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Collaborative behavioral management among parolees: drug use, crime and re-arrest in the Step'n Out randomized trial.
- Source :
- Addiction; Jun2012, Vol. 107 Issue 6, p1099-1108, 10p
- Publication Year :
- 2012
-
Abstract
- ABSTRACT Aims To determine whether collaborative behavioral management (CBM) reduces substance use, crime and re-arrest among drug-involved parolees. Design Step'n Out was a randomized behavioral trial of CBM versus standard parole (SP) during 2004-08. CBM adapted evidence-based role induction, behavioral contracting and contingent reinforcement to provide parole officer/treatment counselor dyads with positive tools in addition to sanctions to manage parolees' behavior over 12 weeks. Setting Six parole offices in five states in the USA. Participants Parolee volunteers with a mandate for addiction treatment and a minimum of 3 months of parole ( n = 476). Follow-up was 94% at 3 months and 86% at 9 months. Measurements Drug use and crime in a given month from calendar interviews 3 and 9 months after parole initiation, and re-arrests from criminal justice administrative data. Findings The CBM group had fewer months in which they used their primary drug [adjusted risk ratio (ARR) 0.20, 95% confidence interval (CI): 0.05, 0.78, P = 0.02] and alcohol (ARR 0.38, 95% CI: 0.22, 0.66, P = 0.006) over follow-up. CBM had its greatest effects among parolees who reported marijuana or another 'non-hard' drug as their primary drug; parolees who preferred stimulants or opiates did not benefit. No differences were seen in total crime, re-arrests or parole revocations. Conclusions Collaborative behavioral management may reduce substance use among primary marijuana or other 'non-hard' drug-using parolees without increasing revocations. Because the majority of drug violation arrests in the United States are for marijuana, these findings have important implications for the management of a substantial proportion of the US community correctional population. [ABSTRACT FROM AUTHOR]
- Subjects :
- CRIME prevention
SUBSTANCE abuse treatment
DISEASE relapse prevention
ANALGESICS
CANNABIS (Genus)
COCAINE
CONFIDENCE intervals
CORRECTIONAL personnel
STATISTICAL correlation
COUNSELORS
COURTS
CRIMINALS
DATABASES
DRUG use testing
DRUGS of abuse
INTERPROFESSIONAL relations
INTERVIEWING
LONGITUDINAL method
REHABILITATION of people with mental illness
METHAMPHETAMINE
NARCOTICS
HEALTH outcome assessment
QUESTIONNAIRES
REINFORCEMENT (Psychology)
RESEARCH funding
STATISTICAL sampling
SELF-evaluation
STATISTICS
T-test (Statistics)
LOGISTIC regression analysis
DATA analysis
DRUG abusers
RANDOMIZED controlled trials
TREATMENT effectiveness
BEHAVIOR modification
INDEPENDENT living
INTER-observer reliability
REPEATED measures design
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09652140
- Volume :
- 107
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Addiction
- Publication Type :
- Academic Journal
- Accession number :
- 74981125
- Full Text :
- https://doi.org/10.1111/j.1360-0443.2011.03769.x