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Process and Outcome Evaluation of the Residential Substance Abuse Treatment (RSAT) Program in Kyle, Texas, 1993-1995
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
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Outcome Evaluation of a Residential Substance Abuse Treatment (RSAT) Program in Dallas County, Texas, 1998-2000
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This study was an outcome evaluation of the Dallas County Judicial Treatment Center (DCJTC), a six-month residential substance abuse treatment (RSAT) facility in Dallas County, Texas. The primary goal of this evaluation was to assess offender recidivism following treatment in this six-month community-based modified therapeutic community for probationers. Secondary goals were to examine change in social functioning over time among probationers mandated to this program, to determine which characteristics at intake and which during-treatment social functioning indicators were predictive of dropping out of treatment early, and to identify which indicators predicted being arrested one to two years after treatment. These goals were accomplished by a comparison of outcomes between treated probationers and an untreated comparison group and by an assessment of the relationships among treatment, social functioning, and recidivism. For both treatment and comparison groups, a criminal records search was performed on the Institutional Division database of the Texas Department of Criminal Justice for all of the study participants for the two years following discharge for treatment or following commitment to probation. In addition to these records, treatment participants were asked to complete a set of data collection forms over their course of treatment. These forms collected information about mental status, background and psychosocial functioning, substance abuse, psychological status, offenders' perceptions of the program and their experiences in treatment, evaluations of counselors, self-evaluations, and counselors' evaluations of clients.
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 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.
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 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.
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,
Outcome Evaluation of the Iowa State Residential Substance Abuse Treatment (RSAT) Program, 1997-2001
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The Other Way (TOW) program is an intensive residential substance abuse treatment program housed at the Clarinda Correctional Facility in Clarinda, Iowa. TOW is a voluntary, six-month program that works with inmates to identify the causes of their addictive behaviors and encourage changes in unacceptable behaviors and criminal thinking. The Iowa Consortium for Substance Abuse Research and Evaluation conducted an evaluation of TOW from October 1997 through March 2001. The Iowa Consortium worked extensively with the Clarinda TWO treatment staff to identify valid and reliable instruments that measured substance use and abuse, mental health and personality characteristics, criminal behavior and attitudes, social support, and involvement in education, employment, and therapeutic activities. These instruments were used to collect data at intake and discharge. Additionally, the researchers conducted a six-month follow-up of inmates to determine their post-program experiences as well as recidivism. Part 1 (Clinical and Recidivism Data) consists of selected variables gathered during the clinical interviews administered to program participants at intake and discharge, as well as recidivism data from the Department of Corrections. Part 2 (Follow-Up Data) consists of variables from the Addiction Severity Index, which were collected during the six-month follow-up telephone interview.
Evaluating Recidivism Among Drug Offenders in Florida's Residential and Non-Residential Substance Abuse Treatment Programs, 1991-1997
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This study was undertaken to investigate the relationship, if any, between drug treatment and success or failure of drug-involved offenders on probation/community supervision. Further, the researchers sought to evaluate the outcomes of drug-involved offenders admitted to (1) secure residential substance abuse treatment (RSAT) programs, (2) non-secure residential drug treatment programs, (3) non-residential drug treatment programs, and (4) no drug treatment programs. Data were collected from administrative records provided by the Florida Department of Corrections, specifically case history records of offenders admitted to supervision in the community from July 1, 1991, through June 30, 1997. Part 1 is comprised of all cases admitted to community supervision between July 1, 1991, and June 30, 1993 (fiscal years 1991 and 1992) and treated in a secure residential drug treatment program. Part 2 is comprised of all cases admitted to community supervision from July 1, 1991, through June 30, 1995, receiving treatment in a non-secure residential drug treatment program. Part 3 contains data on offenders admitted to non-residential drug treatment programs, whose community supervision admissions were between July 1, 1991, and June 30, 1993. Part 4 contains data on offenders admitted to non-residential drug treatment programs, whose community supervision admissions were between July 1, 1993, and June 30, 1995 (fiscal years 1993 and 1994). Part 5 contains data on cases admitted to community supervision between July 1, 1991, and June 30, 1993, who did not receive drug treatment of any kind. Cases admitted to community supervision between July 1, 1993, and June 20, 1995, receiving no drug treatment are contained in Part 6. Each supervision admission record contains a history of subsequent court actions that were complete through December 31, 1997. Variables for all parts include population estimates, unemployment rates, population by age-specific categories, violent and nonviolent index offenses, per capita personal income, clearance rates, split sentence flag, primary offense disposition, primary offense felony level, current commitment years supervised, supervision type, whether current offense included a drug charge, number of prior supervision terms, number of prior commitments, reasons for failure, treatment facility code, number of drug sale/traffic offenses, outcome of supervision period, and reasons for prison intake. Demographic variables include race and gender.
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.