This study is a process evaluation of a Residential Substance Abuse Treatment (RSAT) program at the South Idaho Correctional Institution (SICI), addressing the following research questions: (1) Did the SICI RSAT program as delivered conform with its stated goals and objectives? (2) Did the program result in reduced recidivism, abstinence from drug and alcohol use, and reduced costs of incarceration? (3) Did the referral process identify the targeted population? (4) Would the SICI RSAT data, management, staffing, and design be suitably established within two years to allow for a full outcome evaluation? (5) Were there communication issues among the IDOC, Parole Commission, and contract providers that might interfere with program implementation and delivery? and (6) Were there any cooperative remedies that had been, or might be developed to address implementation and delivery difficulties? Researchers conducted field observations (Part 1, Observational Data) of program delivery by program leaders using both the Cognitive Change Program Module and the Minnesota Model-Based Chemical Dependency Treatment Modules in each of the three phases of the therapeutic community environment. Researchers administered questionnaires to inmates (Part 2, Inmate Interview Data) and staff (Part 3, Staff Interview Data) regarding their perceptions of program operations. Variables for Part 1 include the date and time of observation, nature of observation, clarity, organization, and substance of program delivery, the program leader's involvement and the quality of that involvement with inmates, how prepared the program leader was, and the general therapeutic atmosphere of the program. Demographic variables for Part 2 include the race, age, ethnicity, and level of education of each inmate. Other variables include use of alcohol and illegal drugs prior to incarceration, inmates' perceptions of the treatment personnel, their levels of involvement with the group meetings and cognitive self-change groups, the atmosphere of therapy, ratings of communication and delivery of treatment, quality of service, and the strengths and weaknesses of the RSAT program. Variables for Part 3 include staff's perceptions of the RSAT program and whether they felt the program content and delivery were well organized and easy to understand, perceptions of the program leader's preparation and involvement, perceptions of communication and consistency issues, the quality of service, and the strengths and weaknesses of the RSAT program.

The objective of this process evaluation was to evaluate the integrity of the Minnesota Correctional Facility (MCF)-Red Wing Residential Substance Abuse Treatment (RSAT) program service delivery system in order to (1) provide feedback designed to enhance the existing strengths of the RSAT program and improve any existing or potential weaknesses, and (2) prepare for a subsequent outcome evaluation. The process evaluation data consist of two administrations of the Correctional Institution Environment Scale (CIES) (Parts 1 and 2) and three rounds of Rating of Facilitation of RSAT Groups (Parts 3-5). Resident-participants in this study were male juvenile offenders incarcerated at the MCF-Red Wing who had been determined to have significant substance abuse problems as an aspect of their delinquency. A total of 69 residents participated in the RSAT program during the course of the evaluation. All RSAT program residents were required to participate in all aspects of the program. Four caseworkers, one chemical dependency counselor, and two teachers participated in all aspects of the process evaluation. Ten corrections officers and three administrators participated in the CIES administration. There are four forms of the Correctional Institution Environment Scale (CIES): (1) The Real Form (Form R), (2) the Short Form (Form S), (3) the Ideal Form (Form I), and (4) the Expectations Form (Form E). Form R and Form I were employed in this study. Form R measures resident and staff perceptions of the current or "actual" climate of the program. Form I is worded to allow residents and staff to answer questions in terms of an ideal program. Both forms are comprised of 90 true-false statements. The CIES was administered twice for this study, with the first administration in September 1999. Participants in this administration of the CIES were 28 residents of the Princeton Cottage (the cottage that housed the RSAT participants) and 12 staff (administrators, caseworkers, and corrections officers). The second administration was in December 1999. Participants in this administration were 25 residents of the Princeton Cottage and 10 staff (administrators, caseworkers, and corrections officers). The surveys were collected and sent to Marquette University investigators for scoring and interpretation. An extensive evaluation of group facilitation was undertaken, with all groups videotaped between May 1999 and September 1999. These videotapes were shipped to Marquette University for review. In total, 122 videotapes were reviewed and rated. Two randomly selected raters evaluated each tape on the 22-item Red Wing Global Scale developed for this evaluation. The primary components of the sessions evaluated by the rating scale involved (1) the adherence of the facilitators to the treatment model, (2) the skill level of the facilitators, and (3) the contribution of the residents to the group processes. Following training, the raters began rating the videotapes in a progression of three rounds (each round consisting of a month) conducted in June, August, and October of 1999.

This study assessed the Dallas County Judicial Treatment Center (DCJTC) in Texas. The DCJTC is a residential substance abuse treatment center for drug-involved felony offenders. It provides a treatment program of approximately six months in three major phases: orientation, main treatment, and re-entry. Data were collected from 429 offenders admitted to the DCJTC between January and December 1998. During their first week of treatment, residents completed a comprehensive intake battery that included (1) the Texas Christian University (TCU) initial assessment, (2) the TCU self-rating form (SRF), and (3) the TCU intake interview. The initial assessment gauged mental status, background and psychosocial functioning, alcohol and other drug use, and psychological status. The SRF assessed psychological functioning, social functioning, and motivation for treatment. The intake interview included detailed questions on the resident's social background, family and peer relations, health and psychological status, criminal history, drug use problems, and behavioral risks for HIV/AIDS. Progress made during treatment was measured by the TCU Resident Evaluation of Self and Treatment (REST) and the TCU Counselor Rating of Client (CRC) forms. The REST included all questions on the SRF, plus questions on offenders' perceptions of the structure of the program and their experiences while in treatment, an evaluation of the counselor, an evaluation of their own personality, and ratings of group and individual treatment sessions. The CRC forms rated residents on a set of attributes related to residents' ability to benefit from treatment and indicated the extent to which counseling activities with each client had focused on certain activities.

This study examined adult drug treatment courts. Drug treatment courts are intended to reduce the recidivism of drug-involved offenders by changing their drug-use habits. These courts provide a connection between the criminal justice and treatment systems by combining treatment with structured sanctions and rewards. Researchers collected data between February 2001 and May 2002 on drug court participants, treatment services and staff, and organizations involved in drug court operations in four jurisdictions: Bakersfield, California, Jackson County, Missouri, Creek County, Oklahoma, and St. Mary Parish, Louisiana. Part 1, Retrospective Participant Data, contains recidivism and treatment data on 2,357 drug treatment court participants who were enrolled in one of the drug courts between January 1997 and December 2000. Part 2, Treatment Observation Data, contains data collected from observations of treatment sessions at each site from May through July 2001. Part 3, Staff Survey Data, provides data obtained through surveys of 54 treatment service staff members.

The goal of this study was to evaluate the initial efficacy, feasibility, and acceptability of Seeking Safety (SS) treatment in a sample of incarcerated women with comorbid substance use disorder (SUD) and comorbid post-traumatic stress disorder (PTSD). Seeking Safety, a cognitive-behavioral psychotherapy treatment, is a psychosocial treatment for women with comorbid PTSD and SUD and, at the time this study was conducted, it was the treatment with the most efficacy data for this population. SS treatment appears to be a promising intervention for incarcerated women with PTSD and SUD because (1) the treatment targets many of the deficits found in this population that may interfere with their recovery and place these women at risk for reoffending (such as impulsiveness, anger dyscontrol, and maladaptive lifestyle activities), and (2) it teaches skills to manage these problematic behaviors. This study aimed to conduct an open feasibility trial of Seeking Safety treatment in a sample of six incarcerated women with SUD and PTSD and to conduct a randomized controlled pilot study to evaluate the initial efficacy, feasibility, and acceptability of the proposed treatment as an adjunct to treatment as usual (TAU), compared to a TAU control group in a sample of 22 incarcerated women with comorbid PTSD and SUD. The primary hypothesis was that, compared to the TAU condition, women in the SS treatment condition would have less severe drug and alcohol use as well as fewer PTSD symptoms and legal problems after intervention, and at six weeks and three months after release. The first six participants recruited for the study received SS group treatment as an adjunct to the treatment provided by the Discovery Program, the substance abuse treatment program in the minimum security arm of the Women's Facility of the Adult Correctional Institution in Providence, Rhode Island. The remaining participants were randomly assigned to either the control group (TAU) or to a group that received SS treatment as an adjunct to TAU. The treatment groups were conducted by clinicians who worked as substance abuse therapists in the Discovery Program and a clinical psychologist from Brown University. All SS therapists received training in delivering SS therapy from Dr. Lisa Najavits, who developed SS treatment. Assessments were conducted at pretreatment, post-treatment during incarceration, and three and six months postrelease for PTSD-related measures. Measures of severity of substance abuse and legal problems were taken at pretreatment, as well as at the six- and 12-week postrelease intervals. Measures were taken with a variety of clinical instruments, including the Addiction Severity Index (ASI), the Structured Clinical Interview for DSM-IV (SCID) module on substance use, the Clinician Administered Post-Traumatic Stress Disorder Scale-I (CAPS-I), the Trauma History Questionnaire (THQ), the Helping Alliance Questionnaire-II (HAQ-II), the Client Satisfaction Questionnaire, and the End-of-Treatment Questionnaire. Basic demographic data were also collected from administrative records. Variables include alcohol, drug, and legal composite scores at pretreatment and post-treatment, number of relapses, whether the woman returned to prison, whether the woman lied about substance abuse, use of particular substances one month prior to prison and during lifetime, PTSD indicators of frequency and intensity, total client satisfaction scores, patients' ratings of therapists and treatment, and trauma scales for crime, sexual abuse, and physical abuse. Demographic variables include age, ethnic background, education, first time in prison, the nature of the current conviction, and number of arrests with convictions.

This study was undertaken to evaluate the New York City Department of Probation's initiative to place clients in specialized Substance Abuse Verification and Enforcement (SAVE) units for treatment and management. The main analytical strategy of this study was to determine whether clients who were appropriately matched to outpatient drug treatment were less likely to recidivate after treatment in this modality. The focus of the research was not so much on developing powerful prediction models, but rather on determining whether outpatient drug treatment was appropriate and effective for certain types of probationers. The evaluation research involved an in-depth analysis of a sample of 1,860 probationers who were sentenced between September 1991-September 1992 and referred to contracting outpatient drug treatment programs one or more times as of December 31, 1993. The following types of data were collected: (1) the New York City Department of Probation's demographic and drug use information, obtained during the presentence investigation and at intake to probation, (2) the Department of Probation's Central Placement Unit (CPU) database records for each referral made through the CPU, as well as monthly progress reports filled out by the treatment programs on each probationer admitted to drug treatment, (3) the New York State Department of Criminal Justice Statistics' data on criminal histories, and (4) probation officers' reports on whether clients were referred to treatment, the kind of treatment modality to which they were referred, and the dates of admission and discharge. Demographic and socioeconomic variables include age at first arrest and sentencing, gender, race or ethnicity, marital status, family composition, educational attainment, and employment status. Other variables include drug use history (e.g., age at which drugs were first used, if the client's family members used drugs, if the client was actively using heroin, cocaine, or alcohol at time of intake into treatment), criminal history (e.g., age at first arrest, number of arrests, types of crimes, prior convictions, and prior probation and jail sentences), and drug treatment history (e.g., number and types of prior times in drug treatment, months since last treatment program, number of admissions to a CPU program, and number of AIDS education programs attended).

The purpose of this multisite program evaluation project was to provide detailed and systematic descriptions of participants and treatment program components for a sample of five drug treatment programs in local jails. Three of the programs were located in California: Jail Education and Treatment (JET), Deciding, Educating, Understanding, Counseling, and Evaluation (DEUCE), and Rebuilding, Educating, Awareness, Counseling, and Hope (REACH). Two programs were in New York State: Substance Abuse Intervention Division (SAID) and New Beginnings. The project was aimed at assessing program completion rates as well as 12-month post-release recidivism for program participants versus matched controls. Background information obtained about the participating offenders includes sex, race, age, education, marital status, and employment status, as well as history of drug use, previous drug treatment, mental illness, inpatient/outpatient episodes, and offenses and sentencing. Additional data cover program location, dates of release from the program and from jail, type of program termination, type of residence upon release, and anticipated post-custody treatment. Information on each conviction/disposition was obtained through state criminal information systems, and state-level criminal history data (rap sheets) were collected for both the treatment and comparison groups. The unit of analysis is arrest events.

The overall goals of the process evaluation were to assess the participants' views on the Residential Substance Abuse Treatment (RSAT), a Therapeutic Community program at Baylor Women's Correctional Institute, and to determine whether the women thought the program met their needs specifically based on gender. The specific goals of the study were: (1) to determine drop-out points along the continuum of the treatment model and to review the case files to discover any patterns in client participation and review demographic data in the program, and (2) to assess what current participants thought about the program and treatment model. For Part 1, Recent Graduate Data, data were secured from case files of women who had been discharged from the Therapeutic Community (Key Village) program in Baylor Women's Correctional Institute in 1999. This analysis was used to prepare the survey instrument used for the interviews given to the women currently participating in the program. For Part 2, Client Assessment Satisfaction Data, the current residents of the program were interviewed. During fall of 2000 and spring of 2001, a survey was developed to assess how the current participants viewed the Key Program. The questions were intended to gather information to assess the gender appropriateness of the program. A database was constructed to search for any consistencies or variables that would address the issue of gender appropriateness or lack of such in the operation of the program from the participants' point of view. During the interview period there were a total of 88 women in the Key Program. Of the 88 women, 76 agreed to participate in the study. For Part 1, the variables cover demographic data, criminal history information, medical information, prior drug treatment histories, and program success or failure. Part 2 variables cover demographic information, and questions dealing with prior drug use, the first four weeks of the program, the confrontation aspects of the program, sanctions and program rules, staff/participant interaction, program activities and responsibilities as opposed to the general population, readiness for change, support systems, children's visits and children as motivation, physical aspects of the program, mental health, the need for additional vocational and educational services, significant aspects and experiences from the program, and desired changes to the program.

This state profile includes data from facilities in Maryland that reported to N-SSATS for the survey reference date March 31, 2010. Data were collected on the location, characteristics, services offered, and number of clients in treatment at alcohol and drug abuse treatment facilities (both public and private) in Maryland. In Maryland, 339 substance abuse treatment facilities were included in the 2010 N-SSATS, reporting that there were 38,770 clients in substance abuse treatment on March 31, 2010. The survey response rate in Maryland was 95.2%.

This is a National Survey of Substance Abuse Treatment Services (N-SSATS) annual report showing the state profile for Massachusetts in 2012. N-SSATS is designed to collect data on the location, characteristics, and use of alcohol and drug abuse treatment facilities and services throughout the 50 States, the District of Columbia, and other U.S. jurisdictions.