A National Evaluation of Treatment Outcomes for Cocaine Dependence

Simpson, D. Dwayne; Joe, George W.; Fletcher, Bennett W.; Hubbard, Robert L.; Anglin, M. Douglas

doi:10.1001/archpsyc.56.6.507

Cited by 325 publications

(236 citation statements)

References 25 publications

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“…Staff working in private treatment organizations tended to have masters degrees, and, overall, the programs tended to employ a number of part-time or contractual staff to run individual programs. The DATOS findings indicate that typical out-patient programs were similar to the drug court treatment programs described earlier in that they included a mix of approaches with a focus on psychosocial education group counseling sessions and tended to be eclectic in the therapies that they provided (Simpson, Joe, Fletcher, Hubbard, & Anglin, 1997).…”

Section: Drug Treatment For Offenders In the Community Public Health mentioning

confidence: 68%

Drug treatment services for adult offenders: The state of the state

Taxman¹,

Perdoni²,

Harrison³

2007

Journal of Substance Abuse Treatment

267

238

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We conducted a national survey of prisons, jails, and community correctional agencies to estimate the prevalence of entry into and accessibility of correctional programs and drug treatment services for adult offenders. Substance abuse education and awareness is the most prevalent form of service provided, being offered in 74% of prisons, 61% of jails, and 53% of community correctional agencies; at the same time, remedial education is the most frequently available correctional program in prisons (89%) and jails (59.5%), whereas sex offender therapy (57.2%) and intensive supervision (41.9%) dominate in community correctional programs. Most substance abuse services provided to offenders are offered through correctional programs such as intensive supervision, day reporting, vocational education, and work release, among others. Although agencies report a high frequency of providing substance abuse services, the prevalence rates are misleading because less than a quarter of the offenders in prisons and jails and less than 10% of those in community correctional agencies have access to these services through correctional agencies; in addition, these are predominantly drug treatment services that offer few clinical services. Given that drug-involved offenders are likely to have dependence rates that are four times greater than those among the general public, the drug treatment services and correctional programs available to offenders do not appear to be appropriate for the needs of this population. The National Criminal Justice Treatment Practices survey provides a better understanding of the distribution of services and programs across prisons, jails, and community correctional agencies and allows researchers and policymakers to understand some of the gaps in services and programs that may negatively affect recidivism reduction efforts.

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Section: Drug Treatment For Offenders In the Community Public Health mentioning

confidence: 68%

Drug treatment services for adult offenders: The state of the state

Taxman¹,

Perdoni²,

Harrison³

2007

Journal of Substance Abuse Treatment

267

238

View full text Add to dashboard Cite

show abstract

“…The major goal of the therapeutic community is to encourage and support social learning, which fosters changes in behavior and attitude and the more elusive phenomenon of change in world view and self-image (De Leon, 2000). Studies have shown that individuals who complete therapeutic community treatment have lower levels of substance use, criminal behavior, unemployment, and depression than they had prior to treatment (Martin, Butzin, Saum, & Inciardi, 1999;Simpson, Joe, & Brown, 1997;Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999;Wexler, Melnick, Lower, & Peters, 1999).…”

Section: Therapeutic Communitiesmentioning

confidence: 99%

Behavioral Therapies Trials

et al. 2007

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“…Pharmacologic treatment trials for cocaine dependence report dropout rates of 0-84% (de Lima et al, 2004). Psychotherapy treatment trials for cocaine dependence report dropout rates of 29-41% (Kang et al, 1991;Simpson et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Performance on the Stroop Predicts Treatment Compliance in Cocaine-Dependent Individuals

Streeter

Terhune

Whitfield

et al. 2007

Neuropsychopharmacol

169

128

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Treatment dropout is a problem of great prevalence and stands as an obstacle to recovery in cocaine-dependent (CD) individuals. Treatment attrition in CD individuals may result from impairments in cognitive control, which can be reliably measured by the Stroop color-word interference task. The present analyses contrasted baseline performance on the color-naming, word-reading, and interference subtests of the Stroop task in CD subjects who completed a cocaine treatment trial (completers: N ¼ 50) and those who dropped out of the trial before completion (non-completers: N ¼ 24). A logistic regression analysis was used to predict trial completion using three models with the following variables: the Stroop task subscale scores (Stroop model); the Hamilton depression rating scale (HDRS) scores (HDRS model); and both the Stroop task subscale scores and HDRS scores (Stroop and HDRS model). Each model was able to significantly predict group membership (completers vs non-completers) better than a model based on a simple constant (HDRS model p ¼ 0.02, Stroop model p ¼ 0.006, and Stroop and HDRS model p ¼ 0.003). Models using the Stroop preformed better than the HDRS model. These findings suggest that the Stroop task can be used to identify cocaine-dependent subjects at risk for treatment dropout. The Stroop task is a widely available, reliable, and valid instrument that can be easily employed to identify and tailor interventions of at risk individuals in the hope of improving treatment compliance.

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A National Evaluation of Treatment Outcomes for Cocaine Dependence

Cited by 325 publications

References 25 publications

Drug treatment services for adult offenders: The state of the state

Drug treatment services for adult offenders: The state of the state

Behavioral Therapies Trials

Performance on the Stroop Predicts Treatment Compliance in Cocaine-Dependent Individuals

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