DRUG TREATMENT FOR WOMEN IN THE CRIMINAL JUSTICE SYSTEM

尽管滥用药物的女性罪犯已经成为许多人的目标 国家和地方作为毒品治疗的优先人群， 几乎没有系统的数据或科学分析与 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：介绍各种毒品女性罪犯的全国样本 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、参与犯罪和妇女的需要 治疗、身心健康服务、职业和保健服务 教育援助、家庭和住房支持以及其他社会支持 将对服务进行描述。 目的2：分析处理工艺、结构和成本。一个过程 评价将侧重于(A)决策标准和业务 治疗方案和惩教机构的程序，(B)类型 和服务强度；(C)服务的社会心理环境 方案，(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：评估几种类型方案的客户结果(监狱- 基于治疗社区、基于监狱的计划、基于社区的 住宿和门诊/日间治疗计划) 治疗后，他们在社区中处于危险之中。事前和事后- 治疗分析将评估各种综合结果衡量标准 与吸毒、犯罪活动和社会心理有关 调整。 目标4：比较替代方案的效果和成本效益 治疗模式。将对几个假设进行测试，以比较不同的 治疗模式(例如，监禁方案与基于社区的方案， 住院计划与门诊计划、传统治疗与 对性别问题敏感的做法)。 目的5：统计确定服务对象与治疗对象的组合 预测结果的服务变量。单项统计 分析将确定预测客户结果的变量， 包括客户背景变量、药物治疗方案变量、 客户参与率和惩教监督变量。 这些分析的结果将被用来测试 开发一种模式，将不同类型的女性经济高效地匹配到 各种形式的治疗。这最终可能会有相当大的 实用价值，因为机关工作人员没有任何科学依据 为女性提供各种药物治疗。 研究设计：前瞻性纵向队列研究 受试者来自8个治疗地点：监狱、监狱、 以社区为基础的住宿和门诊项目聚集在两个 不同的州(纽约州和俄勒冈州)。这些妇女将接受采访 在接受治疗时(N=1,875)，并在治疗后12个月重新面谈- 社区风险(N=1,405)。一个人种学部分将集中于 关于妇女的需求和她们对治疗的看法 程序。

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.