DRUG COURT OFFENDERS IN OUTPATIENT TREATMENT

该项目的总体目标是提高对毒品法庭在将罪犯转到门诊药物滥用治疗或判刑时在激励治疗保留和治疗后成功方面的影响的认识。具体目标是：(1)通过检查被转移和被判刑的毒品法庭罪犯以及类似的志愿者治疗客户的多个结果指标，评估被送往门诊药物滥用治疗的毒品法庭罪犯的12个月和24个月的治疗后结果；(2)检查毒品法庭判决对门诊药物滥用治疗中的保留的影响；以及(3)通过假设检验和探索性研究，分析被送往门诊药物滥用治疗的毒品法庭罪犯的治疗动机、计划保留和治疗后结果的变化，以及这些变化如何与成瘾职业、治疗职业和同时存在的生活问题相关。在一项拟议的为期5年的研究中，该项目将采访720名由威尔明顿(新卡斯尔县)特拉华州毒品法院送往门诊药物滥用治疗的成年罪犯：180名罪犯分别被转介到三个计划中：转而接受药物教育，转而接受门诊治疗，以及判刑接受强化门诊治疗。第四个样本将是180名具有相似毒品和犯罪背景的志愿者客户，他们也在同一家治疗机构接受强化门诊治疗。治疗计划数据将被用来指示保留、进入时的治疗动机以及治疗前的物质使用。结束治疗后12个月和24个月的治疗结果指标将是正式的逮捕数据、药物使用的尿液测试以及自我报告的药物使用、犯罪、就业、家庭关系和健康。分析将包括假设检验和探索性分析，将毒品法庭罪犯门诊计划的结果评估与具体、测试和探索治疗效果如何因成瘾职业阶段和随后的生活问题而改变的理论相结合。

The overall goal of the project is increased understanding of the influence that drug courts have in motivating treatment retention and post-treatment success when they divert or sentence offenders to outpatient substance abuse treatment. The specific aims are: (1) assessment of 12-month and 24-month post-treatment outcomes for drug court offenders sent to outpatient substance abuse treatment, by examining multiple outcome indicators for diverted and sentenced drug court offenders as well as comparable volunteer treatment clients; (2) examination of the impact of drug court sentencing on retention in outpatient substance abuse treatment; and (3) analysis of variations in treatment treatment motivations, program retention, and post-treatment outcomes for drug court offenders sent to outpatient substance abuse treatment, through hypothesis testing and exploratory study of how those variations are related to addiction careers, treatment careers, and concurrent life problems. In a proposed 5-year study, the project will interview 720 adult offenders sent to outpatient substance abuse treatment by the Delaware Drug Court in Wilmington (New Castle County): 180 offenders referred to each of three programs: diversion to drug education, diversion to outpatient therapy, and sentencing to intensive outpatient treatment. A fourth sample will be 180 volunteer clients with similar drug and crime backgrounds who are also in intensive outpatient treatment at the same treatment agency. Treatment program data will be used to indicate retention, treatment motivation at entry, and substance use before treatment. Treatment outcome indicators for 12 and 24 months after leaving treatment will be official arrest data, urine tests for drug use, and self-reported substance use, crime, employment, family relationships, and health. Analysis will include both hypothesis testing and exploratory analysis, combining outcome assessment of outpatient programs for drug court offenders with specification, testing, and exploration of a theory about how treatment effects are modified by addiction career stages and consequent life problems.