The costs of crime and the benefits of substance abuse treatment for pregnant women

Daley, Marilyn; Argeriou, Milton; McCarty, Dennis; Callahan, James J.; Shepard, Donald S.; Williams, Carol N.

doi:10.1016/s0740-5472(00)00138-0

Cited by 45 publications

(43 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Given the poor maternal outcomes with withdrawal alone, maintenance should be considered as the primary treatment approach. The cost of crime and the benefits of substance abuse treatment for pregnant women Daley et al [12] Journal of Substance Abuse Treatment, 2000…”

Section: Systematic Reviewmentioning

confidence: 99%

“…Neonates suffering from NAS grow poorly in the neonatal period, and have reduced height compared with controls at 3 years of age. [12] The longer-term implications of methadone maintenance treatment are also not clear. Hunt et al [6] conducted a study on infants who had developed NAS, and found that they had evidence of both cognitive and psychomotor deficit on psychometric testing compared with non-opiate-exposed controls.…”

Section: Researchmentioning

confidence: 99%

“…This concept has, however, been challenged by Daley et al, [12] who suggest that the healthcare costs should not be viewed in isolation. They argue that maintenance treatment reduces maternal criminal behaviour by reducing illicit drug use, which has secondary cost implications for society.…”

Section: Researchmentioning

confidence: 99%

See 2 more Smart Citations

Heroin detoxification during pregnancy: A systematic review and retrospective study of the management of heroin addiction in pregnancy

Gilfillan¹,

Dannatt

Stein

et al. 2018

S Afr Med J

View full text Add to dashboard Cite

Background. There is general consensus that methadone maintenance is the gold standard in the management of pregnant heroin users. However, in South African state hospitals, methadone withdrawal is the routine procedure offered to these patients, as methadone maintenance programmes are unavailable in the public sector. Objectives. To conduct a systematic review of the literature on heroin detoxification in pregnancy, and to document pregnancy outcomes in heroin users detoxified with methadone at Groote Schuur Hospital (GSH), Cape Town, from 2006 to 2010. Methods. A literature search was undertaken to identify key publications on the management of heroin addiction in pregnancy. Patients for the study were identified from the GSH methadone registry, and data were collected from the clinical files. Results. A total of 20 relevant publications were identified and reviewed. Early case reports described an increased risk of stillbirths and fetal distress after methadone detoxification, but more recent case series involving larger numbers of patients showed positive outcomes. In our study, six pregnant patients received methadone withdrawal over a 5-year period at GSH, and all the neonates had good Apgar scores and were discharged home within 3 days of delivery. Conclusions. There is limited evidence on the management of heroin addiction during pregnancy, and the only two guidelines identified suggest that methadone maintenance is preferable to methadone withdrawal. The favourable pregnancy outcomes in this small sample of patients managed with methadone withdrawal suggest that it may be safe and deserves further study.

show abstract

Section: Systematic Reviewmentioning

confidence: 99%

Section: Researchmentioning

confidence: 99%

See 1 more Smart Citation

Heroin detoxification during pregnancy: A systematic review and retrospective study of the management of heroin addiction in pregnancy

Gilfillan¹,

Dannatt

Stein

et al. 2018

S Afr Med J

View full text Add to dashboard Cite

show abstract

“…Ist diese Behandlung erfolgreich absolviert, wird die unbedingte in eine bedingte Strafe umgewandelt ("Therapie statt Strafe" Im Rahmen der vorliegenden Untersuchung wird der Frage nachgegangen, wie weit sich ‚Freiwillige' von Zwangsklienten hinsichtlich demographischer Daten, der Drogenanamnese, medizinischer sowie psychologischer Problematik, des kriminellen Verhaltens sowie des subjektiv wahrgenommenem Behandlungszwanges von ‚Freiwilligen' unterscheiden. In zahlreichen Studien konnte bisher ein Zusammenhang zwischen Drogenabhängigkeit und Kriminalität gefunden werden [1,2,7,15,18]. Demzufolge ist auch für ‚freiwillige' Klienten eine kriminelle Vorbelastung zu erwarten, die beiden Gruppen sollen diesbezüglich verglichen werden.…”

Section: Coercion or Voluntarinessclient Characteristics And Motivatiunclassified

Freiwilligkeit oder Zwang

Gegenhuber

Werdenich²,

Kryspin-Exner

2009

Forens Psychiatr Psychol Kriminol

View full text Add to dashboard Cite

“…Despite considerable methodological and empirical developments in the economic assessment of adult substance abuse programs (Barnett, Zaric, & Brandeau, 2001;Cisler, Holder, Longabaugh, Stout, & Zweben, 1998;Daley, Argeriou, McCarty, Callahan, Shepard, & Williams, 2000;French, Salomè, Krupski, McKay, Donovan, McLellan, & Durell, 2000;French, Salome, Sindelar, & McLellan, 2002a;McCollister, French, Inciardi, Butzin, Martin, & Hooper, 2003), economic evaluation techniques have not yet been systematically adopted in studies of adolescent addiction treatment. The economic evaluation of adolescent addiction treatment is considerably more complex than that of adult treatment because of the diversity of juvenile delivery systems, the absence of standardized economic instrumentation or modules, the integral participation of parents/guardians and other family members, the unique social and economic outcomes, and outcome measures with highly skewed distributions.…”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness analysis of four interventions for adolescents with a substance use disorder

French

Zavala

McCollister

et al. 2008

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

Alcohol, tobacco, and illicit drug use among adolescents in the U.S. continues to be a serious public health challenge. A variety of outpatient treatments for adolescent substance use disorders have been developed and evaluated. Although no specific treatment modality is effective in all settings, a number of promising adolescent interventions have emerged. As policy makers try to prioritize which programs to fund with limited public resources, the need for systematic economic evaluations of these programs is critical. The present study attempted a cost-effectiveness analysis (CEA) of four interventions, including family-based, individual, and group cognitive behavioral approaches, for adolescents with a substance use disorder. The results indicated that treatment costs varied substantially across the four interventions. Moreover, family therapy showed significantly better substance use outcome compared to group treatment at the 4-month assessment, but group treatment was similar to the other interventions for substance use outcome at the 7-month assessment and for delinquency outcome at both the 4-month and 7-month assessments. These findings over a relatively short follow-up period suggest that the least expensive intervention (group) was the most cost effective. However, this study encountered numerous data and methodological challenges in trying to supplement a completed clinical trial with an economic evaluation. These challenges are explained and recommendations are proposed to guide future economic evaluations in this area. KeywordsCost-effectiveness analysis; adolescent substance use interventions; substance use disorders; adolescent treatment outcomes; behavioral and family-based interventions

show abstract

The costs of crime and the benefits of substance abuse treatment for pregnant women

Cited by 45 publications

References 38 publications

Heroin detoxification during pregnancy: A systematic review and retrospective study of the management of heroin addiction in pregnancy

Heroin detoxification during pregnancy: A systematic review and retrospective study of the management of heroin addiction in pregnancy

Freiwilligkeit oder Zwang

Cost-effectiveness analysis of four interventions for adolescents with a substance use disorder

Contact Info

Product

Resources

About