Reducing Hospitalizations and Arrests for Substance Abusers

Groppenbacher, John; Batzer, Gabrielle Bemis; White, Lon R.

doi:10.1111/j.1521-0391.2003.tb00613.x

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…Groppenbacher et al followed veterans admitted to community-based residential substance use treatment for two years after program discharge. 50 The number of arrests declined from 58 in the two years before treatment, to 40 in the two years after treatment, representing a reduction in arrests of 30%. Wallace and Weeks found that veterans who completed a VA substance use intensive outpatient treatment program were significantly less likely to be incarcerated at six-month follow-up than veterans who did not complete the program (1% versus 10%).…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of Criminal and Legal Involvement After Substance Use and Mental Health Treatment Among Veterans: Building Toward Needed Research

et al. 2020

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Evidence indicates that substance use and mental health treatment is often associated with reduced criminal activity. The present systematic review examined this association among military veterans, and aimed to provide a comprehensive summary of needed research to further contribute to reduced criminal activity among veterans. This systematic review was derived from a scoping review that mapped existing research on justice-involved veterans’ health. For the current systematic review, a subset of 20 publications was selected that addressed the question of whether criminal activity declines among veterans treated for substance use and mental health disorders. Generally, veterans improved on criminal outcomes from pre- to post-treatment for opioid use, other substance use, or mental health conditions, and more sustained treatment was associated with better outcomes. This occurred despite high rates of criminal involvement among veterans prior to entering treatment. Needed are substance use and mental health treatment studies that include women justice-involved veterans, follow criminally-active veterans for longer periods of time, and use validated and reliable measures of criminal activity with fully transparent statistical procedures. Future randomized trials should evaluate new treatments against evidence-based treatments (versus no-treatment control conditions). Subsequent studies should examine how to link veterans to effective treatments, facilitate sustained treatment engagement, and ensure the availability of effective treatments, and examine mechanisms (mediators and moderators) that explain the association of treatment with reduced criminal activity among veterans. Best practices are needed for reducing criminal activity among the minority of justice-involved veterans who do not have diagnosed substance use and/or mental health disorders.

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Section: Resultsmentioning

confidence: 99%

“…To summarize studies that examined substance use treatment other than for opioid use, most reported that legal and criminal problem severity declined among veteran patients, including those with co-occurring mental health problems, 41–43,50,52,55 or that longer treatment was associated with better legal and criminal outcomes. 42,49…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Criminal and Legal Involvement After Substance Use and Mental Health Treatment Among Veterans: Building Toward Needed Research

et al. 2020

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“…For many, rehospitalization is reduced with residential treatment. 21 Helping to identify, and to facilitate the use of, services for legal advice and ways to address her immigration status would empower Bianca and help improve her independence and self-esteem. Understanding her separation from her son and family, along with supporting ways that Bianca can improve that relationship, is a fundamental part of Bianca's treatment plan.…”

Section: Ed Trejo MDmentioning

confidence: 99%

“…For Bianca, in particular, medication noncompliance and substance abuse increase her chances of hospitalizations and violent behavior, including suicide attempts. 21 In conclusion, engaging Bianca in a treatment plan with a multidisciplinary approach is important. With as much cultural awareness as possible, Bianca's caregivers need to acknowledge, treat, and help resolve her many psychosocial stressors.…”

Section: Ed Trejo MDmentioning

confidence: 99%

Immigration Trauma, Substance Abuse, and Suicide

Epelbaum

Taylor

Dekleva

2010

Harvard Review of Psychiatry

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Bianca is a 35-year-old, divorced Brazilian woman with a history of depression, anxiety, trauma, and substance abuse who has made several serious suicide attempts. Before three years ago, Bianca had no history of mood or anxiety symptoms. In fact, most of her recent psychiatric symptoms have occurred in the context of heavy substance use.Bianca was previously stable and gainfully employed as a legal secretary in the court system of Brazil. She functioned well until she came to the United States ten years ago looking for a better life. During the first seven years of her life as an illegal immigrant, Bianca struggled with the fear of deportation, issues of acculturation, and the lack of stable employment. Three years ago, Bianca married George, an American citizen, with the explicit purpose of obtaining legal immigration status. Despite the immigration ruse, Bianca hoped the marriage would work anyway. Before marrying,

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“…Substance use disorder treatment is often associated with reductions in assaultive and illegal behaviors (Groppenbacher, Bemis, & White, 2003). We wondered whether this would be true in a previously untreated sample and whether it would hold for women and men.…”

Section: 3 Help-related Predictors Of Assault and Police Troublementioning

confidence: 99%

Gender differences in 16-year trends in assault- and police-related problems due to drinking

Timko

Moos

2009

Addictive Behaviors

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This study examined the frequency and predictors of physical assault and having trouble with the police due to drinking over 16 years among women and men who, at baseline, were untreated for their alcohol use disorder. Predictors examined were the personal characteristics of impulsivity, self-efficacy, and problem-solving and emotional-discharge coping, as well as outpatient treatment and Alcoholics Anonymous (AA) participation. Women and men were similar on rates of perpetrating assault due to drinking, but men were more likely to have had trouble with the police due to drinking. Respondents who, at baseline, were more impulsive and relied more on emotional discharge coping, and less on problem-solving coping, assaulted others more frequently during the first year of follow-up. Similarly, less problem-solving coping at baseline was related to having had trouble with the police more often at one and 16 years due to drinking. The association between impulsivity and more frequent assault was stronger for women, whereas associations of self-efficacy and problem-solving coping with less frequent assault and police trouble were stronger for men. Participation in AA was also associated with a lower likelihood of having trouble with the police at one year, especially for men. Interventions aimed at decreasing impulsivity and emotional discharge coping, and bolstering self-efficacy and problem-solving coping, during substance abuse treatment, and encouragement to become involved in AA, may be helpful in reducing assaultive and other illegal behaviors.

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Reducing Hospitalizations and Arrests for Substance Abusers

Cited by 9 publications

References 9 publications

Systematic Review of Criminal and Legal Involvement After Substance Use and Mental Health Treatment Among Veterans: Building Toward Needed Research

Systematic Review of Criminal and Legal Involvement After Substance Use and Mental Health Treatment Among Veterans: Building Toward Needed Research

Immigration Trauma, Substance Abuse, and Suicide

Gender differences in 16-year trends in assault- and police-related problems due to drinking

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