Long-term effects of participation in the Baltimore City drug treatment court: Results from an experimental study

This study uses an experimental design comparing 235 offenders assigned either to drug treatment court or treatment as usual. It extends prior analyses of this study sample to examine whether differences observed between drug treatment court subjects and control subjects at one and two years after the start of the program persist after three years, when many of the subjects had ceased active treatment. Further, it extends earlier analyses that showed that the quantity of drug treatment court services received was related to lower recidivism rates by using an instrumental variables approach to handle the endogeneity problem that sometimes arises when subjects self-select into different levels of service. Results show a sustained treatment effect on recidivism, controlling for time at risk. This effect is not limited to the period during which services are delivered. Rather, it persists even after participation in the drug court program ceases. Results also show that the recidivism is lowest among subjects who participate at higher levels in certified drug treatment, status hearings, and drug testing. These positive findings are tempered with findings that more than three-fourths of clients are re-arrested within three years, regardless of participation in the drug treatment court, and that drug treatment court cases spend approximately the same number of days incarcerated as do control cases. Implications for strengthening drug treatment courts are discussed.     

Participation in drug treatment court and time to rearrest

This study uses an experimental design to assess the impact of a drug treatment court on nonviolent felony offenders. The drug court program combines intensive supervision, judicial monitoring, drug testing, and drug treatment to reduce recidivism and other problem behaviors. Survival analyses showed that the drug court sample had a significantly longer time to first rearrest than the control sample. Assignment to the drug court also significantly reduced the risk of drug crime failure during the follow-up period. The drug court and control samples had identical failure rates during the first 4 months of the follow-up, after which the drug court appeared to have its greatest impact on the risk of failure. Further analyses suggested that compliance with various drug court components, particularly early and continued drug treatment attendance, reduced the risk of failure among this sample.     

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.     

Sex offender management using the polygraph: a critical review

Reducing recidivism is a central goal in the treatment of sex offenders. In Europe, there is an increased interest in using the polygraph ("lie detector") as a tool in the treatment and risk assessment of convicted sex offenders. This interest originated from optimistic reports by American clinicians who argued that polygraph testing in the treatment of sex offenders is akin to urine analysis in the treatment of drug addiction. In this article, we critically examine the validity and utility of post-conviction sex offender polygraph testing. Our review shows that the available evidence for the claims about the clinical potential of polygraph tests is weak, if not absent. We conclude that portraying post-conviction polygraph testing as analogous to urine analysis is inaccurate, misleading, and ultimately, risky.     

Does incarceration-based drug treatment reduce recidivism? A meta-analytic synthesis of the research

This research synthesized results from 66 published and unpublished evaluations of incarceration-based drug treatment programs using meta-analysis. Incarceration-based drug treatment programs fell into five types: therapeutic communities (TCs), residential substance abuse treatment (RSAT), group counseling, boot camps specifically for drug offenders, and narcotic maintenance programs. We examined the effectiveness of each of these types of interventions in reducing post-release offending and drug use, and we also examined whether differences in research findings can be explained by variations in methodology, sample, or program features. Our results consistently found support for the effectiveness of TC programs on both outcome measures, and this finding was robust to variations in method, sample, and program features. We also found support for the effectiveness of RSAT and group counseling programs in reducing re-offending, but these programs’ effects on drug use were ambiguous. A limited number of evaluations assessed narcotic maintenance or boot camp programs; however, the existing evaluations found mixed support for maintenance programs and no support for boot camps.     

Attachment-based practice with adults: understanding strategies and promoting positive change. A new practice model and interactive resource for assessment,intervention and supervision

Abstract

The purpose of this study was to test whether attachment styles change over the course of a sex offender-specific treatment programme for incarcerated adult male sex offenders. To measure attachment styles, 44 male sex offenders (treatment n = 26, waitlist n = 18) completed the Relationship Scales Questionnaire (RSQ) and the Adult Attachment Scale (AAS). The results indicated that treatment participants showed significant decreases in levels of anxious attachment measures from pre- to post-test. Furthermore, the results from the RSQ 2-factor showed that participants in the treatment group demonstrated a significant decrease in avoidant attachment levels at post-test compared to the waitlist group. The results from the AAS showed that participants in the treatment group demonstrated a significant decrease in dependent attachment levels at post-test compared to the waitlist group. Implications of results are discussed.     

Women Offenders Who Use and Deal Methamphetamine

Abstract

This article describes the patterns of methamphetamine use among a group of women offenders and their involvement in manufacturing and distributing the drug. All of the women (N = 64) had used methamphetamine frequently for some time during their lives and were recently mandated to a prison- and a community-based drug treatment program in Portland, Oregon. The vast majority of women used methamphetamine regularly during the past year, and most of them had been involved in the production or distribution of the drug. Many of them continued to be involved in dealing methamphetamine over time. Implications for mandated drug treatment are discussed.     

A systematic review and meta-analysis on the effects of European drug treatment programmes on reoffending

This article presents the results of a systematic review and meta-analysis on the effects of treatment programmes for drug abusing offenders in Europe, using stringent eligibility criteria to control for threats to internal validity. A literature search of approximately 37,000 titles revealed 15 sound evaluations from six countries, containing 3953 participants. There were significant positive overall effects of treatment on crime (d=0.47) and illicit drug use (d=0.38). Most evaluations originated from the UK and evaluated primarily substitution therapy-based treatment. Evaluations of other interventions were a minority. Our findings support the use of treatment programmes among substance-abusing offenders. However, these results are limited to a small set of programmes from very few countries. Therefore, sound evaluations on a range of treatments across Europe are needed.     

Mandating treatment for drug possessors: The impact of Senate Bill 123 on the criminal justice system in Kansas

Kansas' Senate Bill 123 (SB 123) created mandatory community-based drug treatment for individuals convicted of first- or second-offense drug possession. This study examined the impact of SB 123 on sentencing practices, supervision, and treatment services across Kansas. The study indicated that SB 123 diverted drug possessors not from prison, as intended, but from one form of community supervision to another, subjecting more offenders to greater surveillance and longer sentences. Such “front-end” net-widening was due to the structure of the law itself and a lack of understanding of pre-implementation sentencing practices. In some counties, judges engaged in some circumvention of the law, suggesting possible local-level differences in buy-in among courtroom actors; such circumvention was also focused on offenders with more serious criminal histories, indicating judicial-level evaluations of offender amenability to treatment. While SB 123 offenders received the treatment they were assessed to need, the provision of treatment remained heavily concentrated in a few providers, increasing disparities in access to treatment and making the success of the program highly dependant on a small number of institutional actors.     

EFFECTIVENESS OF DRUG TREATMENT COURTS: EVIDENCE FROM A RANDOMIZED TRIAL*

Research Summary: Study randomly assigned 235 offenders to drug treatment court (DTC) or “treatment as usual.” Analyses of official records collected over a two‐year follow‐up period show that DTC is reducing crime in a population of drug‐addicted offenders. DTC subjects who participated in treatment were significantly less likely to recidivate than were both untreated drug court subjects and control subjects. Policy Implications: Continued enthusiasm for DTCs is warranted. Both sanctions and treatment are important elements of the DTC model. However, DTCs will not necessarily result in cost reductions because DTC and control cases are incarcerated for approximately equal numbers of days. Implementation fidelity is important, and DTCs can be strengthened if they engage a higher percentage of their clients in drug treatment.     

The Use of Citizen Review Boards with Juvenile Offender Cases: An Evaluation of the Effectiveness of a Pilot Program

This study evaluates a Citizen Review Board (CRB) program designed to review juvenile offender cases. The sample includes 157 juvenile offenders that were first‐time adjudicated offenders. The youth were randomly assigned by the juvenile judge either to receive review by the CRB or go through the regular court process. Sixty‐eight of the youth were reviewed by the CRB and 89 made up the control group. Data were collected on both groups for more than three years. Program outcomes examined for the study included court processing time, placement and treatment facility changes, and re‐offense rates. Findings suggest that the youth served by the CRB program had statistically fewer out‐of‐home placements in treatment programs during the course of the study and more time had elapsed between the date of the original offense and the re‐offense for youth reviewed by the CRB. The rise in the number of juvenile offenders going through the nation's court systems, as well as a rise in the number of citizen review boards, indicate a need for further examination about how CRBs can best serve the juvenile court system and the youth served by that system.     

Predictors of sex offender treatment dropout: psychopathy,sex offender risk,and responsivity implications

Abstract

We examined sex offender treatment dropout predictors, in particular, the relationship of psychopathy and sex offender risk to treatment dropout in a sample of 154 federally incarcerated sex offenders treated in a high intensity sex offender treatment program. Demographic, criminal history, mental health and treatment-related data as well as data on risk assessment measures including the Static 99, Violence Risk Scale – Sexual Offender version (VRS-SO), and Psychopathy Checklist – Revised (PCL-R) were collected. Logistic regression and discriminant function analyses were used to identify predictors that made significant and unique contributions to dropout among all the variables under study. The Emotional facet of Factor 1 of the PCL-R and never being married were found to be the most salient predictors of treatment dropout and correctly identified about 70% of the cases. The implications of the findings for managing treatment dropout and for the treatment of psychopathic offenders are discussed.     

An Examination of the Denver Drug Court: The Impact of a Treatment‐Oriented Drug‐Offender System

This paper reports on a retrospective study of the Denver Drug Court that was conducted to assess the court's impact on court processing, treatment matching, and offender recidivism. A sample of 300 offenders from the Denver Drug Court and drug offenders from two previous years prior to the drug court was obtained. Quasi‐experimental procedures were used to examine differences in measured variables across each offender cohort. Data for this study were collected from court records as well as through on‐line arrest records. This paper begins with an exploration of the organizational framework of the Denver Drug Court and the court's related treatment options. It also examines the extant literature on the effectiveness of drug courts. Analysis of the data indicates that the Denver Drug Court has reduced case processing time and it has slightly reduced the amount of time offenders spend in presentence confinement. Unlike previous studies of drug courts, this study attempted to examine the court's ability to match offenders to treatment needs. Analysis of the available data, although limited, suggests that offenders are being matched to appropriate levels of treatment. Finally, data analysis indicates no significant differences in revocation or rearrest rates. This article concludes with a discussion of the controversial nature of drug courts. Directions for future research are offered.     

Female recidivists speak about their experience in drug court while engaging in appreciative inquiry

Eleven female drug-court participants looked at current and past experiences to assess their program and envision future program innovations. From these women's perspective, the strongest component of drug court was being surrounded by staff dedicated to their progress and recovery. Graduated supervision and accurate drug testing were appreciated rather than resented when the participants were not humiliated and were treated with respect. Wraparound services, resources, and referral; treatment facilities that accepted children; and individualized treatment plans and therapy with offenders who are ex-addicts, and preferably females, allowed for greater involvement and active participation in recovery. Progressing through three phases, acquiring skills, a job, and visitation rights to see their children or regaining custody, increased these women's sense of self-efficacy perception and confidence in their ability to lead a drug-free, meaningful life. Findings show the importance of qualitative criteria in evaluating drug-court participants' progress and the process of recovery.     

Offenders have higher delay‐discounting rates than non‐offenders after controlling for differences in drug and alcohol abuse

Purpose. Do criminal offenders discount future rewards more rapidly than non‐offenders? Theories of criminality assume that impulsivity is a key predictor of offending and suggest an affirmative answer, but there are no prior relevant studies with adult offenders and the only previous study with juveniles failed to find that offenders discounted delayed rewards more steeply than controls ( Wilson & Daly, 2006 ). Method. We measured rates of delay discounting for adult offenders incarcerated in two medium‐security facilities in New Zealand (n= 63) and non‐offender controls (n= 70) using a questionnaire which asked participants to nominate an indifference point – an amount of money to be received after a delay that was equal in value to an immediate amount – for immediate rewards varying from $500 to $4,000. Indifference points were converted to annual discounting rates. Self‐reported measures of alcohol and drug abuse were also obtained. Results. Offenders discounted future rewards substantially more than non‐offenders, and rates varied systematically with amount and delay for both groups, consistent with previous research. The difference in delay discounting between offenders and controls remained significant after controlling for self‐reported drug and alcohol use. There were no significant gender differences. Conclusions. These results suggest that offenders have a deficit in delay discounting, likely appearing in late adolescence or early adulthood, which may lead them to make suboptimal choices.     

Simulated evidence on the prospects of treating more drug-involved offenders

Despite a growing consensus among scholars that substance abuse treatment is effective at reducing offending, strict eligibility rules and budgetary considerations greatly limit the impact that current models of therapeutic jurisprudence can have on public safety in the United States. A question of pressing importance for U.S. drug policy is whether it is beneficial to expand application of this model to treat every offender in need and, if so, whether a set of evidence-based, going-to-scale strategies can be developed to prioritize participation. We use evidence from several sources to construct a synthetic dataset for answering the question: What are the benefits we can reasonably expect by expanding treatment to drug-involved offenders? We combine information from the National Survey on Drug Use and Health (NSDUH) and the Arrestee Drug Abuse Monitoring (ADAM) program to estimate the likelihood of various arrestee profiles having drug addiction or dependence problems. We use the same sources to also develop prevalence estimates of these profiles among arrestees nationally. We use information in the Drug Abuse Treatment Outcome Study (DATOS) to compute expected crime-reducing benefits of treating various types of drug-involved offenders under different treatment modalities. We find that annually nearly 1.5 million (probably guilty) arrestees in the U.S. are at risk of abuse or dependence and that treatment alone could avert several million crimes that these individuals would otherwise commit. Results vary by treatment modality and arrestee traits and those results are described herein.     

The case against the use of polygraph examinations to monitor post‐conviction sex offenders

In this article I caution against the use of polygraph testing in convicted sex‐offenders programs. First, I explain that the prevalent method of polygraph testing, the CQT, suffers from several major flaws and has no scientific basis. These flaws, which characterize all usages of the CQT, including its use with sex offenders, create a considerable risk for false positive as well as false‐negative errors. Second, no methodologically sound research examining the validity of the CQT, neither in its forensic application, nor in its use with sex offenders has been conducted. Finally, I explain why the use of CQT polygraphy with sex offenders is even more problematic than its common use as an aid in criminal investigations. Clearly, rehabilitation programs of convicted sex offenders are highly important, but the use of polygraph testing in this context is misguided and instead of reducing recidivism in sex offenders is likely to achieve just the opposite.     

Drug courts for DWI offenders? The effectiveness of two hybrid drug courts on DWI offenders

The effectiveness of drug courts for illegal drug-involved offenders has been well documented (Belenko, 1998, 2001; Wilson, Mitchell, & MacKenzie, 2006), however, few studies had examined whether they work for repeat “driving while intoxicated” (DWI) or “driving under the influence” (DUI) offenders. The current study examined sixty-six offenders who had completed one of two hybrid DUI/drug courts (compared to eighty-six similar parolees) operating in two small cities in a single midwestern state. Results suggested that among non-DUI offenders, completion of the drug court program reduced recidivism, as might be expected; however, among the subsample of chronic DUI offenders no significant recidivism reduction was noted. These results add to the small, but growing literature suggesting that DUI courts (as they are currently being implemented) may not be an effective way to reduce the occurrence of repeat DUI offenses. Suggestions for DUI court implementation and future research are presented.     

It's a Family Affair

Abstract

In the United States, incarceration rates are increasing at an alarming rate. In particular, the incarceration of women is increasing. Oklahoma has the highest rate of female incarceration in the nation, and drug offenders comprise a significant proportion of these female inmates. Placing large numbers of women in prison may have serious implications not only for the women but also for their families, particularly their children. We surveyed 144 incarcerated female drug offenders in Oklahoma, 96 of whom reported dependent children living with them prior to incarceration. The data included the women's perceptions of the effect of their incarceration on their families as well as an examination of the potential for serious problems due to placement of the children. The study indicates that many children are placed with families that have a history of abuse, which suggests that failure to consider the implications of incarcerating large numbers of women likely contributes to serious abuse risks for their children.     

Exploring the role of locus of control in sex offender treatment

Abstract

This study aims to investigate the concept of Locus of Control (LoC) and its relationship to risk, personality disorder and treatment outcome in sexual offenders. The sample was taken from referrals to a community treatment service for sexual offenders in south-east London. One hundred and eighty-five men completed a measure of LoC at the time of assessment, of whom 74 entered the treatment programme and 39 completed a post-treatment LoC measure. At assessment, child molesters and non-contact offenders had a significantly more external LoC than rapists, and LoC was also significantly associated with cluster A and C personality disorder traits, as well as the presence of traits in two or more personality disorder clusters. LoC was not associated with risk measures or compliance with treatment. Once outliers were removed, a significant change was seen in post-treatment LoC scores, with most change occurring in an increasingly internal direction.