title: Economic evaluation of a prerelease substance abuse treatment program for repeat criminal offenders.
abstract: Substance use disorders are common conditions among repeat criminal offenders. Without addressing these underlying substance use behaviors, parolees are significantly more likely to recidivate within 1 year of release. New Jersey is one of the first states to actively pursue substance abuse treatment options for inmates who are in the final stages of their sentences. Given the fiscal realities of tax payer-supported programs, such initiatives must clearly demonstrate economic benefits for sustainability and growth. This article conducted one of the few comprehensive economic evaluations of prerelease substance abuse treatment to determine whether Community Education Centers' programs in New Jersey generated desirable outcomes, significant economic benefits, and positive net benefits. Relative to a matched comparison group of offenders who did not receive treatment, the intervention group returned an average economic benefit of $4,307 to $6,209 over the 1-year postrelease period. These economic benefits are underscored by the fact that the treatment program is housed in a separate facility, with a lower average per diem from that of the general inmate population. These results provide quantitative economic evidence that prerelease substance abuse treatment programs have the potential to reduce recidivism and save tax payer dollars without adding to existing prison resources.
authors.affiliation: Health Economics Research Group, Department of Sociology, Department of Epidemiology and Public Health, and Department of Economics, University of Miami, Coral Gables, FL 33124-2030, USA. mfrench@miami.edu
authors.forename: Michael T
authors.initials: MT
authors.lastname: French
authors.forename: Hai
authors.initials: H
authors.lastname: Fang
authors.forename: Ralph
authors.initials: R
authors.lastname: Fretz
mesh_terms: D000328:Adult; D003266:Continuity of Patient Care / Q000191:economics*; D017048:Health Care Costs; D006266:Health Education / Q000191:economics; D006801:Humans; D008137:Longitudinal Studies; D009515:New Jersey; D011329:Prisoners; D011330:Prisons / Q000191:economics*; D015397:Program Evaluation / Q000191:economics*; D016016:Proportional Hazards Models; D012044:Regression Analysis; D016320:Substance Abuse Treatment Centers / Q000191:economics*; D019966:Substance-Related Disorders / Q000628:therapy*; D016019:Survival Analysis; D016896:Treatment Outcome