Treatment retention of dually diagnosed offenders in an institutional therapeutic community.
This study investigated treatment retention in an institutional therapeutic community (ITC) for dually diagnosed male inmates. Twenty-five percent of admissions successfully completed the residential substance abuse treatment program. Graduates participated for an average of 9 months, while terminations participated for nearly 4 months. One-third of the terminations participated for at least 3 months and 15% participated for 6 months or more. A striking result was the relationship between retention and risk ratings and psychopathy scores. Both measures assess behavior and interaction styles over a range of situations. The presence of a single type of negative behavior (i.e. the nature of the committing offense) did not predict completion, but a rating based on multiple samples of behavior was a significant predictor of retention.
University of Wisconsin-Madison, Center for Health Policy and Program Evaluation, 502 North Walnut Street, 53726, USA. krvanste@facstaff.wisc.edu
Kit R
KR
Van Stelle
Craig
C
Blumer
D Paul
DP
Moberg
D000328:Adult; D003415:Crime / Q000706:statistics & numerical data*; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D012153:Retention, Psychology; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000628:therapy*; D016896:Treatment Outcome; D014481:United States