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.
Farabee
David
D
Neuropsychiatric Institute, Integrated Substance Abuse Programs, University of California, Los Angeles, 1640 S. Sepulveda Boulevard, Suite 200, 90025, USA. dfarabee@ucla.edu
Shen
Haikang
H
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