Residential Drug Abuse Treatment in the Federal Bureau of Prisons

1993 ◽  
Vol 23 (1) ◽  
pp. 61-73 ◽  
Author(s):  
Thomas J. Hayes ◽  
Dennis J. Schimmel

The Bureau of Prisons (BOP) has undertaken a major initiative to provide residential drug abuse treatment to incarcerated offenders. The residential program represents the most comprehensive and intensive option in a three-tiered drug abuse treatment strategy adopted by the BOP and available to federal inmates. The purpose of this article is to provide an overview of the development, structure and content of this program. As such, a brief history of drug treatment for federal prisoners is offered, with specific emphasis on how earlier treatment programs influenced the current strategy. Implementation and organization are discussed to provide insight into both the treatment and unit-based structure of prison-based drug treatment. An introduction to the specific content areas covered during treatment is provided as a primer to the comprehensive concept endorsed in the development of the program. Finally, the importance of community transition and the steps taken by treatment and unit staff to facilitate transition is provided.

1998 ◽  
Vol 28 (2) ◽  
pp. 381-394 ◽  
Author(s):  
David Farabee ◽  
Carl G. Leukefeld ◽  
Lon Hays

The Presidential Commission on the Human Immunodeficiency Virus Epidemic (1988) developed a 10-year plan in 1987 that recommended: “Expanded drug abuse treatment programs sufficient to admit all IV drug users who desired services and, until that occurred, short-term detoxification and low-dose methadone for those on waiting lists.” This study presents data collected from a sample of 2,613 out-of-treatment and non-incarcerated injection drug users in 21 U.S. cities to examine their drug-treatment access during the past year. Analyses on injectors who tried but were unable to enter treatment revealed that program-based reasons (e.g., no room, too costly, or stringent admission criteria) are the most commonly given barriers to drug treatment (72%). However, a notable number of injectors (20%) also reported that individual-based reasons are important for not accessing drug treatment. Injectors giving program- and individual-based reasons for not entering treatment are profiled using logistic regression.


2001 ◽  
Vol 16 (1) ◽  
pp. 79-89 ◽  
Author(s):  
Russel S. Falck ◽  
Jichuan Wang ◽  
Robert G. Carlson ◽  
Harvey A. Siegal

This prospective study examines the epidemiology of physical attack and rape among a sample of 171 not-in-treatment, crack-cocaine using women. Since initiating crack use, 62% of the women reported suffering a physical attack. The annual rate of victimization by physical attack was 45%. Overall, more than half of the victims sought medical care subsequent to an attack. The prevalence of rape since crack use was initiated was 32%, and the annual rate was 11%. Among those women having been raped since they initiated crack use, 83% reported they were high on crack when the crime occurred as were an estimated 57% of the perpetrators. Logistic regression analyses showed that duration of crack use, arrest for prostitution, and some college education were predictors of having experienced a physical attack. Duration of crack use and a history of prostitution were predictors of suffering a rape. Drug abuse treatment programs must be sensitive to high levels of violence victimization experienced by crack-cocaine using women. Screening women for victimization, and treating the problems that emanate from it, may help make drug abuse treatment more effective.


Addiction ◽  
2004 ◽  
Vol 99 (7) ◽  
pp. 885-896 ◽  
Author(s):  
Theresa E. Perlis ◽  
Don C. Des Jarlais ◽  
Samuel R. Friedman ◽  
Kamyar Arasteh ◽  
Charles F. Turner

1982 ◽  
Vol 12 (2) ◽  
pp. 145-153 ◽  
Author(s):  
Carole Schor

This study examined the sex-role attitude of the drug abuse treatment counselor as a function of the sex of the counselor, the sex of the client, and the treatment approach (drug free versus methadone maintenance). Two versions of a stimulus vignette depicting a typical client, identical except for the sex of the client, were developed. Counselors rated this hypothetical client on an author developed Attitude Toward Addiction Scale. Findings indicated that: 1) male counselors viewed clients of both sexes more negatively than did female counselors; 2) male clients were viewed more negatively than female clients by counselors of both sexes; 3) counselors in drug free treatment programs viewed clients more negatively than did counselors in methadone maintenance programs; and 4) counselors with less education had more negative attitudes.


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