Treatment engagement in a prison-based Therapeutic Community: A mixed-methods approach

Davidson, Kimberly M.; Young, Jacob T.N.

doi:10.1016/j.jsat.2019.05.011

Cited by 13 publications

(8 citation statements)

References 34 publications

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“…Benefits of treatment completion or longer stays are shown to include lower levels of drug use, fewer arrests, increased employment rates and improved social engagement and psychological well-being following treatment compared with those who left the program early [ 12 , 15 , 16 , 17 , 18 , 19 ]. ‘Engagement’ in programs, not just time in treatment, has also been identified as important in ensuring positive outcomes from residential programs [ 18 , 20 , 21 , 22 , 23 ]. Maximising engagement and preventing drop out are therefore key priorities for the residential AOD treatment sector.…”

Section: Introductionmentioning

confidence: 99%

“…However, according to Foster and colleagues (2010), adolescents in a TC in Sydney Australia wanted methods beyond the typical journaling and talk-based group sessions to reflect on their experiences, including their experiences in the program [ 24 ]. This finding, together with the increasing evidence of the need for ‘engagement’ to reduce treatment drop out and maximise positive outcomes from treatment [ 18 , 20 , 21 , 22 , 23 ], led the authors of this paper to explore the role of arts-based methods as a research tool in this setting, but also as a means of ‘engagement’ for clients in residential treatment programs.…”

Section: Introductionmentioning

confidence: 99%

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Body Mapping in a Drug and Alcohol Treatment Program: Eliciting New Identity and Experience

Macken

Nathan

Jersky

et al. 2021

IJERPH

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Arts-based approaches have not been widely used in the drug and alcohol treatment sector. In this study, we examined the utility of the arts-based method of Body Mapping in an Australian residential treatment centre. Two workshops were held to explore young people’s strengths and support networks in order to improve understandings of young people’s lives, identities and experiences of treatment. Semi-structured follow-up interviews were conducted and triangulated with observational notes and staff interviews. We identified four major themes: engaging through art; removing the mask; revealing strengths; and a sense of achievement. Overall, this study highlighted the value of Body Mapping as an approach to engage with young people, providing rich in-depth data about their lived experiences, including in the alcohol and other drug (AOD) treatment context.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Body Mapping in a Drug and Alcohol Treatment Program: Eliciting New Identity and Experience

Macken

Nathan

Jersky

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…It is logical to assume that residents would rate their treatment engagement according to their internalized sense of dedication to change and recovery. However, despite the challenges a prison-based treatment environment poses in terms of encouraging resident vulnerability and personal disclosure (Davidson & Young, 2019), peer-based effects appear to be present and statistically significant in a prosocial direction in this particular TC unit.…”

Section: Discussionmentioning

confidence: 88%

Testing an Interactionist Theory of Treatment Engagement in a Pennsylvania Prison-Based Therapeutic Community

Davidson

2020

Criminal Justice and Behavior

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The prison-based Therapeutic Community (TC) is a promising substance use treatment program that emphasizes peer influence. Although program evaluations demonstrate positive results, the cognitive, behavioral, and social processes that define the prison-based TC are largely unknown. The TC model presumes that residents increase their treatment engagement and willingness to change through peer interactions and role modeling, but this process has received virtually no research attention. This study explores these peer-driven mechanisms by examining self, reflected, and peer appraisals of willingness to change of 177 male TC residents, predicting within-person changes in treatment engagement by changes in appraisal measures. Results suggest that self, peer, and reflected appraisals converge over time in treatment. In addition, fixed effects models demonstrate that changes in reflected appraisals are most predictive of changes in treatment engagement. Such results, consistent with symbolic interactionist perspectives, inform prison-based programming and contribute to research on individual-level trajectories of desistance and recovery.

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“…Firstly, there is limited information available on the detail within each treatment component, what the intervention comprised of, when it was delivered and how relevant it was to their needs. It is likely that broad categorisations do not capture the nuance of the treatment experience in each prison [ 12 ]. Moreover, the categorisation of RNR compliant treatment was likely a coding construct as the treatment system did not specifically code for this intervention.…”

Section: Discussionmentioning

confidence: 99%

Estimating a treatment effect on recidivism for correctional multiple component treatment for people in prison with an alcohol use disorder in England

Sondhi

Leidi

Best

2020

Subst Abuse Treat Prev Policy

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Background There is an emerging literature on the impact of correctional substance abuse treatment (SAT) on reoffending for people in prison with substance misuse issues. This study estimates a pathway effect for people in prison receiving multiple component treatments for an alcohol use disorder (AUD) to reduce reoffending by applying treatment effect estimation techniques for observational studies. Treatment groups comprised pharmacological treatments, psychosocial interventions (PSIs) and interventions that incorporate Risk Need Responsivity (RNR) programming. RNR compliant treatment matches treatment dose to the risk of reoffending, targets criminogenic need and is tailored to a person’s learning style. Methods Multiple treatment effect estimators are provided for people in prison diagnosed with an AUD in England when compared to a derived control group for: Pharmacological treatment only; RNR compliant treatment and PSIs. Results The outcomes for RNR compliant treatment suggest a lower recidivism rate compared to the control group. Pharmacological only treatment results in a statistically significant higher level of reoffending relative to the control group. Conclusions The creation of a universal system of ‘equivalence of care’ framed within a public health context in English correctional SAT may have had an unintended consequence of diluting approaches that reduce recidivism. There is an opportunity to develop an integrated, cross-disciplinary model for correctional SAT that unites public health and RNR compliant approaches.

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Treatment engagement in a prison-based Therapeutic Community: A mixed-methods approach

Cited by 13 publications

References 34 publications

Body Mapping in a Drug and Alcohol Treatment Program: Eliciting New Identity and Experience

Body Mapping in a Drug and Alcohol Treatment Program: Eliciting New Identity and Experience

Testing an Interactionist Theory of Treatment Engagement in a Pennsylvania Prison-Based Therapeutic Community

Estimating a treatment effect on recidivism for correctional multiple component treatment for people in prison with an alcohol use disorder in England

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