Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women

Abstract

Background Homeless female exoffenders (homeless female offenders) exiting jail and prison are at a critical juncture during re-entry and transitioning into the community setting. Objective The purpose of the study was to compare the effect of a dialectical behavioral therapy-corrections modified (DBT-CM) program with a health promotion (HP) program on achieving drug and alcohol abstinence among female parolees/probationers residing in the community. Methods We conducted a multicenter parallel randomized controlled trial with 130 female parolees/probationers (aged 19–64) residing in the community randomly assigned to either DBT-CM (n = 65) or HP (n = 65). The trial was conducted in four community-based partner sites in Los Angeles (LA) and Pomona, California from February, 2015 to November, 2016. Treatment assignment was carried out using a computer-based URN randomization program. The primary outcome was drug and alcohol use abstinence at six-month follow up. Results Analysis was based on data from 116 participants with complete outcome data. Multivariable logistic regression revealed that the DBT-CM program remained an independent positive predictor of decrease in drug use among the DBT-CM participants at six months (p = .01) as compared with the HP program participants. Being non-White (p < .05) and having higher depressive symptom scores (p < .05) were associated with lower odds of drug use abstinence (i.e., increased the odds of drug use) at six months. Discussion DBT-CM increased drug and alcohol abstinence at six month follow-up, compared to a health promotion program.

Emergency medical care of incarcerated patients: Opportunities for improvement and cost savings

“…Compared to incarcerated individuals in the US, we observe similar rates of anxiety or depression, but higher rates of bipolar disorder and schizophrenia [20]. These data support the need for ongoing efforts to address mental illness, substance abuse and smoking cessation in the correctional system [22].…”

Dialectical Behaviour Therapy Skills Training Groups for Common Mental Health Disorders: A Systematic Review and Meta-Analysis

“…Six authors were contacted for additional data to determine eligibility (Azizi et al, 2010;Cancian et al, 2017;Hirvikoski et al, 2011;Neacsiu et al, 2014;Nyamathi et al, 2017;Wilks et al, 2019). Data was obtained and included herein from two authors (Cancian et al, 2017;Neacsiu et al, 2014) and the remaining authors were contacted a second time.3 A total of 15 studies met inclusion criteria.…”

“…To date, no answer has been received from two authors(Azizi et al, 2010;Hirvikoski et al, 2011). Of the remaining studies, one did not include an official diagnosis(Wilks et al, 2019) one was unable to provide outcomes of interest(Nyamathi et al, 2017). 4(Neacsiu et al, 2014; were aggregated, as well as and(Harley et al, 2008) …”

Acceptability and Feasibility of a Nurse-Led, Community Health Worker Partnered Latent Tuberculosis Medication Adherence Model for Homeless Adults

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