Treatment Engagement and Time to Recidivism for African-American Male Offenders

描述（由申请人提供）：本研究将研究预测非洲裔美国男性罪犯在监狱和释放后是否接受药物滥用治疗的因素，以及与释放后累犯（再次逮捕或再次监禁）时间相关的因素。该研究将包括非洲裔美国人、白色和拉丁美洲男性的亚组比较，以更好地了解种族、药物滥用治疗和释放后监测之间的相互作用及其与结果的关系。有刑事司法参与史和药物滥用问题的非洲裔美国男性复发和累犯的风险很高，但解决这些问题的治疗干预措施有限。此外，几乎没有证据表明，在一般监狱人口，特别是非洲裔美国男性罪犯释放前和释放后实施的治疗做法的有效性以及文化和社会相关性。数据可从现有的去识别数据集获得，该数据集是使用康涅狄格州矫正部（DOC）文件与康涅狄格州公共安全部和精神健康与成瘾服务部（DMHAS）的数据的概率匹配创建的。该数据集包括2003财年释放的所有中度至严重物质使用障碍的被判刑囚犯，沿着物质滥用治疗，DOC运动，以及2001 - 2005财年对同一个人的逮捕。该研究将：（1）检查被监禁和最近释放的非洲裔美国人，拉丁美洲人和白色男性参与药物滥用治疗的比率和决定因素;以及;（2）检查非洲裔美国人，拉丁美洲人和白色男性累犯的生存率和决定因素。通过确定（1）治疗的潜在障碍，以及（2）刑事司法和药物滥用治疗系统提供的连续计划服务的沿着关键点，R 03的结果将对减少非洲裔美国男性罪犯的复发和累犯产生影响。这些研究结果将促进系统干预措施的发展，以改善获得护理的机会，促进非洲裔美国男性更好的健康和社会成果。

DESCRIPTION (provided by applicant): This study will examine factors that predict whether African-American male offenders receive substance abuse treatment during prison and post-release, as well as factors associated with time to recidivism (re-arrest or re- incarceration) post-release. The study will include subgroup comparisons of African-American, White and Latino males in order to better understand the interactions between race, substance abuse treatment and monitoring post release, and their relationships to outcomes. African-American males with a history of criminal justice involvement and substance abuse problems are at high risk for relapse and recidivism, yet treatment interventions that address these problems have been limited. Moreover, there is little evidence about the effectiveness, and cultural and social relevancy of treatment practices administered pre-and post-release for the general prison population, and African-American male offenders in particular. Data are available from an existing de-identified dataset, created using probabilistic matching of Connecticut Department of Correction (DOC) files with data from the Connecticut Departments of Public Safety and Mental Health and Addiction Services (DMHAS). The dataset includes all sentenced prisoners with moderate to serious substance use disorders who were released during FY2003, along with substance abuse treatment, DOC movement, and arrests for FY2001 - FY2005 for the same individuals. The study will: (1) examine rates and determinants of participation in substance abuse treatment for incarcerated and recently released African-American, Latino and White males; and; (2) examine rates and determinants of survival to recidivism for African-American, Latino and White males. The results of this R03 will have implications for reducing relapse and recidivism for African- American male offenders by identifying (1) potential barriers to treatment, and (2) key points along the continuum of program services provided by the criminal justice and substance abuse treatment systems. These findings will facilitate the development of systems interventions to improve access to care and promote better health and social outcomes for African-American males.