Substance use treatment services utilization and outcomes among probationers in drug courts compared to a matched cohort of probationers in traditional courts

Author(s):  
Rosa Rodriguez‐Monguio ◽  
Barrett Montgomery ◽  
Dara Drawbridge ◽  
Ira Packer ◽  
Gina M. Vincent
2011 ◽  
Vol 26 (S2) ◽  
pp. 57-57
Author(s):  
J. Jin ◽  
C. Fuller ◽  
X. Liu ◽  
B. Fan ◽  
N.A. Ukonu ◽  
...  

IntroductionPrevious studies have shown that African American youth are over-represented in the Criminal Justice System (CJS). Substance use problems are common among those with CJS involvement. However, less is known regarding racial disparities, among youth with CJS involvement, in receiving substance use treatment services.ObjectiveTo examine racial disparities with regard to receiving treatment services for substance use related problems, among youth with (CJS) involvement.MethodsData were obtained from the 2006–2008 United States National Survey on Drug Use and Health (NSDUH) in USA. Among White and African American adolescents (Ages 12–17) with recent CJS involvement and who met criteria for alcohol or illicit drug abuse or dependence (N = 602), racial differences in receiving treatment services for substance use problems were examined. Multiple logistic regression analyses were performed to identify predictors of service access among the adolescents, to see if the racial disparity could be explained by individual-level, family-level, and criminal justice system involvement factors.ResultsWhile 31.2% of White adolescent substance abusers with CJS involvement had received treatment for substance use related problems, only 11.6% of their African American counterparts had received such treatment (P = 0.0005). Multiple logistic regression analyses showed that access to treatment services can be predicted by substance use related delinquent behaviors, but that racial disparities in treatment still exist after adjusting for these factors (AOR = 0.24, 95%CI = (0.09,0.59), P = 0.0027).ConclusionsThere is an urgent need to reduce racial disparities in receiving substance use treatment among U.S. youth with CJS involvement.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yatan Pal Singh Balhara ◽  
Rajeev Ranjan ◽  
Anju Dhawan ◽  
Deepak Yadav

Background. There are limited community based treatment services for drug dependence in India. Rural areas and urban resettlement colonies are in particular deficient in such services.Aims. The current study aimed at preliminary assessment of substance use disorder management services at a community based substance use treatment clinic in an urban resettlement colony.Methods. The study was carried out at community based substance use treatment centre in a resettlement colony in India. The records of the centre were chart reviewed.Results. A total of 754 patients were registered at the clinic during the study period. Heroin was the primary drug of abuse for 63% of the patients. The mean duration of follow-up for the patients with opioid and alcohol dependence was 13.47 (SD±10.37; range 0–39) months. A total of 220 patients of opioid dependence were prescribed substation or abstinence directed therapy. Buprenorphine (87), slow release oral morphine (SROM) (16), and dextropropoxyphene (98) were used for opioid substitution.Conclusion. It is possible to deliver substance use disorder treatment services in community setting. There is a need to develop area specific community based treatment services for substance abuse in socially disadvantaged populations such as urban resettlement colonies.


2020 ◽  
Vol 13 (3) ◽  
pp. 111-121
Author(s):  
Kenneth J. Gruber ◽  
Kelly Jay Poole ◽  
Kelly N. Graves ◽  
Antonia Monk Richburg

Purpose The purpose of this paper is to report on the success of an initiative involving the transformation of a group of small substance use treatment only or mental health treatment only provider agencies serving uninsured adults into providers of co-occurring disorder treatment. Design/methodology/approach The paper uses a case study narrative to describe the initiative and the transformation of the participant agencies from being providers of mental health or substance use treatment to providers of co-occurring disorders. Findings Six agencies serving uninsured adults expanded their scope of patient treatment services to include the capacity to treat adults with co-occurring disorders. This was achieved with modest support funding from a local foundation. The initiative has been ongoing for five years. Practical implications The outcome of this initiative demonstrates the financial and practical feasibility of improving and expanding treatment services to low-resourced patient populations. The participating agencies were able to improve their capacity to treat patients with substance use or mental health issues that previously they were not prepared to treat and thus increased their ability to provide integrated care. Originality/value The initiative described here shows that the treatment of concomitant substance use and mental health disorders is within the range of many small-scale treatment providers, if provided the leadership and support. Delivery of effective treatments to populations experiencing co-occurring disorders that are underserved and undertreated are achievable in community-based clinical practices. This has implications for developing treatment capacity outside of hospital settings to enable treatment of co-occurring disorders to become more accessible.


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