Community-based Co-Occurring Disorder (COD) intermediate and advanced treatment for offenders

Center for the Integration of Research and Practice, National Development and Research Institutes, Inc, New York, NY 10010, USA.
Behavioral Sciences & the Law (Impact Factor: 0.96). 07/2008; 26(4):457-73. DOI: 10.1002/bsl.827
Source: PubMed


Against a backdrop of increasing concern about the adequacy of treatment for co-occurring substance use and mental disorders (typically known as "co-occurring disorders," or COD) in the criminal justice system, this article attempts to provide empirical evidence for a typology of levels of COD treatment for offenders in both prison and community settings. The paper investigates two levels of treatment programs for COD; "intermediate" programs, in which treatment programming has been designed primarily for offenders with a single disorder, and "advanced" programs, in which programming has been designed to provide integrated substance abuse treatment and mental health services. Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence- and consensus-based practices. Results provide support for the distinction between intermediate- and advanced-level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence- and consensus-based practices so as to modify treatment sufficiently to address both diseases.

5 Reads
  • Source
    • "In addition , the current study shares some limitations reported in the original study ( Friedman , Taxman , & Henderson , 2007 ; Melnick et al . , 2008 ; Taxman & Kitsantas , 2009 ; D . W . Young , Farrell , Henderson , & Taxman , 2009 ) . As Friedmann et al . ( 2007 ) noted , an overall response rate of 61 . 9% might indicate the possibility that ' ' respondents represent more motivated , progressive , and interested agencies ' ' ( p . 275 ) . Furthermore , the use of spe - cific vari"
    [Show abstract] [Hide abstract]
    ABSTRACT: Concern for offenders with co-occurring disorders is increasing, and few studies have examined the degree of discharge planning provided for this population. The study explored how well the selected factors (medication, community support, and resources) predict the degree of discharge planning for offenders with co-occurring disorders. A secondary dataset using a national sample of administrators in criminal justice treatment programs (N = 147) was used for the analysis. Provision of medication upon release was the strongest predictor. Furthermore, the findings suggested collaborations with external groups and having dedicated staff may impact the level of discharge planning.
    Journal of Offender Rehabilitation 01/2015; 54(1):1-18. DOI:10.1080/10509674.2014.972605
  • [Show abstract] [Hide abstract]
    ABSTRACT: Drug courts and mental health courts have expanded rapidly in the past several decades to provide more efficient coordination of treatment and supervision of offenders with behavioral health problems. A significant number of offenders in these court-based programs have co-occurring mental and substance use disorders, which predict early termination, relapse, rearrest, and other negative outcomes. A web-based national survey examined programmatic adaptations for co-occurring disorders (CODs) among 54 drug courts, mental health courts, and freestanding COD dockets. COD dockets were smaller and of longer duration, and provided more intensive services than programs situated in drug courts or in mental health courts. However, more similarities than differences were noted across the different types of court-based program. Key adaptations for CODs included extended program duration, highly intensive and integrated treatment, smaller, less formal, and more frequent hearings, and use of specialized supervision teams and dually credentialed staff. Copyright © 2012 John Wiley & Sons, Ltd.
    Behavioral Sciences & the Law 11/2012; 30(6). DOI:10.1002/bsl.2024 · 0.96 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose ‐ The purpose of this paper is to explore treatment needs and factors contributing to engagement in substance use and sobriety among women with co-occurring substance use and major depressive disorders (MDDs) as they return to the community from prison. Design/methodology/approach ‐ The paper used qualitative methods to evaluate the perspectives of 15 women with co-occurring substance use and MDDs on the circumstances surrounding their relapse and recovery episodes following release from a US prison. Women were recruited in prison; qualitative data were collected using semi-structured interviews conducted after prison release and were analyzed using grounded theory analysis. Survey data from 39 participants supplemented qualitative findings. Findings ‐ Results indicated that relationship, emotion, and mental health factors influenced women's first post-prison substance use. Women attributed episodes of recovery to sober and social support, treatment, and building on recovery work done in prison. However, they described a need for comprehensive pre-release planning and post-release treatment that would address mental health, family, and housing/employment and more actively assist them in overcoming barriers to care. Practical implications ‐ In-prison and aftercare treatment should help depressed, substance using women prisoners reduce or manage negative affect, improve relationships, and obtain active and comprehensive transitional support. Originality/value ‐ Women with co-occurring mental health and substance use disorders are a high-risk population for negative post-release outcomes, but limited information exists regarding the processes by which they relapse or retain recovery after release from prison. Findings inform treatment and aftercare development efforts.
    International Journal of Prisoner Health 11/2013; 9(4). DOI:10.1108/IJPH-02-2013-0009
Show more