Evaluating the Effectiveness of a Juvenile Drug Court: Comparisons to Traditional Probation

Juvenile Drug Courts have been in operation in the United States for over 20 years, yet their effectiveness and design have been challenged throughout the literature. Using data collected from a Juvenile Drug Court (JDC) in Southeast Texas, this project sought to determine if the JDC intervention reduced recidivism compared to a comparison sample of juvenile offenders. Results indicate that the recidivism rates of participants in the JDC were lower than the comparison group, suggesting that the Drug Court intervention was successful. The program completion rates for JDC youths were also higher for those with fewer infractions. Although the JDC youths had statistically lower infractions, the intervention overall appears to need strengthening. A close inspection of program components could document which programmatic skills are tied to efficacy, leading to the achievement of better outcomes.     

A systematic review of drug court effects on recidivism

Drug courts have been proposed as a solution to the increasing numbers of drug involved offenders entering our criminal justice system, and they have become widespread since their introduction in 1989. Evaluations of these programs have led to mixed results. Using meta-analytic methods, we systematically reviewed the extant evidence on the effectiveness of drug courts in reducing future criminal offending. Fifty studies representing 55 evaluations were identified, including both experimental and quasi-experimental comparison group designs. The overall findings tentatively suggest that drug offenders participating in a drug court are less likely to reoffend than similar offenders sentenced to traditional correctional options. The equivocation of this conclusion stems from the generally weak methodological nature of the research in this area, although higher quality studies also observed positive results. Furthermore, the evidence tentatively suggests that drug courts using a single model (pre- or post-plea) may be more effective than those not employing these methods. These courts have a clear incentive for completion of the drug court program.

The impact of pre-treatment responsivity and treatment participation on violent recidivism in a violent offender sample

This study assessed whether pre-treatment responsivity (psychopathy, motivation to attend treatment, denial and minimisation of offending behaviour, and feelings of guilt or shame) predicted violent recidivism and/or moderated the effectiveness of a violence intervention programme. Participants were 114 male violent offenders who were referred to a structured violent offender group treatment programme; 84 offenders commenced the programme. Results showed that treatment completion did not have a significant main effect on recidivism but that psychopathy scores moderated the effects of treatment. Offenders with high scores on the Psychopathy Checklist: Screening Version (PCL:SV) who were rated as having good engagement with treatment, or who completed treatment, had similar violent recidivism rates compared to offenders with low PCL:SV scores. In contrast, offenders with high PCL:SV scores who dropped out of treatment or were poorly engaged had significantly higher rates of violent recidivism. These findings indicate that treatment effectiveness could be enhanced, and greater reductions in recidivism achieved, if programmes find ways to engage and maintain psychopathic offenders in treatment.     

Recidivism among drug offenders: A survival analysis of the effects of offender characteristics,type of offense,and two types of intervention

The determinants of recidivism are increasingly becoming the focus of public concern. This study explores the relative effect of type of intervention, offender characteristics, and type of incident offense on time to a petition to revoke probation and time to a probation revocation. Our analysis of intervention effects includes both parametric and nonparametric estimation procedures. Estimating five distributional forms of survival and a proportional hazard model for each measure of recidivism, the analysis indicates no difference in the effect of a program of drug monitoring and treatment, compared to drug monitoring only, for either of the two measures of recidivism. In addition, findings indicate that younger offenders and African American offenders have a shorter time to a petition to revoke probation. We also found a reduced time to failure for a probation revocation for African American offenders and offenders with a prior arrest record. Our findings offer empirical support for a reconsideration of the type of intervention effective in deterring offenders while on probation.     

The effect of time served on recidivism: An interdisciplinary theory

The research reported in this paper is concerned with the functional relation between the probability that an individual offender will recidivate and the time that the offender has served in prison as a consequence of the offense. Theory suggests that time served affects recidivism through both specific deterrent and social bonding effects. The former is hypothesized to produce an inverse relation between recidivism and time served; the latter, a direct relation. The paper reviews the literature concerning these two theoretical relations. The review provides the basis for the establishment of a multiequation model whose principal result is to suggest that, more than likely, the recidivism/time served relation is a U-shaped function. The empirical model used to evaluate the hypothesis that the function is U-shaped uses the occurrence of a new arrest as its dependent variable. The model is estimated using OLS and LOGIT procedures. The data used for estimation relate to 1425 prisoners released from the North Carolina prison system in 1980. Recidivistic outcomes are measured at the end of the first and second years subsequent to their release. The research is unique in that it represents the first effort to synthesize the economist's specific deterrence model with the sociologist's social bonding model. The theory provides an explanation for the failure of past empirical work to establish a relation between time served and recidivism. The research is also unique in its a priori assumption of a U-shaped behavioral relation and its attempt to measure that particular relation. The data support the hypothesis that time served affects postprison recidivism rates and that the direction of the effect varies by offense class.     

Predictors of re-offending in German substance-abusers in legal detention: a prospective population-based cohort study

This study aimed to evaluate whether the elapsed time after release to first re-offense is longer for those who complete coerced forensic addiction treatment than for those who fail to complete the treatment. It is also aimed to identify predictors of re-offending for both those who complete such treatments as compared with those who do not. Two hundred and sixty-one patients discharged from five German forensic addiction clinics were investigated on 65 anamnestic, socio-demographic, and therapeutic process variables. One hundred and fifty-one patients were prematurely discharged and returned to prison (group A; time at risk [TAR] = 58.7 months), 110 finished treatment successfully (group B; TAR = 44.2 months). Federal Criminal Register data were used for follow-up. Univariate survival analyses and multivariate stepwise Cox-regression models were computed. Twelve predictors in group A revealed a four-factor model: age at admission to treatment, duration of concurrent prison sentence, number of entries in the criminal register, and attendance at prior substitution programs. The model for group B covered five out of eight predictors: regular working activities before first diagnosis of mental illness, type of main offense, (secondary) traffic offenses, outpatient rehabilitation treatments, and escapes during treatment. Successful completers of forensic addiction treatment are slower to re-offend than non-completers.     

Helping at-risk youth overcome trauma and substance abuse through animal-assisted therapy

Animal-assisted therapy is a goal-oriented adjunct to traditional therapy programs. This type of therapy has benefitted many populations, including children, adolescents, and adults, in their recovery from a wide variety of physical and psychological traumas. Examples include patients who are undergoing rehabilitation related to major surgery, serious illness, or debilitating injury and patients who are receiving treatment to overcome substance abuse, physical abuse, and behavioral problems. The purpose of this article is to show how animal-assisted therapy has been used with at-risk youths who participate in a treatment program for a variety of traumatic experiences, including abuse and neglect, as well as criminality and substance abuse. In the therapy program, the youths work through a structured, goal-oriented curriculum with certified therapy dogs and volunteer handlers. Together they complete progressively advanced tasks in which the youths transfer skills learned about dog handling to understanding and modifying their own behavior. The overall aim is to help the youths develop positive life skills and facilitate positive social interactions to help break the cycle of crime, violence, or substance abuse.     

The Relationship Between Partner Abuse and Substance Use Among Women Mandated to Drug Treatment

This study investigates the relationship between substance use and partner abuse among women (N = 1,025) who entered drug-treatment programs through the criminal justice systems in New York City and Portland, Oregon. Self-report data on substance use and partner abuse indicate that although the rate of partner abuse in both cities is well above the national average, the less substance-involved women in Portland reported more abuse than their New York counterparts. Our analyses suggest that the relationship between partner abuse and substance use during conflicts varies within the population of women offenders who are heavily drug-involved, with women in Portland reporting a greater direct link between partner abuse and substance use. The findings indicate that there is a need for drug-treatment providers to understand their clients' victimization histories and the relationship between partner abuse and substance use in order to engage clients in the treatment process and help them learn how to avoid being victimized in the future.     

Drug abuse, crime costs, and the economic benefits of treatment

Several studies have examined the social consequences and costs of criminal activity. The most popular approach for estimating the costs of crime focuses on easily measurable factors such as incarceration costs, victims' out-of-pocket expenses, medical costs, and lost earnings. However, the intangible losses incurred by victims of crime have rarely been considered. These losses include pain and suffering, as well as loss of the enjoyment of living. Based on recent developments by Cohen and colleagues, we adopt a more comprehensive method for estimating the dollar value of avoided criminal activity, taking into account these intangible losses. We demonstrate the feasibility of this method by estimating the pre- and posttreatment costs of criminal activity for a sample of 2420 drug abusers. The estimated crime-related costs incurred during the period prior to treatment admission and the period after treatment discharge are significantly higher when calculated using the proposed method compared to methods that only consider tangible costs. Furthermore, a simple benefit-cost comparison of criminal activity outcomes indicates that drug abuse treatment has the potential to return net benefits to society through crime reduction. Although the treatment outcomes are not based on an experimental design, this study presents quantitative evidence that including victims' intangible losses can substantially raise the estimated dollar benefits of avoided criminal activity due to drug abuse interventions.This paper was prepared while the authors were employed by Research Triangle Institute.     

Claims of amnesia for criminal offenses: psychopathology, substance abuse, and malingering

The forensic psychiatric examiner often encounters defendants who deny memory for their offense. Past research proposes a variety of factors to account for offense amnesia. To date there have been few systematic studies of offense amnesia in relation to psychiatric diagnosis, either alone or in combination with other known factors such as substance use and malingering. We studied 53 pretrial felony defendants who had been referred for psychiatric examination; 40% claimed amnesia for their offense. Examinees with psychotic disorders in general, and schizophrenia in particular, were relatively less likely to claim amnesia than were examinees with other diagnoses. Substance use at the time of the offense and associated substance use disorder diagnoses were positively associated with offense amnesia. Malingering diagnosed by general clinical criteria was a poor predictor of amnesia claims. These data suggests that two prominent reasons for referral for forensic psychiatric evaluation include the presence of psychotic symptoms and claims of amnesia for the offense.     

The Importance of Ecological Context for Correctional Rehabilitation Programs: Understanding the Micro- and Macro-Level Dimensions of Successful Offender Treatment

The resurgence of support for offender rehabilitation has led to an increased emphasis on correctional program integrity. Treatment programs are now being evaluated and tailored in accordance with the principles of effective intervention, which are rooted primarily in methods of individual behavior modification through a social learning approach. The problem with this exclusive focus on the individual is that it fails to recognize the importance of certain ecological factors that have been shown to be significant predictors of recidivism. The purpose of the current research, therefore, is to examine the impact of structural characteristics on both treatment program quality and effectiveness of halfway house programs in Ohio. Our results reveal that ecological context influences the magnitude of program treatment effects largely indirectly though its influence on program quality. The implications of these findings for correctional theory and practice are discussed.     

Characteristics of men and women completing cognitive/behavioral spouse abuse treatment

Although abuse in relationships is widespread and often escalates without intervention, the scant extant data indicate that people in abusive relationships often fail to complete treatment programs. We compared demographic characteristics, Male-Female Relations Inventory scores (MFRI), and selected MilIon Clinical Multiaxial Inventory I (MCMI-I) scale scores of men and women who did and did not complete an 8-session 4-week cognitive/behavioral group treatment program. The 16 completer men had lower scores on MCMI-I scales related to drug abuse as compared with the 18 noncompleter men. Court-referred men completed more often than other men. The 23 completer women also had lower scores on MCMI-I scales related to drug abuse than the 17 noncompleter women. Fewer of the completer women were employed and fewer had children than the noncompleter women. Scores on the MFRI were not different for completer or noncompleter men or women. Implications for interventions are discussed.     

Utilizing Criminal History Information to Explore the Effect of Community Notification on Sex Offender Recidivism

While sex offender registration laws with notification provisions are now over a decade old, little is known about how these policies influence the prevention of sex offending. Very few studies have considered the impact of notification on sex offender recidivism or the effect of these laws on sex crimes, generally. This study considers the effectiveness of offender tracking and declaration at the state level through evaluation of current sex offender laws in Arkansas. Using a quasi‐experimental regression‐discontinuity design, this research evaluated the recidivism of the first three waves of sex offenders registered in the state (1997–1999) vs. a comparison group of sex offenders from a decade earlier (1987–1989). Findings indicate there is no statistically significant difference between the two groups in terms of recidivism. Policy implications are discussed.     

Remuneration and recidivism: The long-term impact of unemployment compensation on ex-offenders

The relationship between unemployment and crime is the subject of research and debate. We present evidence that suggests that recidivism among ex-offenders can be reduced by providing unemployment compensation available immediately after their release from prison. A California program made such benefits—transitional aid—available during the late 1970s and early 1980s. Using a 5-year follow-up and a failure-time model, we show how recidivism among an eligible group was consistently lower over those 5 years than for an ineligible group.     

Estimating the numbers of prison terms in criminal careers from one-step probabilities of recidivism

A method of using estimates of one-step probabilities of recidivism, i.e., conditional probabilities of individuals returning to prison for the jth time given release for the (j-1)st time, to estimate the numbers of prison terms expected to be accumulated by the individuals, is presented. The method is illustrated by calculating the expected numbers of prison terms separately for racial and gender groups in a large data base of Western Australian prisoners. The recidivism probabilities for these data were estimated by fitting Weibull mixture models to the (possibly censored) times to recidivate. The probabilities increase strongly asj increases from 1 to 6, then level off. Large differences between them are due to racial and gender group and these are reflected in the differing expected prison career durations for these groups. The effect of interventions which might lower recidivism is discussed in the light of the method as applied to these estimates.     

Considering the Effectiveness of Drug Treatment behind Bars: Findings from the South Carolina RSAT Evaluation

Through funding from the national Residential Substance Abuse Treatment Program, the South Carolina Department of Corrections implemented the Correctional Recovery Academy in the Turbeville Medium Security Institution to treat drug‐dependent offenders. The program features a cognitive–behavioral change modality delivered in a modified therapeutic community to first time, non‐violent, drug‐dependent, youthful male offenders. A quasi‐experimental design was employed to specify impact as indicated by recidivism, relapse, and parole revocation. While analyses revealed no statistically significant difference between treatment and control group participants on these outcome measures, implications regarding the efficacy of the treatment modality are ambiguous as implementation failure masked determination of program effects. Drug testing frequency after release, however, was found to be a significant factor precluding failure, contrary to the conventional view that increased testing identifies greater use.     

An emerging theory of the effect of economic contraction on alcohol abuse in the United States

Recent research in the United States describing the association between adverse economic experiences and the risk of clinically significant alcohol abuse is reviewed. A theory of how economic contraction affects the incidence of alcohol abuse is offered. Implications of the theory for economic policy and the provision of services are discussed.     

Prevention science,drug abuse prevention,and Life Skills Training: Comments on the state of the science

There has been tremendous growth in the field of prevention science over the past two decades. The defining features of contemporary prevention science are high quality empirical research using rigorous and well-established scientific methods, careful hyphothesis testing, and the systematic accumulation of knowledge. One area where substantial progress has been made is in our understanding of the etiology and prevention of tobacoo, alcohol, and illicit drug abuse. In this paper, we review the growth in prevention as a scientific enterprise, discuss advances in drug abuse prevention research, and review the effectiveness of one approach to the problem of adolescent drug abuse, the Life Skills Traning (LST) program, and the methodological strengths of the LST evaluation research. In addition, we provide a response to criticism regarding two types of data analysis in evaluation research, and show that these analyses can help address a number of important research questions with implications for theory and practice. First, the analysis of high fidelity subsamples can address research questions about the importance of program implementation fidelity; and second, composite measures of concurrent tobacco, alcohol, and marijuana use (i.e., polydrug use) are useful in testing research questions about program effects on more serious levels of drug involvement. With an increasing number of ramdomized controlled trials underway, the field of prevention science is contributing to a new generation of evidence-based approaches and policies that, if widely utilized, offer the potential of reducing the mortality and morbidity associated with a number of major health and social problems.     

Therapeutic community treatment programming in corrections

Abstract

This paper contrasts the American TC model with that of the United Kingdom, presents an overview and history from 1965 to the present of Therapeutic Community (TC) treatment as applied in the United States particularly to drug using offenders, and it details findings from five scientifically sound studies that this kind of treatment during custody for incarcerated drug using offenders is effective in reducing drug abuse and recidivism. A final section presents the therapeutic principles derived from North American TC research and practice conducive to altering addict-offender lifestyles and improving the likelihood of a positive outcome.