Impact of substance abuse treatment on arrests among opiate users in Washington State.
Administrative data from Washington State's Division of Alcohol and Substance Abuse drive this three-year prospective study of the impact of substance abuse treatment on arrests among 12,962 opiate users receiving publicly funded substance abuse services. Using survival analysis, the risk of arrest among opiate users who receive substance abuse treatment is compared to those who do not receive treatment. Propensity scores control for client characteristics associated with admission to substance abuse treatment. Overall, a reduction in the risk of arrest was found among subjects in treatment (Hazard Ratio = 0.59-0.78, p < .05) and subjects successfully completing treatment (Hazard Ratio = 0.75, p < .05). Risk of arrest was elevated among those with a negative outcome to treatment (Hazard Ratio = 1.23, p < .05).
Washington State Division of Alcohol and Substance Abuse, Olympia, Washington 98504-5330, USA. campbkm@dshs.wa.gov
Kevin M
KM
Campbell
Dennis
D
Deck
Antoinette
A
Krupski
D000328:Adult; D000553:Ambulatory Care; D015897:Comorbidity; D003415:Crime / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006556:Heroin Dependence / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D006801:Humans; D035846:Law Enforcement; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D009293:Opioid-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D010343:Patient Admission; D016016:Proportional Hazards Models; D012114:Residential Treatment / Q000706:statistics & numerical data; D012307:Risk Factors; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000628:therapy; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome; D014861:Washington / Q000453:epidemiology
D008691:Methadone