National Evaluation of Residential Substance Abuse Treatment (RSAT) Programs in the United States, 1995-1999
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The Residential Substance Abuse Treatment (RSAT) for State Prisoners Formula Grant Program, created by Title III (Subtitle U of the Violent Crime Control and Law Enforcement Act of 1994), was designed by Congress to implement residential substance abuse programs providing individual and group treatment for inmates in residential facilities operated by state and local correctional agencies. Under the Corrections Program Office of the Office of Justice Programs of the United States Department of Justice, state and local correctional agencies received funds to develop or enhance existing programs that: (1) lasted between six and 12 months, (2) provided residential treatment facilities set apart from the general correctional population, (3) were directed at the substance abuse problems of the inmate, (4) were intended to develop the inmate's cognitive, behavioral, social, vocational, and other skills in order to treat related problems as well as the substance abuse, and (5) continued to require urinalysis and/or other proven reliable forms of drug and alcohol testing of individuals assigned to treatment programs during and after release from residential custody. The National Development and Research Institutes, Inc. (NDRI) entered into a cooperative agreement with the National Institute of Justice wherein NDRI would evaluate the extent to which the goals of the RSAT program were being accomplished and the problems that were encountered by the participating states. The methods of this national evaluation were: (1) an initial state survey to ascertain the RSAT programs and program directors in each of the 50 states plus five territories and the District of Columbia and to collect basic information on the aggregate impact of the RSAT-funded programs in each state or territory (Part 1, State Data), (2) a follow-up state survey to collect more detailed information on the aggregate impact of the RSAT-funded programs in each state (Part 1, State Data), and (3) an initial program survey to describe the separate RSAT programs as they came on line and to assess whether a few of the programs might serve as model programs which could undergo subsequent intensive evaluation (Part 2, Program Data). The sampling method used was a census of all the existing RSAT-funded programs and all of the state RSAT officials. Part 1 variables include the amount of RSAT funds received by the state in fiscal years 1996 to 1998, amounts from other sources of funding, and amount spent on salaries, training, drug tests, other supplies, and facilities, as well as number of residents, number of staff, reasons why funding was delayed, RSAT award date, and RSAT end date. Part 2 variables include the number of clients in the program, number of beds available, number of staff by gender, race, age, education, profession, and years of experience, admission inclusion criteria, reporting procedures, treatment type and duration, type of drug testing and number of tests, annual budget, sources of funding, and cost per capita.
Process and Outcome Evaluation of the Residential Substance Abuse Treatment (RSAT) Program in Kyle, Texas, 1993-1995
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This study was undertaken to evaluate the treatment process and outcomes associated with a Residential Substance Abuse Treatment (RSAT) In-Prison Therapeutic Community (ITC) component of the 1991 Texas Criminal Justice Chemical Dependency Treatment Initiative, as well as to assess the effectiveness of prison-based drug treatment. Specifically, this study evaluated the RSAT ITC treatment process and outcomes in Kyle, Texas, using the prison-based treatment assessment (PTA) data systems. The study design included process and outcome evaluations using a sample of graduates from the first ITC treatment facility (Kyle cohort) and a matched comparison group of prison inmates who were eligible, but not selected, for assignment to an ITC. Data collection occurred at three points in time -- at the end of treatment in the Kyle ITC, and at six months and one year following an offender's release from the ITC program. Variables in the 19 files for this study include: Part 1 (Educational Demographic Data, Kyle Cohort): Highest grade level achieved by respondent, Texas Department of Criminal Justice education achievement and IQ scores, and the number of days at the Kyle ITC program. Parts 2-4 (Treatment Background Data, Kyle Cohort, Aftercare Treatment Data, Kyle Cohort, Treatment Condition Data, Kyle Cohort): Treatment condition, discharge codes, and whether there were three months of residential aftercare. Part 5 (Session One Interview Data, Kyle Cohort): Gender, ethnicity, age, marital status, whether the respondent was given medication, followed directions, made friends, or got into trouble while in elementary school, whether he held a job prior to prison, if either of his parents spent time with, yelled at, or sexually abused him, whether he used drugs, if so, specific drugs used (e.g., alcohol, inhalants, marijuana, or crack), and whether he did jail time. Part 6 (Session Two Interview Data, Kyle Cohort): Whether drugs kept the respondent from working, caused emotional problems, or caused medical problems, if people were important to the respondent, if he had trouble staying focused, felt sad or depressed, satisfied with life, lonely, nervous, or got mad easily, whether he felt the staff was caring and helpful, whether he showed concern for the group and accepted confrontation by the group, whether the respondent felt the counselor was easy to talk to, respected him, or taught him problem-solving, and whether the respondent viewed himself as thinking clearly, clearly expressing thoughts, and was interested in treatment. Part 7 (Session Three Interview Data, Kyle Cohort): How the respondent saw himself as a child, whether he was easily distracted, anxious, nervous, inattentive, short-tempered, stubborn, depressed, rebellious, irritable, moody, angry, or impulsive, whether the respondent had trouble with school, was considered normal by friends, ever lost a job or friends due to drinking or drug abuse, or was ever arrested or hospitalized for drug or alcohol abuse, and in the last week whether the respondent's mood was one of sadness, satisfaction, disappointment, irritation, or suicide. Parts 8 and 9 (Six-Month Follow-Up Interview Data, Kyle Cohort, and One-Year Follow-Up Interview Data, Kyle Cohort): Organization of meetings and activities in the program, rules and regulations, work assignments, privileges, individual counseling, the care and helpfulness of the treatment staff and custody staff, the respondent's behavior, mood, living situation, drug use, and arrests within the last six months, whether the counselor was easy to talk to, helped in motivating or building confidence, or assisted in making a treatment plan, whether the respondent felt a sense of family or closeness, if his family got along, enjoyed being together, got drunk together, used drugs together, or had arguments or fights, if the respondent had a job in the last six months to a year and if he enjoyed working, whether he was on time for his job, whether he had new
Process Evaluation of the Residential Substance Abuse Treatment (RSAT) Program at the Illinois Youth Center, St. Charles, 1999-2000
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As part of the Violent Crime Control and Law Enforcement Act of 1994, Congress provided funding for the development of substance abuse treatment programs in state and local correctional facilities with the Residential Substance Abuse Treatment (RSAT) for State Prisoners Formula Grant Program. To be eligible for this funding, programs were required to last between six and 12 months, be provided in residential treatment facilities set apart from the general correctional population, be directed at the inmate's substance abuse problems, and be intended to develop the inmate's cognitive, behavioral, social, vocational, and other skills to address substance abuse and related problems. The Illinois Youth Center (IYC) in St. Charles started an RSAT program on September 30, 1999. The primary emphasis of this process evaluation was to describe why and how the St. Charles RSAT program was designed, implemented, and operated. To a lesser degree, attention was also directed toward examining the effects of program participation on offender pre-release behavior. This was considered to be a primary indicator of program impact. This project sought to answer the following research questions: (1) Did the program fit within the institutional environment? (2) Was the program operating as a therapeutic community? (3) Were the appropriate offenders selected for program participation? and (4) Were any short-term impacts evident within the youth? This study followed a process evaluation design with a focus on determining how a product or outcome was produced, rather than on assessing the product or outcome itself. Information in this data collection was collected from youth participants and youth files. Subjects consisted of the 44 youths who began the RSAT program in 1999 (the treatment group), as well as a matched sample of non-program participants (the comparison group). The comparison group was used to contrast institutional behavior of youths not in the treatment program and to establish a non-treatment cohort for an expected follow-up impact study. Part 1 contains data from two surveys of program youth only, and Parts 2-4 contained data on both program youth and the comparison group. Part 2 data were gathered from a review of the youths' master files at the correctional facility. Part 3 data were obtained from behavior action tickets (BATs), which were an institution-wide semi-formal mechanism to recognize positive and negative youth behavior. Part 4 data were collected from institutional disciplinary reports (IDRs). Part 1 surveyed youth about what they hoped to achieve in the RSAT program, whether they thought the program would help them, how well they understood the program, how they assessed their own substance abuse problems, what they liked and disliked about the program, their opinions about program staff, and their recommendations for changing the program. Demographic variables in Part 2 include age, race, and education level. Other variables record reading test scores, math test scores, IQ scores, location of parents, number of siblings, drug use and frequency, criminal history, types of prior substance abuse treatments, family history of drug use, suicidal ideations, and personality test scores. Part 3 contains monthly counts of positive and negative behavior action tickets. Part 4 contains information about the number and types of guilty institutional disciplinary reports, the severity of the offenses, and the number and types of punishments received.
Process Evaluation of the Residential Substance Abuse Treatment (RSAT) Program at the W.J. Maxey Boys Training School in Michigan, 1995-1998
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This study was an evaluation of a Residential Substance Abuse Treatment (RSAT) program intended to reduce substance abuse and recidivism among youth placed at the W.J. Maxey Boys Training School in Michigan. The purposes of the evaluation were to describe the activities of the RSAT program and the relationship between program participants and success in the new program. There were five primary evaluation questions: (1) Were the participants appropriate? (2) Was the staff trained to deliver the planned services? (3) How did service delivery vary over time? (4) Did the participants make timely progress? and (5) What organizational factors changed service delivery and participant progress? Residents were admitted to the RSAT program and its comparison group on the basis of three criteria: (1) the resident was not a sex offender, (2) he had a known substance abuse history, and (3) he was expected to be released within one year. Youth in the RSAT program underwent intensive substance abuse psycho-education and relapse prevention in addition to the treatment provided in the Maxey Model. Intake data from the Family Independence Agency Information System (Part 1) were gathered for youths who entered Maxey between 1995 and 1998. These data were used to determine if significant differences existed between the RSAT and comparison groups. Additional data were collected through a client survey (Parts 2 and 3), which included questions that evaluated youth satisfaction with services and their predictions for success. Variables in Part 1 include program admission date, whether the youth was a sex offender, substance abuse history, the group and wing to which the youth belonged, age of first offense, age of admission to Maxey, offense class, number of arrests, number of previous placements, number of truancies, legal status, and date of first and second offense. Demographic variables include race, age, marital status, and county. Variables in Parts 2 and 3 assess the youth's opinions about school, food, group sessions, hall staff, family sessions, family visits, the overall program at Maxey, teachers, police, and judges. Additional variables include last grade of school completed, expected educational goal upon leaving Maxey, family substance abuse history, and prevalence of substance abuse in neighborhood.
Process Evaluation of the Residential Substance Abuse Treatment Program at the Minnesota Department of Corrections, 1999
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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.
Process Evaluation of a Residential Substance Abuse Treatment (RSAT) Program in Dallas County, Texas, 1998-1999
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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.
Drug Offender Treatment in Local Corrections in California and New York, 1991-1993
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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.
Outcome Evaluation of the Forever Free Residential Substance Abuse Treatment (RSAT) Program at the California Institution for Women, 1997-2000
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This study was an outcome evaluation of the Forever Free Substance Abuse Treatment Program at the California Institution for Women (CIW). Data were collected from 119 women who entered Forever Free between October 1997 and June 1998. Comparison data were collected from 96 women enrolled in Life Plan for Recovery, an eight-week substance abuse education course at CIW, between April and November 1998. Program participants completed an intake questionnaire, approximately one month after the beginning of treatment, designed to collect information on background, therapeutic alliance with counselors, group identification with fellow participants, treatment motivation, and psychological status. Members of the comparison group completed an intake form that collected background information. Treatment participants completed a pre-release form before leaving the program, which collected information on clients' therapeutic alliance with their counselors, psychological status, drug-related locus of control, and post-release treatment plans. Women in both groups participated in 12-month follow-up interviews between September 1999 and August 2000, which were used to update background information and collect information on subjects' relationships with their children, drug use since release, substance abuse treatment since release, vocational training since release, services needed and received, social support, current treatment motivation, psychological status, and drug-related locus of control. Reincarceration data for the entire sample were obtained from the Offender-Based Information System, a database maintained by the California Department of Corrections.
Process Evaluation of Residential Substance Abuse Treatment Programs in Maine, 1999-2000
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The State of Maine Department of Corrections (MDOC) and the Office of Substance Abuse (OSA) at the Maine Department of Mental Health, Mental Retardation and Substance Abuse Services opened the Key Maine Therapeutic Community (TC) in March 1999, and its Transitional Treatment Program (TTP) for adult male inmates in January 2000. Spectrum Behavioral Services, Inc. (SBC) was subcontracted to implement the program, which was located at the Maine Correctional Facility in South Windham and the Pre-Release Center in Hallowell. The United States Department of Justice Residential Substance Abuse Treatment (RSAT) funded the initiative. This study was undertaken as a process evaluation of the program. To accomplish the aims of the process evaluation, research staff examined both program and client-level data that were collected throughout the first 15 months of the Key Maine TC's operation, a period that included the initial start-up period for the TTP. Part 1, Baseline Data, contains information on inmates, including age, ethnic group, education level, timing of all diplomas or degrees they had received, reasons for stopping school, marital and/or relationship status and history, and number and ages of children. The file also includes information on the last six months before being incarcerated, such as attendance at religious services, kind of housing and time spent there, as well as whom they lived with and the behavior of the inmate and their living companions in terms of alcohol and drug use. Also, there is information about how respondents supported themselves financially, including employment status and job information, such as number of days worked, number of jobs, part-time or full-time status, income, supplemental income, drug and alcohol use effects on employment, and whether they had dependants to support. In addition to information on the six months before incarceration, the file provides information on the inmate's substance abuse behaviors over his lifetime, including specific drugs used, the frequency used, and the age at which use of particular substances began. Information on substance abuse behaviors, such as specific substances used and frequency used in the last 30 days, is also recorded. Other variables in Part 1 focus on whether inmates' substance abuse had caused problems in major areas of their lives, such as family, employment, school, physical and mental health, relationships, and other substance abuse treatment received, including the type of treatment, duration of treatment, main substance abused, and reasons for entering treatment. Self-report data are available on each inmate's lifetime history of illegal activities, including, but not limited to, arrest history. This includes the offense(s) for which the inmate was currently serving time, as well as past offenses, jail time served, number of times incarcerated, illegal activities in which the inmate engaged during the last six months before incarceration, and time spent in probation during the last six months before incarceration. Information on visitors received during time in jail and contact (phone calls and letters) with others while in jail are included, as well as personal history information concerning the inmate's relationship with family and the activities they engaged in together. There is information on the friends the inmate had during the six months before incarceration, such as their education level, employment status, and relationship with family. Additional variables include whether the inmate reported having a history of child abuse, with details such as age at time of abuse, relationship with the abuser, frequency of abuse, perceived association of child abuse history to the inmate's substance abuse, the inmate's history as both victim of and perpetrator of violent crimes and weapon use, the inmate's sexual activity during the six months before incarceration, and his opinions about the chances of contracting HIV/AIDS. Other items pertain
Process Evaluation of the Gender Appropriateness of the Residential Substance Abuse Treatment (RSAT) Program at Baylor Women's Correctional Institute, 1999-2001
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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.