被捕的风险较低。让客户进行门诊治疗是一种有希望的方法,可以减少他们随后的刑事司法参与。
The relationship between engagement in outpatient treatment facilities in the public sector and subsequent arrest is examined for clients in Connecticut, New York, Oklahoma and Washington. Engagement is defined as receiving another treatment service within 14 days of beginning a new episode of specialty treatment and at least two additional services within the next 30 days. Data are from 2008 and survival analysis modeling is used. Survival analyses express the effects of model covariates in terms of “hazard ratios,” which reflect a change in the likelihood of outcome because of the covariate. Engaged clients had a significantly lower hazard of any arrest than non-engaged in all four states. In NY and OK, engaged clients also had a lower hazard of arrest for substance-related crimes. In CT, NY, and OK engaged clients had a lower hazard of arrest for violent crime. Clients in facilities with higher engagement rates had a lower hazard of any arrest in NY and OK. Engaging clients in outpatient treatment is a promising approach to decrease their subsequent criminal justice involvement.