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 second report].
abstract: BACKGROUND
  There has been no relapse prevention program for drug dependent inmates in Japanese prisons. Recently, "Relapse Prevention Guidance" program is provided to the adult male inmates in Harima Rehabilitation Program Center (HRPC), one of the newly founded "Private Finance Initiative" prisons.
  
  
  OBJECTIVE
  To evaluate the effectiveness of the program by comparing the outcomes between groups of inmates with different severity level of dependence.
  
  
  METHODS
  The program was provided to 89 subjects in HRPC. Inmates were classified into 4 groups according to the severity measured by the Drug Abuse Screening Test (DAST). After a month of waiting period, self-teaching workbook was provided to each inmate for 4 weeks. The educational program consisting of 8 weekly psychoeducational group therapies was then provided to each group of 10 inmates. The evaluation was conducted both at the beginning and at the end of the workbook and the educational program intervention by administering 2 self-reporting questionnaires; the Self-efficacy Scale for drug dependence (SES), and the 8th version of the Stages of Change Readiness and Treatment Eagerness Scale for drug dependence (SOCRATES-8D).
  
  
  RESULTS
  Only the "mild" group showed significant increase in SES during waiting period. After the workbook intervention, "moderate" group showed significant decrease in SES, and increase in the recognition and the ambivalence subscale of the SOCRATES-8D. The same increase in the subscales of SOCRATES-8D was noted in "Severe" group. Educational program produced increase in the recognition and the taking steps subscales of SOCRATES-8D in "mild" group, increase in SES score and the taking steps subscale in "moderate", increase in SES score and total score of SOCRATES-8D in "severe" group. No significant change was noted in "very severe" group in any of the interventions.
  
  
  CONCLUSIONS
  The "Relapse Prevention Guidance" is sufficiently effective, improving self-efficacy and motivation for change in drug dependent adult male 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: Ohji
authors.initials: O
authors.lastname: Kobayashi
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Fumi
authors.initials: F
authors.lastname: Imamura
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; D006801:Humans; D008297:Male; D011329:Prisoners; D011615:Psychotherapy, Group; D019966:Substance-Related Disorders / Q000503:physiopathology / Q000534:rehabilitation*