DRUG COURT OFFENDERS IN OUTPATIENT TREATMENT

该项目的总体目标是增加对毒品法庭在促使治疗保留和治疗后成功时将罪犯转到门诊药物滥用治疗或判刑的影响的了解。研究的具体目的是：(1)通过对毒品法庭转介罪犯、被判刑罪犯以及自愿接受药物滥用治疗的对象的多重结果指标，评估被送往药物滥用门诊治疗的毒品法庭罪犯治疗后12个月和24个月的结果；(2)考察毒品法院判决对药物滥用门诊留用的影响；(3)通过假设检验和探索性研究，分析毒品法庭罪犯接受药物滥用门诊治疗的治疗动机、项目保留和治疗后结果的变化，探讨这些变化与成瘾职业、治疗职业和并发生活问题的关系。在一项为期5年的研究中，该项目将采访由Wilmington （New Castle County）特拉华州毒品法庭送去接受药物滥用门诊治疗的720名成年罪犯：180名罪犯分别被分为三个项目：转移到药物教育，转移到门诊治疗，以及判处强化门诊治疗。第四个样本将是180名具有类似毒品和犯罪背景的志愿客户，他们也在同一家治疗机构接受强化门诊治疗。治疗方案的数据将用于表明保留、入院时的治疗动机和治疗前的药物使用情况。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、药物使用尿检和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，结合对毒品法庭罪犯门诊项目的结果评估，以及对成瘾职业阶段和随之而来的生活问题如何改变治疗效果的理论的说明、测试和探索。

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.