Treatment Retention Predictors of Drug Court Participants in a Rural State

Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY 40506-0350, USA.
The American Journal of Drug and Alcohol Abuse (Impact Factor: 1.78). 08/2004; 30(3):605-25. DOI: 10.1081/ADA-200032304
Source: PubMed


Factors distinguishing clients who complete drug court treatment from those who do not complete drug court have been documented, but differences between urban and rural drug court participants have not been examined. The present study focuses on examining mental health, drug use, criminal activity, and education/employment as factors that are associated with treatment retention, which is measured by graduation from a rural and urban drug court. Study findings indicate that for the urban drug court, marital status, employment, drug use, and criminal activity predicted graduation. For the rural drug court, however, graduation was only predicted by age and juvenile incarceration. Findings from this study suggest there are different factors associated with drug court retention/graduation between urban and rural drug court settings. It is suggested that drug court administrators and other could use this information to better assess potential participants and to target services.

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    • "Treatment attendance and completion may be proxies for other markers of treatment success (eg, substance abstinence outcomes), because exposure to a sufficient dose of treatment may be necessary for learning skills to avoid substance use. Treatment completion has often been used as a marker of treatment effectiveness given that it requires, among other benchmarks, regular treatment attendance and negative urine drug screens (Butzin et al., 2002; Mateyoke-Scrivner, et al., 2004; Roll et al., 2005; Evans et al., 2009). To evaluate the impact of race (Milligan et al., 2004; Campbell et al., 2006; Becker et al., 2012; Montgomery et al., 2012) and age (Magruder et al., 2009; Korte et al., 2011) on treatment outcomes, we first hypothesized that race and age would interact to predict treatment attendance and completion and substance abstinence. "
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    • "It is not yet clear if findings for violent offenders in urban areas can be generalized to violent offenders from rural, less populated areas. There is evidence that criminal histories may differ between urban and rural offenders (Mateyoke-Scrivner, Webster, Staton, & Leukefeld, 2004), but little research has examined rural probationers. "
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    Journal of Addictions and Offender Counseling 04/2010; 30(2):99-111. DOI:10.1002/j.2161-1874.2010.tb00060.x
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    • "Similarly, while women are generally found to stay in treatment longer (Brecht et al. 2005; Hser et al. 2001), in other studies, men stay longer (McCaul et al. 2001). Other client characteristics associated with retention include race/ethnicity (Brecht et al. 2005; Hiller et al. 1998; Mateyoke-Scrivner et al. 2004), marital status (Hiller et al. 1998; Mateyoke-Scrivner et al. 2004); education (Hser et al. 2001; Mattson et al. 1998), and employment (Lang and Belenko 2000; Mattson et al. 1998; Siqueland et al. 2002). Findings on motivation as a predictor of retention are inconsistent (Brocato and Wagner 2008; De Weert-Van Oene et al. 2001), but legal pressure seems to result in longer stay in treatment (Brecht et al. 2005; Hiller et al. 1998; Hser et al. 2001). "
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