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 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 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 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 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 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
Evaluation of the Iowa State Residential Substance Abuse Treatment Program, 1998-1999
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This study sought (1) to set up a system to evaluate the operations and effectiveness of The Other Way (TOW) residential substance abuse treatment program at the Clarinda Correctional Facility in Clarinda, Iowa, and (2) to assist program staff in developing and implementing intake, discharge, and follow-up instruments and evaluation protocols to document inmate characteristics and changes over time related to substance use/abuse, mental health, social functioning, and criminal behavior and attitudes. Inmates are referred to this program if they have an identified need for residential-level substance abuse treatment and are within 12 months of release consideration. TOW is a voluntary, six-month long program that works with inmates to identify the causes of their addictive behaviors and encourage changes in unacceptable behaviors and criminal thinking. The sample for this study consists of adult male inmates at the Clarinda Correctional Facility between January 1998 and March 1999. The first point of data collection was the intake assessment. At intake, each subject completed an intake packet consisting of several instruments that measured variables relevant to TOW program goals. Each inmate was also given an Addiction Severity Index (ASI) interview by a counselor at intake. Upon discharge from the program, each subject completed a discharge packet, which contained instruments slightly different from those in the intake packet. Instruments were chosen for reliability and validity, ease of administration, potential for dual clinical and evaluation use, and whether they duplicated any existing efforts. Versions of the following instruments were included in both the intake and discharge packets: the Colorado Cognitive Assessment Questionnaire, Circumstances, Motivation, and Readiness (CMR) Scales for Substance Abuse Treatment, the Social Provisions Scale (SPS), the Self-Help Questionnaire, and the STEPS Questionnaire. A consumer satisfaction survey was also administered at the discharge interview. Variables obtained from answers to the ASI include gender, living situation, date of birth, race, religion, length of incarceration, medical status, education and employment history, sources of financial support, family/social relationships including abuse history, psychiatric status, drug and alcohol use including kinds of drugs used, length of use, age at first use, and frequency of use for each drug, personal problems caused by drug use, drug treatment history, legal history, and family history of drug, alcohol, and psychological problems. Intake assessment variables included are related to social attitudes, and include variables on life goals and the subjects' own views of their achievability, how subjects thought their friends viewed them, how wrong subjects thought certain illegal acts were, and criminal acts by the subjects' friends in the past six months. Discharge packet variables include the same variables on social attitudes as the intake packet as well as variables obtained from answers to the SPS relating to the amount of social support subjects felt they had, past involvement with self-help groups, and life attitudes related to drug/alcohol use.
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.