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This study uses data from the Criminal Justice Kentucky Treatment Outcome Study (CJKTOS) to describe treatment outcomes following prison and jail-based treatment among women residing in metro and non-metro areas following release. The study takes an exploratory look at potential differences in sustained abstinence, community treatment utilization, and recidivism by geographic location (metro/non-metro) and treatment program (jail or prison). Baseline data was collected from women as they entered two prison and two jail-based treatment programs, and follow-up data was collected 12 months post-release in the community. Bivariate group differences were noted with a higher percentage of metro women who participated in prison-based treatment relapsing to cocaine use during the follow-up period compared to non-metro women. In multivariate models, females who participated in jail-based treatment and prison-based treatment fared similarly on study outcomes. There was, however a main effect of residence status in that women living in non-metro areas during the follow-up period were less likely to utilize community-based aftercare treatment and less likely to be re-incarcerated during the follow-up period than women living in metro areas. Findings are discussed with regard to future research and practice implications for women offenders transitioning to geographically different communities following release.

Recent national data suggest that the prevalence of driving under the influence (DUI) is higher in rural areas than in more urbanized areas of the United States. However, little is known about rural DUI offenders, particularly those living in very remote areas. This study was conducted to examine the similarities and differences between rural and urban DUI offenders. Based on recent research, it was expected that few differences would be found between rural and urban DUI offenders.

Faith-based beliefs are associated with and considered to be a vital component in enhancing the efficacy of substance abuse treatment and recovery. However, relatively little empirical information has been accumulated on the temporal stability of individuals' use of faith and its importance before and following initiation of the therapeutic process. The current study examined persistence in turning to faith across time as a predictor of substance use, criminal behavior, and perceived addiction severity in a sample of 500 Kentucky Drug Court participants. Results suggest that when modeling variance in faith, which persists across the two-year span of Drug Court involvement as a latent construct, greater persistence in one's faith predicts decreases in substance use frequency measured at the final 24-month interview. The latent faith construct was marginally related to differences in 24-month criminal behavior and was not associated with perceptions of addiction severity. Results are discussed for substance abuse treatment needs and recovery.

This study describes gender-specific patterns of drug use among active rural stimulant users and examines religiosity and spirituality as factors that may be related to stimulant use among males and females. The study includes a sample of 225 active rural stimulant users from Kentucky who were recruited using respondent driven sampling and completed face-to-face interviews. Findings suggest gender specific patterns among active rural stimulant users, with females reporting more amphetamine use. In addition, bivariate findings indicate that there is an inverse relationship between spirituality, religiosity, and stimulant use (specifically methamphetamine and amphetamine use), particularly for males. However, when further examining this relationship in multivariate models controlling for age and race, few significant findings were noted for spirituality and religiosity in predicting gender-specific stimulant use patterns. These findings suggest that treatment interventions that incorporate spirituality and religiosity should not only be gender specific, but should also target clients differentially. Findings on the degree of reported spirituality and religiosity also suggest that religious and/or faithbased organizations could be utilized for drug use interventions for rural stimulant users.