Evaluation of Prison-Based Drug Treatment in Pennsylvania, 2000-2001
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The purpose of this study was to examine multiple treatment process measures and post-release outcomes for inmates who participated in Therapeutic Community (TC) drug treatment programs or comparison groups provided by the Pennsylvania Department of Corrections at five state prisons. The project attempted to examine more closely the relationships among inmate characteristics, treatment process, and treatment outcomes than previous studies in order to explore critical issues in prison-based drug treatment programming and policies. Researchers examined in-treatment measures and multiple post-release outcomes for inmates who participated in TC drug treatment programs or comparison groups at five state prisons: Graterford, Houtzdale, Cresson, Waymart, and Huntingdon. Matched comparison groups were made up of TC-eligible inmates who participated in less intensive forms of treatment (e.g., short-term drug education and outpatient treatment groups) due to a shortage of intensive treatment slots at the five institutions. Included in the treatment sample were all current TC residents as of January 1, 2000. New subjects were added to the study as they were admitted to treatment programs. Between January 1 and November 30, 2000, data on all inmates admitted to or discharged from alcohol or drug treatment programs were collected on a monthly basis. Monthly tracking was continued throughout the study to determine treatment outcomes (e.g., successful vs. unsuccessful). TC clients were asked to complete additional self-report measures that tapped psychological constructs and inmate perceptions of the treatment experience, and TC counselors were asked to complete periodic reassessments of each inmate's participation in treatment. Self-reports of treatment process and psychological functioning were gathered within 30 days after admission, again after six months, again at the end of 12 months, and again at discharge if the inmate remained in TC longer than 12 months. Counselor ratings of inmate participation in treatment were similarly gathered one month, six months, and 12 months following admission to treatment. After release, both treatment and comparison groups were tracked over time to monitor rearrest, reincarceration, drug use, and employment. Measures can be broken down into the following four categories and their sources: (1) Inmate Background Factors were collected from the Pennsylvania Additive Classification System (PACT), the Pennsylvania Department of Corrections Screening Instrument (PACSI), and the TCU (Texas Christian University) Drug Screen. (2) Institutional Indicators: Impacts Internal to the Prison Environment were collected from the Department of Corrections Misconduct Database, research and program records, and TCU Resident Evaluation of Self and Treatment (REST) forms. (3) Intermediate or "Proximal" Outcomes: Reductions in Risk for Drug Use and Criminal Behavior were collected from research and program records, TCU Counselor Rating of Client (CRC) forms, and TCU Resident Evaluation of Self and Treatment (REST) forms. (4) Post-Release Indicators: Inmate Behavior Upon Release from Prison were collected from the Pennsylvania Board of Probation and Parole, Pennsylvania state police records provided by the Pennsylvania Commission on Crime and Delinquency (PCCD), and the Department of Corrections inmate records system.
Process and Outcome Evaluation of the Residential Substance Abuse Treatment (RSAT) Program at the Ozark Correctional Center, Missouri, 1994-1997
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This data collection consists of a process and outcome evaluation of the Ozark Correctional Center Drug Treatment Program (OCCDTP), located in an all-male, 650-bed minimum security prison. For the process evaluation, the principal investigators evaluated changes in OCCDTP treatment activities, characteristics of OCCDTP participants, utilization of aftercare, and participant ratings of the program and aftercare. For the outcome evaluation the researchers compared how well program graduates fared after program completion with respect to relapse and recidivism compared to program dropouts, as well as to a comparison group of inmates who did not participate in the OCCDTP. Data were collected from the Missouri Department of Corrections, the Missouri State Highway Patrol, a psychosocial assessment of clients entering the OCCDPT program, and three-month and 12-month follow-up surveys. Variables include background and demographic information, such as race, marital status, religious preference, and education level, as well as information on mental health, substance abuse, criminal history, nature of offenses, recidivism, clients' perceptions of the program, participation in aftercare, and social and clinical data.
Process Evaluation of Three Residential Substance Abuse Treatment (RSAT) Programs in Ohio, 1998-1999
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This study was a process evaluation of the three residential substance abuse treatment programs in the state of Ohio. These programs include MonDay Community Correctional Institution (MonDay), Mohican Youth Center, and Noble Choices. MonDay is a locally operated, community-based correctional facility for felony offenders to which male and female offenders are sentenced in lieu of prison for a period not to exceed six months. MonDay's RSAT program began in October 1997, and a Therapeutic Community (TC) was fully implemented by January 1, 1998. Offenders identified as needing long-term residential treatment were assigned to MonDay's RSAT for six months. Mohican Youth Center (MYC) is an institutional-based TC and is operated by the Ohio Department of Youth Services. Youth convicted of felonies and assessed as needing long-term residential substance abuse treatment are sent to MYC for the last six months of their sentence. Noble Choices is a TC for adult males within the Noble Correctional Institution, a medium security prison operated by the Ohio Department of Rehabilitation and Corrections. The specific research questions addressed in this study were: (1) What is the profile of offenders being served by the Ohio RSAT programs? (2) What is the nature of the services being delivered by the Ohio RSAT programs? (3) What are the intermediate outcomes of Ohio RSAT programs? (4) How are offenders performing under post-release supervision in terms of relapse and recidivism? and (5) What factors are associated with successful program completion and post-release recidivism and relapse? A one-group post-test design was used to conduct this process evaluation. Each program was studied as a separate entity. The study period for each program began at the date of first admission, which was January 1, 1998, for MonDay, March 3, 1998, for MYC, and October 18, 1998, for Noble Choices. The study period ended on March 31, 1999, for MYC and Noble Choices and on April 30, 1999, for MonDay. The sample consists of 466 individuals, including 90 from MonDay, 343 from MYC, and 33 from Noble Choices. Staff at each of the three sites collected intake, treatment, and termination data on their respective program clients using standardized forms developed by the University of Cincinnati. The intake form was used to collect basic demographic information on each offender along with information on past substance abuse, prior treatment experiences, and criminal history. The termination form collected data on type of termination (successful or unsuccessful) and criminal justice placement and residency upon termination. Each site also provided agency-specific assessment information on each offender. Offenders at MonDay were given the Level of Services Inventory (LSI), which measures the risk of recidivism, and the Adult Substance Use Survey (ASUS), which measures the severity of substance abuse problems. Offenders at MYC were administered the Juvenile Automated Substance Abuse Evaluation (JASAE), which measures the severity of substance abuse problems, and the Youthful Offender Level of Services Inventory (YO-LSI). Offenders at Noble Choices were given the Prison Inmate Inventory (PII), which measures several risk factors. In addition, offenders at MonDay and MYC were given the Personal Drug Use Questionnaire (PDUQ), which measures motivation for treatment at intake and 90 days after intake, and offenders at MonDay also completed the PDUQ upon termination. Offenders at MonDay were also administered a Client Self-Rating Form, which measures levels of social and psychological functioning, at intake, 90 days after intake, and termination. Follow-up forms were sent to probation and parole officers to collect information on MYC and MonDay offenders' treatment and supervision activities during the period of supervision after release from the program. Follow-up data were collected on terminated cases from the date of release until August 30, 1999. Part 1, MonDay Data,
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.
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.
Process Evaluation of the Michigan Department of Corrections Residential Substance Abuse Treatment (RSAT) Program, 1999
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This study was a process evaluation of the Michigan Department of Corrections' (MDOC) residential substance abuse treatment (RSAT) program at the Cooper Street Correctional Facility in Jackson, Michigan. The 272-bed program was designed to treat male, minimum-custody inmates with a history of serious chemical dependency. The phase of treatment at the Jackson Cooper Street facility lasted six months, and was followed by a 12-month aftercare component. The main theory of change behind the program was that education about drugs and their physical, familial, and social effects, coupled with opportunities to learn about recovery and identify triggers for substance use, would help substance-abusing offenders to avoid both substance abuse and criminal behaviors once released into the community. This study used multiple data sources. Part 1, Michigan Department of Corrections (MDOC) Data, was acquired from the MDOC's Correctional Management Information System, which included demographic, criminal history, programming, and institutional misconduct information for a snapshot of the entire inmate population. These data provided information on all 44,061 inmates in the custody of MDOC on July 1, 1999. Part 2, RSAT Applications data, contains data for the 834 applications received by August 30, 1999. These data were received from University of Michigan (UM) researchers studying the long-term impact of the RSAT program on offender substance abuse and recidivism. The data were collected using a screening form for each application, and were initially generated and entered into an electronic format by RSAT program staff. Part 3, Service Tracking Data, contains RSAT admission and parole data, which were manually collected.
Outcome Evaluation of the Wisconsin Residential Substance Abuse Treatment (RSAT) Program: The Mental Illness Chemical Abuse (MICA) Program at Oshkosh Correctional Institution, 1997-2000
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This study evaluated the Mental Illness-Chemical Abuse (MICA) Program at Oshkosh Correctional Institution in Wisconsin. MICA is a residential substance abuse treatment program that consists of three stages: (1) an 8- to 12-month residential therapeutic community stage, (2) an institutional aftercare stage, and (3) a community aftercare stage. This outcome study documented important aspects of program implementation and effectiveness. It included all 141 inmates admitted to MICA between October 1997 and March 2000. A control group comprised of 66 inmates who were too close to their mandatory release dates to participate in the program but who were otherwise eligible was also included. Data were gathered from Department of Corrections administrative records regarding admissions information, assessment results, institutional behavior, institutional placement and services after program completion or exit, and recidivism. MICA staff provided information on treatment progress, behavior, and mental health status. MICA outreach specialists provided three-month post-release data on community outcomes for MICA graduates. Parole agents provided three-month post-release data on parole compliance and recidivism for all study participants. Variables include assessment results, institutional services received, history of incarceration, urinalysis testing, changes in mental health status and program behavior throughout treatment, clinical test results, conduct reports, institutional placement and services after MICA, whether the individual had appropriate resources upon release to the community, parole status, recidivism, mental health and chemical use status after release, support services provided by MICA staff after release, and other support services received after release.
Process Evaluation of the Residential Substance Abuse Treatment (RSAT) Program at the South Idaho Correctional Institution, 1999-2000
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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.
Outcome Evaluation of the Residential Substance Abuse Treatment (RSAT) Program for State Prisoners in Massachusetts, 1999-2002
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This study was an outcome evaluation of the Residential Substance Abuse Treatment (RSAT) program at the Barnstable House of Corrections in Massachusetts. The study is based on the 188 inmates referred to the RSAT program at Barnstable between January 1, 1999, and June 6, 2001. Data on participants' criminal histories were gathered from the Criminal History Systems Board through March 2002. Data on offender age, entry, and discharge dates were supplied by the Barnstable County House of Corrections. Data from offender scores on psychological inventories and offender outcomes in the RSAT program were supplied by AdCare Criminal Justice Services.
Assessment of a Single-Purpose Substance Abuse Facility for Committed Juvenile Offenders in Virginia, 1995-1997
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The objective of this data collection was to provide a preliminary assessment of the effectiveness of treatment offered at the Barrett Juvenile Correctional Center, a substance abuse treatment facility in Virginia for convicted male offenders that began operation in late 1993. The center uses a holistic approach in the treatment of youth to identify the triggers for substance abuse and to investigate the relationship between substance abuse and delinquent behavior. For the facility assessment, various types of data from the Virginia Department of Juvenile Justice were gathered. Baseline data on each juvenile were obtained from the department's Reception and Diagnostic Center and consisted of demographic information and I.Q. scores, criminal history, and substance abuse history. Demographic variables include the youth's race, last grade placement, and with whom the youth lived. Youths' scores on standardized tests were also compiled, including SASSI, verbal I.Q., performance I.Q., and full-scale I.Q. scores. Criminal histories covered whether the committing offense was a felony or misdemeanor, the type of committing offense, the total number of committing offenses, whether a prior offense was a felony or a misdemeanor, the type of prior offense, the total number of prior offenses, the age at first criminal adjudication, age at commitment, and degree of delinquency. Alcohol and drug use data focused on the age at which alcohol was first used, number of times alcohol was used in the past year, age at which marijuana was first used, number of times marijuana was used in the past month, and whether the youth ever used cocaine, crack, inhalants, speed, depressants, hallucinogens, or other drugs. Another source of information was the youths' parole officers, who provided data on youths' criminal offending status and substance abuse at three, six, and twelve months after release from the center. Data obtained from parole officers assessing youths' improvement after leaving the center include whether they were rearrested, the type of offense if rearrested, the total number of offenses rearrested for, disposition, most serious offense overall, and youths' overall drug use.