Gender-sensitive substance abuse treatment and arrest outcomes for women.

Gender-sensitive substance abuse treatment and arrest outcomes for women.
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DOI:
10.1016/j.jsat.2013.09.005
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发表时间:
2014-03
影响因子:
3.9
通讯作者:
Orwin RG
Orwin RG
中科院分区:
医学2区
文献类型:
--
作者:
Kissin WB;Tang Z;Campbell KM;Claus RE;Orwin RG

文献摘要

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本研究将性别敏感(GS)药物滥用治疗的定量测量与华盛顿州混合性别短期居住计划中5,109名药物滥用妇女的结果联系起来。脆弱性模型的生存分析和3级分层线性模型进行了测试的GS治疗减少刑事司法参与的有益效果。由于本研究的准实验性质,倾向评分用于控制妇女之间预先存在的差异。男性的逮捕结果被用来控制混杂在程序层面。结果表明,更多GS治疗方案中的女性发生与毒品相关的逮捕的风险较低,并且在更多GS治疗方案中也完成治疗的女性从治疗前两年到治疗后两年的总体逮捕显着减少,超过了单独治疗引起的逮捕减少。对未来研究的意义和方向进行了讨论。
The present study links an empirically-developed quantitative measure of gender-sensitive (GS) substance abuse treatment to arrest outcomes among 5,109 substance abusing women in mixed-gender short-term residential programs in Washington State. Frailty models of survival analysis and 3-level hierarchical linear models were conducted to test the beneficial effects of GS treatment on decreasing criminal justice involvement. Propensity scores were used to control for the pre-existing differences among women due to the quasi-experimental nature of the study. Men's arrest outcomes were used to control for confounding at the program level. Results show that women in more GS treatment programs had a lower risk of drug-related arrests, and women in more GS treatment programs who also completed treatment had a significant reduction in overall arrests from two years before- to two years after treatment, above and beyond the reduction in arrests due to treatment alone. Implications and directions for future research are discussed.