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Addiction. 1999 Jun;94(6):833-42.

Prison-based substance abuse treatment, residential aftercare and recidivism.

Author information

1
Institute of Behavioral Research, Texas Christian University 76129, USA. IBR@tcu.edu

Abstract

AIMS:

This study examined the impact of residential aftercare on recidivism following prison-based treatment for drug-involved offenders.

DESIGN:

A matched group quasi-experimental design. Survival regression analyses were used to predict time until rearrest. A logistic regression model was constructed for predicting aftercare completion.

SETTING:

A 9-month in-prison therapeutic community (ITC) and several community-based transitional therapeutic communities (TTCs).

PARTICIPANTS:

Data were collected from 396 male inmates (293 treated, 103 untreated).

MEASUREMENTS:

Background information (gender, ethnicity, age, education level, criminal history and risk for recidivism) was abstracted from the state criminal justice databases and a structured interview led by clinical staff. During treatment process measures were based on inmate self-ratings of their counselors, program and peers. A post-treatment interview conducted by field research staff assessed satisfaction with transitional aftercare. Post-release recidivism was based on state-maintained computerized criminal history records.

FINDINGS:

ITC treatment, especially when followed by residential aftercare, was effective for reducing post-release recidivism rates. Lower satisfaction with transitional aftercare treatment was associated with not completing the residential phase of community-based aftercare.

CONCLUSIONS:

Corrections-based treatment policy should emphasize a continuum of care model (from institution to community) with high quality programs and services.

PMID:
10665073
[Indexed for MEDLINE]
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