The Stay 'N Out Therapeutic Community: Prison Treatment for Substance Abusers

Wexler, Harry K.; Williams, Ronald

doi:10.1080/02791072.1986.10472351

Cited by 77 publications

(32 citation statements)

References 9 publications

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“…First is the body of work produced by De Leon and colleagues, which provides a full description of the TC for the addictions, the conceptual framework, program model, and treatment interventions (De Leon, 1984, 1989, 1996 De Leon & Jainchill, 1981-82, 1992De Leon, Skodol, & Rosenthal, 1973;De Leon et al, 1982). Second is the work reported by Wexler and other investigators (Field, 1985;Inciardi et al, 1997;Wexler, 1997;Wexler & Williams, 1986) that describes the application of the TC model in prison environments. Third is the work conducted by Sacks and colleagues that extends and modifies the TC's conceptual framework and treatment components to suit homeless MICA individuals (Sacks, De Leon, Bernhardt, & Sacks, 1997a; and MICA offenders (Sacks et al, 2003b), and which includes guides that describe the implementation of such programs (see, e.g., Sacks, De Leon, Bernhardt, & Sacks, 1998b;Sacks et al, 1999).…”

mentioning

confidence: 94%

Modified TC for MICA offenders: crime outcomes

Sacks

Sacks²,

McKendrick³

et al. 2004

Behavioral Sci & The Law

107

120

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The study randomly assigned male inmates with co-occurring serious mental illness and chemical abuse (MICA) disorders to either modified therapeutic community (MTC) or mental health (MH) treatment programs. On their release from prison, MICA inmates who completed the prison MTC program could enter the MTC aftercare program. The results, obtained from an intent-to-treat analysis of all study entries, showed that inmates randomized into the MTC group had significantly lower rates of reincarceration compared with those in the MH group. The results also show that differences between the MTC + aftercare and comparison group across a variety of crime outcomes (i.e. any criminal activity, and alcohol or drug related criminal activity) are consistent and significant, and persist after an examination of various threats to validity (e.g. initial motivation, duration of treatment, exposure to risk). This study provides some support for the effectiveness of the prison TC only condition. The findings are encouraging and consonant with other studies of integrated prison and aftercare TC programs for substance abusing non-MICA offenders, although qualified by the possibility that selection bias (i.e. differences in motivation on entry into aftercare) may be operating. Nevertheless, given the available evidence and the need for effective programming for MICA offenders, program and policy makers should strongly consider developing integrated prison and aftercare modified TC programs for MICA offenders.

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mentioning

confidence: 94%

Modified TC for MICA offenders: crime outcomes

Sacks

Sacks²,

McKendrick³

et al. 2004

Behavioral Sci & The Law

107

120

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“…D'autres études portant sur les résidents de communautés thérapeutiques semblables étaient cette conclusion. En effet, les études de suivi du programme de communauté thérapeutique Stay 'N Out, instauré au sein du système correctionnel de l'État de New York en 1974, nous confirment l'efficacité des traitements en communauté thérapeutique eu égard à la réduction des risques de réci-dive, et ce tant pour les contrevenants masculins que féminins possédant un historique de consommation de stupéfiants grave (Wexler et Williams, 1986;Wexler, Falkin et Lipton, 1990). À titre d'exemple, parmi les 1 626 hommes ayant complété le programme d'une durée de neuf à douze mois, 77 % ont satisfait aux exigences du programme de libération conditionnelle.…”

Section: Resultsunclassified

Les communautés thérapeutiques en milieu carcéral

Inciardi¹,

Surratt²

2005

crimino

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The author focuses on therapeutic communities, particularly the KEY and CREST programs, applied in the state of Delaware since 1988. There programs are aimed at substance users living either in correctional settings (KEY) or on probation (CREST). This research tries to evaluate both programs according to the subject's relapse rate after 6 months. Based on the results, it has been determined that the subjects who participated in these programs successively had better chances of never using drugs again than those who had been in only one of the two programs, or neither. Other American experiments of the same kind have shown similar results.

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“…An evaluation of the Stay'n Out program in New York, another highly structured long-term modified TC, also found that treatment was associated with a significant reduction in recidivism rates. Results showed that male graduates were less likely to be arrested (27%) while on parole than were offenders who received no treatment (41% ), offenders who received non-TC milieu therapy (35% ), and offenders who received counseling sessions only (40%) (Wexler et al 1992;Wexler, Falkin & Lipton 1990;Wexler & Williams 1986).…”

Section: Journnl Of Psychoactive Drugs 291mentioning

confidence: 95%

“…Influenced in part by the need to reduce prison overcrowding and by findings demonstrating treatment effectiveness, criminal justice policymakers increasingly turned to treatment alternatives for incarceration . This has included the development of a variety of programs (Lipton 1996;Peters et al 1993;Wexler & Williams 1986).…”

Section: Journnl Of Psychoactive Drugs 291mentioning

confidence: 99%

Posttreatment Outcomes for Substance-Abusing Probationers Mandated to Residential Treatment

Hiller

Knight

Devereux

et al. 1996

Journal of Psychoactive Drugs

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This article presents an initial evaluation of a community-based substance abuse treatment program for probationers described in a previous issue of the Journal of Psychoactive Drugs [27(1): 39-47]. Posttreatment outcomes for 492 probationers remanded to a six-month residential facility were assessed. Based on official state records, 9% of the probationers were rearrested in the six months following discharge from treatment. Those who graduated from the program were significantly less likely to be rearrested during the follow-up interval than were program expulsions and transfers to other programs. Also, program graduates who attended a specialized residential aftercare program were more likely to remain drug-free and be employed after treatment than were those who did not attend the specialized aftercare program. Collectively, results suggest that lower rearrest rates may be associated with the provision of residental treatment to substance-abusing probationers.

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The Stay 'N Out Therapeutic Community: Prison Treatment for Substance Abusers

Cited by 77 publications

References 9 publications

Modified TC for MICA offenders: crime outcomes

Modified TC for MICA offenders: crime outcomes

Les communautés thérapeutiques en milieu carcéral

Posttreatment Outcomes for Substance-Abusing Probationers Mandated to Residential Treatment

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