title: [Evaluation of the relapse prevention guidance for drug-dependent inmates: the intervention using self-teach workbook and group therapy in a "private finance initiative" prison--the first report].
abstract: BACKGROUND
  In Japan, methamphetamine (MAP) abuse has been a serious problem for 60 years, and many of MAP abusers have been incarcerated in prisons as a violator of the Stimulant Control Law in Japan.
  
  
  OBJECTIVE
  The purpose of the present study is to evaluate effectiveness of the relapse prevention guidance for drug-dependent inmates using a self-teaching workbook for drug-abusing adolescents and group therapy, conducted in the Harima Rehabilitation Program Center, one of the new prisons which the Ministry of Justice founded cooperating private enterprises as a "Private Finance Initiative" project.
  
  
  METHODS
  We provided for 89 male drug-dependent inmates, incarcerated in the Harima Rehabilitation Program Center, with the relapse prevention guidance consisting of a self-teaching workbook and group therapy, and implement pre-and post-evaluations by the Self-efficacy Scale for Drug Dependence (SES) and the Stages of Change Readiness and Treatment Eagerness Scale, 8th version for Drug Dependence (SOCRATES-8D).
  
  
  RESULTS
  After a waiting term, the participants were provided with a self-teaching program, subsequently with a group program. At the point of completing the waiting term, no significant changes were observed in the SES and SOCRATES-8D scores. However, at the point of completing the self-teaching program, the SES scores significantly fell, while the total SOCRATES-8D score and the scores of the two subscales, the "Recognition" and "Ambivalence," significantly rose. Further, at the point of completing the group program, the total scores of the SES and SOCRATES-8D, and the score of the two SOCRATES-8D subscales, the "Recognition" and "Taking Steps," significantly rose.
  
  
  CONCLUSIONS
  The relapse prevention guidance consisting of a self-teaching workbook and group therapy, conducted in the Harima Rehabilitation Program Center, were supposed to bring same internal changes as the "Stage of Changes" model, proposed by Prochaska and DiClemente, to drug-dependent inmates.
authors.affiliation: Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Ogawa-Higashi 4-1-1, Kodaira-city, Tokyo 187-8553, Japan.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Fumie
authors.initials: F
authors.lastname: Imamura
authors.forename: Ohji
authors.initials: O
authors.lastname: Kobayashi
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Wada
authors.forename: Shiro
authors.initials: S
authors.lastname: Ozaki
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Takeuchi
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hasegawa
authors.forename: Yoko
authors.initials: Y
authors.lastname: Imamura
authors.forename: Yuko
authors.initials: Y
authors.lastname: Tania
authors.forename: Yasumori
authors.initials: Y
authors.lastname: Adachi
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D059026:Diagnostic Self Evaluation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011330:Prisons; D011615:Psychotherapy, Group; D019966:Substance-Related Disorders / Q000534:rehabilitation*