Program retention and perceived coercion in three models of mandatory drug treatment
Program retention and perceived coercion in three models of mandatory drug treatment
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DOI：
10.1177/002204260203200112
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发表时间：
2002-12-01
影响因子：
1.7
通讯作者：
Belenko, S
中科院分区：
文献类型：
--
作者：
Young, D;Belenko, S
尽管毒品法庭和其他强制治疗模式不断增加，但很少有研究比较这些模式中不同项目特征的影响。这项研究比较了三组接受相同长期住院治疗设施的客户（N = 330）。研究参与者来自两个高度结构化的项目或更传统的法律来源，例如缓刑或假释代理人。分析表明，这些客户对法律压力的看法存在很大差异，这些看法通常与项目不同的强制政策和做法相对应。保留分析证实，与第三组的客户相比，最具强制性项目的客户坚持治疗六个月或更长时间的几率几乎高出三倍。结果支持使用结构化协议来告知客户参与的法律意外事件以及如何监控参与，并发展执行失败的威胁后果的能力。
Despite the proliferation of drug courts and other mandatory treatment models, few studies have compared the impact of different program features comprising these models. This study compared three groups of clients (N = 330) mandated to the same long-term residential treatment facilities. Study participants were referred from two highly structured programs or from more conventional legal sources, such as probation or parole agents. Analyses showed that these clients varied substantially in their perceptions of legal pressure, and these perceptions generally corresponded to the programs' different coercive policies and practices. Retention analyses confirmed that the odds of staying in treatment for six months or more was nearly three times greater for clients in the most coercive program compared to clients in the third group. Results support the use of structured protocols for informing clients about legal contingencies of participation and how that participation will be monitored, and developing the capacity to enforce threatened consequences for failure.