DRUG COURT OFFENDERS IN OUTPATIENT TREATMENT

该项目的总体目标是，使人们进一步了解毒品法庭在将罪犯转移或判处门诊药物滥用治疗时，对鼓励保持治疗和治疗后成功的影响。 具体目标是：（1）通过检查被转移和判刑的毒品法庭罪犯以及可比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个月治疗后结果;（2）检查毒品法庭判刑对门诊药物滥用治疗的影响;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、程序保留和治疗后结果的变化，这些变化与成瘾职业、治疗职业和并发生活问题的关系。在一项拟议的5年研究中，该项目将采访720名被特拉华州威尔明顿（新城堡县）毒品法庭送往门诊药物滥用治疗的成年罪犯：180名罪犯涉及三个方案：转向药物教育，转向门诊治疗和判处强化门诊治疗。 第四个样本将是180名具有类似毒品和犯罪背景的志愿者，他们也在同一治疗机构接受强化门诊治疗。 治疗计划数据将用于指示保留、入组时的治疗动机和治疗前的物质使用。 离开治疗后12个月和24个月的治疗结果指标将是官方逮捕数据、吸毒尿检、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，结合门诊计划的结果评估毒品法庭罪犯的规格，测试和探索的理论，治疗效果如何修改成瘾的职业生涯阶段和随之而来的生活问题。

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.