DRUG TREATMENT FOR THOSE IN THE CRIMINAL JUSTICE SYSTEM

刑事司法系统人员的戒毒治疗

• 批准号: 2121341
• 负责人: GREGORY P FALKIN
• 金额: $ 38.03万
• 依托单位: NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-01 至 1999-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2121341
• 关键词: community health services; correctional institutions; drug abuse therapy; female; functional ability; health care cost /financing; health care service evaluation; human subject; interview; longitudinal human study; mental health epidemiology; mental health services; outpatient care; prognosis; psychological models; racial /ethnic difference; residential care facility; socioeconomics; urinalysis; vocational rehabilitation; women's health

Although substance abusing women offenders have been targeted by many states and localities as a priority population for drug treatment, there is virtually no systematic data or scientific analysis pertaining to the appropriateness and cost-effectiveness of the various kinds of treatment programs for women offenders. Aim 1: Profile a national sample of women offenders in a variety of drug treatment programs and settings. Client demographics, socioeconomic status, criminal involvement, and women's needs related to drug abuse treatment, physical and mental health services, vocational and educational assistance, family and housing support, and other social services will be described. Aim 2: Analyze the treatment process, structure, and costs. A process evaluation will focus on (a) the decision criteria and operating procedures of treatment programs and correctional agencies, (b) the types and intensities of services, (c) the social-psychological climate of programs, (d) client participation rates, (d) client perceptions of the service delivery process, and (e) the cost of each treatment program. Aim 3: Evaluate client outcomes for several types of programs (prison- based therapeutic communities, jail-based programs, community-based residential and outpatient/day-treatment programs) while clients are in treatment and after they are at-risk in the community. The pre- post- treatment analysis will evaluate a variety of aggregate outcome measures related to drug use, criminal activity, and social-psychological adjustment. Aim 4: Compare the effectiveness and cost-effectiveness of alternative treatment models. Several hypotheses will be tested to compare various treatment models (e.g., incarceration - versus community-based programs, residential versus outpatient programs, traditional treatments versus gender-sensitive approaches). Aim 5: Ascertain statistically the combination of client and treatment service variables that predict outcomes. Individual-level statistical analyses will ascertain the variables that predict client outcomes, including client background variables, drug treatment program variables, client participation rates, and correctional supervision variables. Results from these analyses will be used to test the feasibility of developing a model to cost-effectively match different types of women to various forms of treatment. This may ultimately have considerable practical value because agency personnel do not have any scientific basis for matching women to various types of drug treatment. Research Design: A prospective longitudinal cohort study will be conducted with subjects drawn from 8 treatment sites: prison, jail, community-based residential and outpatient programs clustered in two disparate states (New York and Oregon). The women will be interviewed at treatment intake (N=1,875) and reinterviewed 12 months after being at- risk in the community (N=1,405). An ethnographic component will focus on the needs of the women and their perceptions of the treatment programs.

虽然滥用药物的女罪犯已成为许多人的目标， 国家和地方作为药物治疗的优先人群， 事实上，没有系统的数据或科学分析， 各种治疗的适当性和成本效益 针对女性罪犯的方案。 目标1：对各种毒品犯罪中的女罪犯进行全国抽样调查， 治疗方案和设置。 客户人口统计、社会经济 与药物滥用有关的地位、犯罪参与和妇女的需要 治疗、身心健康服务、职业和 教育援助、家庭和住房支助以及其他社会援助 服务将被描述。 目标2：分析处理过程、结构和成本。 的过程 评估将侧重于（a）决策标准和操作 治疗方案和矫正机构的程序，（B）类型 （c）社会心理气候， （d）客户参与率，（d）客户对 服务提供过程，以及（e）每个治疗方案的费用。 目标3：评估几种方案的客户成果（监狱- 基于治疗社区，基于监狱的计划，基于社区的 住院和门诊/日间治疗方案），而客户在 治疗，并在社区中处于危险之中。 前-后- 治疗分析将评估各种总体结局指标 与吸毒、犯罪活动和社会心理有关的 加强结构性改革 目标4：比较替代方案的有效性和成本效益 治疗模式 几个假设将被测试，以比较各种 治疗模型（例如，监禁-与社区为基础的计划， 住院与门诊计划，传统治疗与 对性别问题有敏感认识的办法）。 目的5：从统计学上确定病人和治疗的组合 预测结果的服务变量。 个人水平统计 分析将确定预测客户结果的变量， 包括客户背景变量，药物治疗程序变量， 客户参与率和矫正监督变量。 这些分析的结果将用于测试 开发一种模式，以符合成本效益的方式匹配不同类型的妇女， 各种形式的治疗。 这最终可能会产生相当大的 实用价值，因为机构人员没有任何科学依据 为女性匹配各种药物治疗。 研究设计：一项前瞻性纵向队列研究， 受试者来自8个治疗地点：监狱，监狱， 以社区为基础的住院和门诊计划集中在两个 不同的州（纽约和俄勒冈州）。 这些妇女将接受采访 在治疗开始时（N= 1，875），并在治疗开始后12个月再次进行访谈， 社区风险（N= 1，405）。 民族志部分将侧重于 妇女的需求和她们对治疗的看法 程序.