Predictors of therapeutic engagement in prison-based drug treatment

Welsh, Wayne N.; McGrain, Patrick N.

doi:10.1016/j.drugalcdep.2008.03.019

Cited by 36 publications

(40 citation statements)

References 60 publications

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“…While it is generally accepted that a strong relationship between clients and counselors-treatment alliance-3 is necessary for positive therapeutic change in a TC setting (Melnick & De Leon, 1999;Welsh & McGrain, 2008), noticeably absent from the literature is the association of program capacity-building via staff training and treatment outcomes. However, there are a few studies that partially address staff training effects.…”

Section: Drug User Treatment Staff Capacity Buildingmentioning

confidence: 98%

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Johnson

Young

Shamblen

et al. 2012

Substance Use & Misuse

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This study, conducted in 2005 to 2007, presents results that are based on a proscriptive cohort design. The sample consisted of 769 residents in 22 drug user treatment programs who stayed in treatment for at least 30 days to one year; 510 former residents (66%) from 21 programs (95%) were interviewed again at a 6-month post-treatment follow-up assessment. A majority of the participants were male, lived with family or relatives, had completed only primary school, and had a full-time or a part-time job prior to entering treatment. The participating therapeutic community (TC) programs were a mixture of volunteer, compulsory-probation, and prison-based programs. In-person interview data and urine testing showed that the self-reported drug use prevalence rates are reliable. The results show large positive treatment effects on 30-day and 6-month illegal drug use and small to medium effects on the severity of alcohol use and related problems. A multilevel regression analysis suggests that residents' reduced stigma, adaptation of the TC model, and frequency of alcohol and drug use-related consequences partially predict treatment success. Study limitations and policy implications are discussed.

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Section: Drug User Treatment Staff Capacity Buildingmentioning

confidence: 98%

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Johnson

Young

Shamblen

et al. 2012

Substance Use & Misuse

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“…The depth of the relationship between the drug worker and service user includes factors such as worker competence, rapport and service user perceptions of the services available at entry have been shown to correspond with on-going engagement with treatment programmes (Fiorentine, Nakashima, & Anglin, 1999;Joe, Simpson, & Broome, 1999;Najavits & Weiss, 1994;Simpson, Joe & Brown, 1997;Welsh & McGrain, 2008). Research has also suggested that one reason for clients to disengage with treatment include dissatisfaction with their relationship with a worker and that ''only by 'knowing our customer' can we develop and provide services that attract and retain those who need it'' (Laudet, Stanick, & Sands, 2009, p. 188).…”

Section: Introductionmentioning

confidence: 96%

An assessment of SERVQUAL as a measure of service quality in English male prisons: Perceptions and expectations of the Integrated Drug Treatment System (IDTS)

Sondhi¹,

Day²

2011

Drugs: Education, Prevention and Policy

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Aims: Validated schedules such as the Treatment Perceptions Questionnaire or Patient Satisfaction Questionnaire quantify service user satisfaction levels as a quality of service measure. This study assesses whether the validated survey instrument SERVQUAL can be used to measure service user satisfaction levels of the Integrated Drug Treatment System (IDTS) in English prisons. Methods: In this study, 96 face-to-face prisoner interviews were undertaken using SERVQUAL across eight prisons in England. Expectations, perceptions and a gap analysis were undertaken. Statistical reliability and validity of SERVQUAL were tested using principal components analysis and service quality factors were examined using linear regression methods. Findings: Prisoners were shown to have high expectations of IDTS services. Apart from one domain (tangibles), prisoners perceived services as not meeting their expectations. Factor analysis demonstrated that SERVQUAL had poor construct validity as the five domains did not map as expected. Three new service quality factors were identified -interpersonal, treatment content and professional qualities -along with an inverse relationship with previous treatment experiences prior to prison. Conclusions: Perception-only schedules may mask dissatisfaction levels by excluding the role that expectations play in the treatment process. More nuanced schedules are required to quantify satisfaction levels with reference to previous treatment experiences. Interpersonal qualities and treatment content qualities should form domains that measure service users' satisfaction with treatment.

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“…It is possible to enhance prisoners' motivation either during the intervention itself or by motivational treatment (McMurran, 2002). The motivation of the least-motivated groups tends to be strengthened the most (Welsh & McGrain, 2008).…”

Section: Evidence-based Substance Abuse Interventions In Prisonsmentioning

confidence: 98%

Who receives substance abuse treatment in the ‘real world’ of the prison? A register-based study of Finnish inmates

Obstbaum

Tyni²

2015

jssccp

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Assessing and targeting substance abuse-related treatment needs according to evidence-based practice has become the norm in most prison administrations. Not everyone with a need will, however, receive support in practical settings. Drawing on Finnish prison registers, we show that of all prisoners released in 2011, 60% were assessed as having a need for substance abuse-related support. Of these, 22% received an intervention in prison. Two multivariate models were used to examine the factors related to selection into interventions. The main factors associated with receiving an intervention with evidence-based programmes were a longer sentence, Finnish nationality, younger age and treatment motivation. The predictors for any substance abuse interventions (including non-evidence-based) were the same, with the exception that motivation was no longer a significant predictor, and female gender remained significant. The selective use of motivation as an entrance criterion for interventions can be a means of systemic adaptation to a combination of a high prevalence of substance abuse problems and a lower prevalence of treatment motivation in the prison population. We discuss how our results might reflect a Scandinavian way of doing evidence-based, prison-based drug treatment-one that stresses rehabilitation as a goal in itself in addition to reducing recidivism. Most prisoners, however, do not receive any intervention at all.

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Predictors of therapeutic engagement in prison-based drug treatment

Cited by 36 publications

References 60 publications

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

An assessment of SERVQUAL as a measure of service quality in English male prisons: Perceptions and expectations of the Integrated Drug Treatment System (IDTS)

Who receives substance abuse treatment in the ‘real world’ of the prison? A register-based study of Finnish inmates

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