Treating Drug-Abusing Offenders

University of California, Los Angeles, USA.
Evaluation Review (Impact Factor: 1.2). 11/2003; 27(5):479-505. DOI: 10.1177/0193841X03255774
Source: PubMed


Five counties (Kern, Riverside, Sacramento, San Diego, San Francisco) that demonstrate both variations and similarities in their implementation of Proposition 36 (e.g., treatment approaches, urine testing) and patient mix have been selected to participate in a study assessing how California's Proposition 36 is affecting the drug treatment system and patient outcomes. Except for San Francisco, treatment admissions increased during the first year of Proposition 36 implementation over the prior year (27% in Kern, 21% in Riverside, 17% in Sacramento, and 16% in San Diego), mostly in outpatient drug-free programs. Compared to non-Proposition 36 patients, Proposition 36 patients were more likely to be men, first-time admissions, treated in outpatient drug-free programs, employed full-time, and users of methamphetamine or marijuana. They were less likely to be treated in residential programs or methadone maintenance programs and fewer reported heroin use or injection drug use. Guided by the multilevel open systems framework, the study examines key issues of Proposition 36 that influence treatment systems and outcomes and empirically identifies "best practice" approaches in treating drug-abusing offenders.

Download full-text


Available from: Elizabeth A Evans, Jul 07, 2014
  • Source
    • "For each study, the relevant Institutional Review Boards reviewed and approved the procedures, participants provided informed consent, and participants received payment for completing each interview. More detailed information on the MTP and TSI studies is available elsewhere (Rawson et al., 2004; Hser et al., 2003). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Asian Americans and Pacific Islanders (AAPIs) are often portrayed as a healthy group with minor substance use problems. Using data from two studies of patients treated in 44 community-based substance use treatment sites located in three states, 298 AAPIs and a matched comparison group of 298 non-AAPI patients were compared on demographic characteristics, treatment experiences, and 1-year outcomes. At treatment entry, more AAPIs reported recent drug use and fewer injected drugs, AAPIs had less severe medical and alcohol problems, and AAPIs reported worse general health but less desire for medical and alcohol services. After controlling for baseline problem severity, there were no differences in treatment retention, completion, or outcomes. Contrary to the model minority stereotype, AAPIs have mostly similar treatment needs, experiences, and outcomes as other racial/ethnic groups in drug treatment. Read full article online at
    Full-text · Article · Oct 2012 · Journal of Ethnicity in Substance Abuse
  • Source
    • "Data were drawn from an existing database assembled in a larger multi-site study, the Treatment System Impact and Outcome Study (TSI), which assessed both the effectiveness and system impact of California's Proposition 36. The TSI was conducted in five counties selected based on geographic location, population size, and Proposition 36 implementation strategies (see Hser et al., 2003 for additional information). These five counties are San Diego, Riverside, Kern, Sacramento, and San Francisco. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This article investigates whether California's Proposition 36 has promoted the workforce professionalism of drug treatment services during its first 5 years of implementation. Program surveys inquiring about organizational information, Proposition 36 implementation, and staffing were conducted in 2003 and 2005 among all treatment providers serving Proposition 36 clients in five selected California counties (San Diego, Riverside, Kern, Sacramento, and San Francisco). A 1-hour self-administered questionnaire was completed by 118 treatment providers representing 102 programs. This article examines five topics that are relevant to drug treatment workforce professionalism: resources and capability, standardized intake assessment and outcome evaluation, staff qualification, program accreditation, and information technology. Results suggest that Proposition 36 had a positive influence on the drug treatment workforce's professionalism. Improvements have been observed in program resources, client intake assessment and outcome evaluation databases, staff professionalization, program accreditation, and information technology system. However, some areas remain problematic, including, for example, the consistent lack of adequate resources serving women with children.
    Full-text · Article · Oct 2010 · Journal of substance abuse treatment
  • Source
    • "Little research has been undertaken to evaluate the relationships between differences in policy implementation and marijuana-related behavior outcomes. Evaluation research indicates that diversion programming may indeed result in more individuals receiving and completing treatment and may help reduce state spending (Colker, 2004; Hser et al., 2003). One examination of the effects of California's medical marijuana law on marijuana-related behaviors and attitudes among youth and young adults showed an increase in perceived low risk in using marijuana once or twice per week; however, there was no overall change in marijuana use rates relative to the implementation of the law (Khatapoush & Hallfors, 2004). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This article examines relationships between local drug policy (as represented by prosecutor-reported case outcomes for first-offender juvenile marijuana possession cases) and youth self-reported marijuana use, perceived risk, and disapproval. Interviews with prosecutors and surveys of 8th-, 10th-, and 12th-grade students in the United States were conducted in 2000. Analyses include data from 97 prosecutors and students from 127 schools in 40 states. Results indicate significant relationships between local drug policy and youth marijuana use and attitudes. In general, more-severe dispositions are associated with less marijuana use, higher disapproval rates, and increased perceptions of great risk. Associations primarily appear to be specific to marijuana-related outcomes. Results are discussed within the framework of both deterrence and broader social norms regarding substance use.
    Full-text · Article · Oct 2009 · Crime & Delinquency
Show more