Compulsory Community-Based Substance Abuse Treatment and the Mentally Ill Criminal Offender

1996 ◽  
Vol 76 (2) ◽  
pp. 180-191 ◽  
Author(s):  
MATTHEW L. HILLER ◽  
KEVIN KNIGHT ◽  
KIRK M. BROOME ◽  
D. DWAYNE SIMPSON

The current study examined the relationship between mental health status and 18-month follow-up rearrest data of 191 probationers remanded to 4 months of treatment at a corrections-operated community-based residential substance abuse program. Probationers completed the Millon Clinical Multiaxial Inventory-II (MCMI-II), which classified 51% with DSM-III-R Axis I and 79% with Axis II disorders. Presence of these psychopathology and personality diagnoses was associated with rearrest after discharge from treatment. After controlling for sociodemographic background variables, arrest history, and substance use, the diagnoses of drug dependence and dysthymia were found to be significant risk factors for probationer rearrest following treatment.

Author(s):  
Jeffrey A. Butts

Community-based supervision allows the legal system to hold criminal offenders accountable for their behavior without the significant costs and potential harms associated with incarceration. When offenders are placed on probation (in lieu of incarceration) or parole (as a follow-up to incarceration), they are also usually involved in other programs as well, including victim or offender mediation, substance abuse treatment, workforce development, restitution, community service, and electronic monitoring.


1988 ◽  
Vol 63 (3) ◽  
pp. 985-986 ◽  
Author(s):  
Ronald H. Rozensky ◽  
Barbara Neirick ◽  
Gary M. Slotnick ◽  
Debra Morse

The MacAndrews Scale of the MMPI differentiated 21 dual-diagnosis substance abusers with a DSM-III—R, Axis I diagnosis from a group of 21 single-diagnosis substance abusers and 18 dual-diagnosis substance abusers with an Axis II diagnosis. Subjects were 50 substance-abuse only and 39 dual-diagnosis, hospitalized men. Research must take into account the heterogeneous nature of psychiatric diagnoses within the substance-abusing population.


1999 ◽  
Vol 5 (6) ◽  
pp. 481-493 ◽  
Author(s):  
SUSAN F. TAPERT ◽  
SANDRA A. BROWN

Alcohol and other drug use are common in youth, but neurocognitive sequelae are unclear. This study examines the relationship between neuropsychological functioning and protracted substance use in adolescence. One hundred fifteen adolescents, ages 13 to 19 years, were recruited from inpatient substance abuse treatment programs and followed for 4 years. Adolescents were administered a comprehensive battery of neuropsychological tests and evaluated on substance use involvement during treatment, and at 6-month, 1-year, 2-year, and 4-year follow-up time points. Protracted substance abuse over the 4 years of follow-up was associated with significantly poorer subsequent functioning on tests of attention. In addition, alcohol and drug withdrawal accounted for significant variance in visuospatial functioning, above and beyond demographic, educational, and health variables in detoxified late adolescents and young adults. Results suggest that alcohol and drug withdrawal may be a more powerful marker of protracted neuropsychological impairments than other indices of youthful alcohol and drug involvement. (JINS, 1999, 5, 481–493.)


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