The authors examined the roles of social comparisons, publicity of success, and praise on the experience of pride in an experiment in which college students successfully completed a timed intelligence task in private and later received 1 of 4 types of feedback from the experimenter: no feedback (private), mere public acknowledgment of completion, general praise containing both a public and an evaluative component, or praise containing explicit comparison information. Half of the participants also received written normative information suggesting they performed at a high level. Participants then completed a number of dependent measures, including a key measure of pride. Overall, results suggest that the public aspect of a performance, together with the superior standing suggested by any praise accompanying this publicity, is important in the experience of pride.
Introduction Medication-assisted treatment (MAT) is effective for alcohol and opioid use disorders but it is stigmatized and underutilized in criminal justice settings. Methods This study cluster-randomized 20 community corrections sites to determine whether an experimental implementation strategy of training and an organizational linkage intervention improved staff perceptions of MAT and referral intentions more than training alone. The 3-hour training was designed to address deficits in knowledge, perceptions and referral information, and the organizational linkage intervention brought together community corrections and addiction treatment agencies in an interagency strategic planning and implementation process over 12 months. Results Although training alone was associated with increases in familiarity with pharmacotherapy and knowledge of where to refer clients, the experimental intervention produced significantly greater improvements in functional attitudes (e.g. that MAT is helpful to clients) and referral intentions. Corrections staff demonstrated greater improvements in functional perceptions and intent to refer opioid dependent clients for MAT than did treatment staff. Conclusion Knowledge, perceptions and information training plus interorganizational strategic planning intervention is an effective means to change attitudes and intent to refer clients for medication assisted treatment in community corrections settings, especially among corrections staff.
Incarcerated women commonly report health, mental health, and substance use problems, yet there is limited research on service utilization before incarceration, particularly among women from urban and rural areas. This study includes a stratified random sample of 100 rural and urban incarcerated women to profile the health, mental health, substance use, and service utilization; examine the relationship between the number of self-reported problems and service utilization; and examine self-reported health and mental health problems in prison as associated with preincarceration health-related problems and community service utilization. Study findings suggest that health and mental health problems and substance use do not differ significantly among rural and urban women prisoners. However, there are differences in service utilization -- particularly behavioral health services including mental health and substance abuse services; urban women report more service utilization. In addition, rural women who reported using needed community services before prison also reported fewer health problems in prison. Implications for correctional and community treatment opportunities in rural and urban areas are discussed.
Employment contributes to drug abuse treatment success and is an important treatment outcome (Institute of Medicine, 1990). However, few tailored employment interventions are available. This project developed an employment intervention focused on obtaining, maintaining, and upgrading employment. The current study, approved by an IRB, uses 12-month outcomes to examine intervention dosage effects. Participants were 500 clients who entered two Kentucky drug court programs between March 2000 and November 2002. Measures included demographics, drug/alcohol use, criminality, employment, and education measures from the Addiction Severity Index (McLellan, Luborsky, Woody, and O'Brien, 1980) as well as specific employment measures. To examine the intervention, the number of intervention upgrading sessions attended was divided by the number of possible upgrading sessions. Session attendance percentages were then used to median split into a low upgrading group and a high upgrading group and were compared with the no intervention group. These three groups were used in a series of ANOVA and chi-square analyses to examine differences at 12-month follow-up. When employment, legal work, illegal work, and employment problems were examined for one year and 30 days at follow-up, there were significant effects for jobs in the past year, days worked at a legitimate job in both the past year as well as 30 days, and income from a legitimate job in the past year. Participants in the high upgrade group received maximum employment benefits. Since legal earnings increased and illegal earnings decreased, drug-user treatment programs and practitioners should assess and refer clients to employment interventions. Tailored employment interventions should be tested to keep drug users in treatment and to increase treatment outcome. The study's limitations are noted and future needed research is suggested.
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