The Economic Impact of Diverting Substance-Abusing Offenders into Treatment

Mauser, Elizabeth; Stelle, Kit R. Van; Moberg, D. Paul

doi:10.1177/0011128794040004006

Cited by 35 publications

(39 citation statements)

References 15 publications

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“…Blum, & Teufel-Stone, 2010;Pullmann et al, 2006) may reduce early and repeated arrests. Moreover, diversionary programs may be more cost-effective than incarceration for substance abusing offender (Mauser, Van Stelle, & Moberg, 1994). But first arrest already may be too late in a cumulative process.…”

Section: Discussionmentioning

confidence: 99%

Substance Use Disorders, Comorbidity, and Arrest Among Indigenous Adolescents

Sittner

Whitbeck

Prentice

2012

Crime & Delinquency

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Indigenous adolescents are overrepresented at multiple stages of the justice system, but we know very little about the role that mental health, particularly substance use disorder, plays in Indigenous pathways to arrest. This study examined the association between substance use disorder, its comorbidity with other disorders, and arrest using a longitudinal sample of Indigenous youth from the Northern Midwest and Canada. Of the 16% of youth who reported at least one arrest at Wave 5, half met criteria for substance abuse/dependence, and slightly more for conduct disorder. Substance abuse/dependence and conduct disorder were each associated with an increased risk of arrest, although co-occurring disorders were not. The reciprocal effects of arrest and mental disorder are discussed. KeywordsSubstance use disorder; Mental disorder; Criminal arrest; Delinquency; American Indian/Alaska Native On any given day, 1 in 25 American Indians/Alaska Natives (AIAN) aged 18 years or older is under the jurisdiction of the criminal justice system. AIAN youths represent about one percent of the U.S. population yet make up two to three percent of those arrested for offenses such as theft and alcohol violations, and, when arrested, they are 18 times more likely to be committed to adult prisons than are European adolescents. Of all youths who are prosecuted federal courts, 32% are placed in a secure facility; of these 74% are AIAN

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Section: Discussionmentioning

confidence: 99%

Substance Use Disorders, Comorbidity, and Arrest Among Indigenous Adolescents

Sittner

Whitbeck

Prentice

2012

Crime & Delinquency

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“…30 The study is conducted in three Wisconsin counties in 1990-91. There are 112 participants; 76 agreed to a baseline interview and only 25 completed the follow-up face-to face interview at approximately 20 months.…”

Section: Introductionmentioning

confidence: 99%

Cost-benefit analysis of drug treatment services: review of the literature

Cartwright

2000

J. Mental Health Policy Econ.

120

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Background: How valuable is public investment in treatment for drug abuse and dependency in the real world of everyday practice? Does drug abuse treatment provide benefits and how are they valued? What are the costs of obtaining outcomes and benefits? Cost-benefit analysis attempts to answer these questions in a standard analytic framework. Aims: This paper reviews cost-benefit analyses with scientific merit so that analysts will have a current picture of the state of the research. It will also give public decision-makers information with regards to the available evidence for policy purposes. Method: Bibliographic searches were performed. Studies were obtained through the assistance of the Parklawn Health Library system, a component of the US Public Health Service. Selected studies were from the scientific literature with the exception of eight studies published as governmental reports. Results: Cost-benefit studies have fallen into the following categories: (i) planning models for delivery systems in states and cities; (ii) short-term follow-up studies of individuals, (iii) single individual programs and (iv) state system's monitoring of outcomes. In 18 cost-benefit studies, a persistent finding is that benefits exceed costs, even when not all benefits are accounted for in the analysis. Much variation is found in the implementation of costbenefit methods, and this is detailed across discussions of effectiveness, benefits and costs. Studies have emphasized the cost savings to society from the reduction in external costs created by the behavioral consequences of addiction and drug use. Discussion: Economic analysis of drug treatment requires sophisticated conceptualization and measurement. Cost-benefit analysis of drug treatment has been a significant analytical exercise since the early 1970s when the public drug treatment system was founded in the United States. Conclusion: Drug abuse treatment services may be considered as contributing positive economic returns to society. However, considerable work needs to be done to standardize methods used in the studies. A striking area of omission is the absence of studies for adolescents and only one for women in treatment. Implications for Health Care Provision and Use: Finding a positive net social benefit should assist policy-makers with decisions related to drug abuse treatment expenditures.

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“…Thus, the prison and jail populations may be helped by treatment for drug dependence and abuse. Treatment in prison may provide an effective and possibly cost-effective intervention (49,63). Despite the apparent need for treatment, only 10%-20% of state and federal prisoners were receiving treatment while incarcerated (19).…”

Section: Treatment In Prisonmentioning

confidence: 99%

“…Relatively few thorough CBAs of substance abuse treatment have been conducted based on a clinical trial of a standard treatment or an innovation (40). One study (63), however, analyzed three pilot projects designed to divert criminals into treatment instead of jail using a case management model. Focusing on criminal justice costs, productivity, and medical care costs, this study concluded that the benefits outweighed the costs.…”

Section: Cbamentioning

confidence: 99%

Innovations in Treatment for Drug Abuse: Solutions to a Public Health Problem

Sindelar

Fiellin

2001

Annu. Rev. Public Health

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Key Words treatment of illicit drug uses Abstract Illicit drug use is an important public health problem with broad social costs. The low effectiveness of prevention efforts leaves treatment of drug dependence as one of the most powerful means of fighting illicit drug use. Treatment reduces drug use and crime and increases individuals' functioning. However, programs that treat drug dependence have high dropout rates and low completion rates. In addition, some individuals continue to use drugs while in treatment, and relapse is common. Furthermore, only a fraction of those who need treatment receive it. Recently, there have been important innovations that reduce barriers and increase effectiveness of treatment. These innovations include new pharmacological agents, novel counseling strategies, promising ways to motivate, and treatment in new settings. This paper describes standard treatments and recent innovations designed to increase (a) effectiveness of treatment, (b) motivation to seek care, (c) access, (d ) retention, and (e) cost-effectiveness. We provide criteria on how these innovations should be evaluated in order to determine which should be adopted, funded, and transferred to existing and future treatment programs.

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The Economic Impact of Diverting Substance-Abusing Offenders into Treatment

Cited by 35 publications

References 15 publications

Substance Use Disorders, Comorbidity, and Arrest Among Indigenous Adolescents

Substance Use Disorders, Comorbidity, and Arrest Among Indigenous Adolescents

Cost-benefit analysis of drug treatment services: review of the literature

Innovations in Treatment for Drug Abuse: Solutions to a Public Health Problem

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