Gender and treatment response in substance use treatment-mandated parolees

Rhode Island Hospital, Providence, RI, USA.
Journal of substance abuse treatment (Impact Factor: 2.9). 04/2011; 40(3):313-21. DOI: 10.1016/j.jsat.2010.11.013
Source: PubMed


Well-controlled, randomized studies of correctional interventions examining gender effects are rare. This study examined gender main effects and gender × treatment interactions in a multisite randomized trial (N = 431) comparing a new form of correctional supervision for drug-involved offenders (collaborative behavioral management [CBM]) to standard parole. Outcomes included repeated measures of yes/no use of primary drug, alcohol use, and recidivism during 9 months postrelease. Generalized estimating equation analyses indicated that despite using harder drugs at baseline, women were less likely than men to use their primary drug and to use alcohol during the follow-up period. No gender-related differences in recidivism were found. Treatment interacted with gender to predict alcohol use, with women in CBM reporting the best alcohol outcomes (only 5% of women used alcohol during the follow-up period). The clear expectations, positive reinforcement, recognition of successes, fairness, and support present in CBM may be particularly important for women parolees.

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    • "However, research examining risky health behaviors among adult parolees suggests that the quality of POÀparolee relationships is particularly important for women's risk-taking behaviors (Green et al., 2011; Johnson, Friedmann, Green, Harrington, & Taxman, 2011). Positive PO–parolee relationships marked by trust, fairness, and positive reinforcement have been linked to lower HIV risk behaviors and a lower likelihood of illicit substance use and alcohol use among female adult parolees, but not male parolees (Green et al., 2011; Johnson et al., 2011). These findings are in line with research showing that interpersonal relationships are important to women's health outcomes; harmonious relationships have been positively associated with women's well-being (Reid, 2004) and sense of belonging has been linked to positive health perceptions among women (Hale, Hannum, & Espelage, 2005). "
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