153526 Evidence-Based Treatment Practices for Drug-Involved Adults in the Criminal Justice System

Tuesday, November 6, 2007

Peter D. Friedmann, MD, MPH , Brown University Medical School and Lifespan Hospital, Substance Abuse Research Unit, Providence, RI
Faye S. Taxman, PhD , Wilder School of Govt & Public Affairs, VCU, Richmond, VA
Craig E. Henderson , Sam Houston State University, Huntsville, TX
As part of CJ-DATS' National Criminal Justice Treatment Practices Study, we estimated the extent and organizational correlates of evidence-based practices (EBPs) in correctional facilities and community-based substance abuse treatment programs that manage drug-involved adult offenders. Correctional administrators and treatment program directors affiliated with a national sample of 384 criminal justice and community-based programs providing substance abuse treatment to adult offenders in the United States were surveyed in 2004. Correctional administrators reported the availability of up to 13 specified EBPs and treatment directors up to 15. The sum total of EBPs indicates their extent. Linear models regress the extent of EBPs on variables measuring structure and leadership, culture and climate, administrator attitudes and network connectedness of the organization. Results suggest that the majority of programs offer fewer than 60% of the specified EBPs to drug-involved offenders. In multiple regression models, offender treatment programs that provided more EBPs were community-based, accredited, and network-connected with a performance-oriented, non-punitive culture, more training resources, leadership with a background in human services, a high regard for the value of substance abuse treatment and an understanding of EBPs. We conclude that the use of EBPs among facility- and community-based programs that serve drug-involved adult offenders has room for improvement. Initiatives to disseminate EBPs might target these institutional and environmental domains.

Learning Objectives:
1. Describe the types and extent of evidence-based practices (EBPs) for drug-involved adult offenders 2. Identify the organizational domains that correlate with these EBPs

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.