Antipsychotic medication adherence, cocaine use, and recidivism among a parolee sample.
This study examined the independent and interactive associations between cocaine use and antipsychotic medication adherence in predicting 12 month criminal recidivism among a sample of mentally ill parolees (N = 200). Consistent with prior research, cocaine use (based on hair assays) was associated with more than a threefold increase (relative to non-cocaine users) in the likelihood of a parolee being returned to custody during the follow-up period. Although medication adherence (based on urine specimens) was not independently associated with a significant reduction in recidivism risk, the interaction between cocaine use and medication adherence was significant, revealing a disproportionate impact of medication adherence specific to cocaine users. Prediction models of recidivism based on self-reported measures of medication adherence and cocaine use revealed only marginally significant trends for cocaine use, no effect for adherence, and no significant interaction between these two predictors.
Neuropsychiatric Institute, Integrated Substance Abuse Programs, University of California, Los Angeles, 1640 S. Sepulveda Boulevard, Suite 200, 90025, USA. dfarabee@ucla.edu
David
D
Farabee
Haikang
H
Shen
D000328:Adult; D000553:Ambulatory Care; D014150:Antipsychotic Agents / Q000145:classification / Q000627:therapeutic use* / Q000652:urine*; D019970:Cocaine-Related Disorders / Q000453:epidemiology*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D003416:Criminal Law / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D019221:Mandatory Reporting; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000188:drug therapy* / Q000453:epidemiology*; D012008:Recurrence; D014481:United States
D014150:Antipsychotic Agents; D013287:Illicit Drugs