Study findings provide solid evidence of efficacy for CM and CBT. Although the effect of CM is significantly greater during treatment, CBT appears to produce comparable long-term outcomes. There was no evidence of an additive effect for the 2 treatments in the CM + CBT group.

During the past several years, a number of aggressive federal and state initiatives have been undertaken to expand substance abuse treatment within correctional settings. These efforts have been fueled by the high rates of substance involvement among offenders and the growing body of research literature suggesting that intensive, prison-based treatment efforts can significantly reduce postprison substance use and recidivism. However, the rapid expansion of these programs increases their vulnerability to common implementation problems that could lead to pessimistic, and erroneous, assumptions about their effectiveness. This article summarizes both the research literature and the experiences of the authors regarding six common barriers to developing effective correctional treatment programs and offers potential solutions for each.Primarily as a result of increased vigilance and mandatory sentences, state and federal criminal justice systems in the United States have witnessed substantial growth in the proportions of their populations who are serving time for drug-specific or drug-related crimes. From 1980 to 1995, drug law violators _____________________________________________________________

This study compared the efficacy of 2 approaches for the treatment of cocaine dependence among methadone-maintained patients with and without antisocial personality disorder (ASPD). Patients were randomly assigned to 4 study conditions: cognitive-behavioral treatment (CBT), contingency management (CM), CBT with CM, or methadone maintenance. The Structural Clinical Interview for Mental Disorders-IV was administered to 108 patients to assess ASPD. A 2-way analysis of variance showed that patients with ASPD were more likely to abstain from cocaine use during treatment than patients without ASPD. The strong treatment effect for ASPD patients was primarily due to the CM condition. Regression analyses showed that ASPD remained significantly related to CM treatment responsivity while controlling for other factors.

This study uses data from 641 state prison parolees in California to examine the associations between methamphetamine use and three measures of criminal behavior: (a) self-reported violent criminal behavior, (b) return to prison for a violent offense, and (c) return to prison for any reason during the first 12 months of parole. Methamphetamine use was significantly predictive of self-reported violent criminal behavior and general recidivism (i.e., a return to custody for any reason). However, methamphetamine use was not significantly predictive of being returned to custody for a violent offense. These trends remained even after controlling for involvement in the drug trade (i.e., sales, distribution, or manufacturing).

Comparative analysis of the relative victimization of 1,030 adult male prisoners and 500 adult female prisoners in Texas reveals significant gender differences in childhood and adult maltreatment and subsequent substance use and criminality. Female inmates report significantly more maltreatment as children than do male inmates. Moreover, the maltreatment of women increases when they become adults, whereas the maltreatment of men drops sharply. The study found childhood maltreatment to be more strongly associated with adult depression and substance dependence among women than among men. The severity of substance misuse and problems associated with it are stronger predictors of female rates of criminal activity than male rates. Recent literature from the social sciences is presented to account for the findings. A female empowerment treatment model to help women attain control over their lives is suggested.