Drug-abusing offenders with comorbid mental disorders: Problem severity, treatment participation, and recidivism

Jaffe, Adi; Du, Jing; Huang, David; Hser, Yih‐Ing

doi:10.1016/j.jsat.2011.12.002

Cited by 42 publications

(28 citation statements)

References 24 publications

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“…Socio-demographics included gender (Grella et al, 2008; Hser et al, 2003; Walitzer and Dearing, 2006); ethnicity (Grella and Joshi, 2003; Hser et al, 2006); education (dichotomized to 0=less than high school education, 1=high school/GED or higher; Brecht et al, 2006; Jaffe et al, 2012); and percentage of months employed during the two years preceding treatment admission (Adamson et al, 2009; Hser et al, 2007). An indicator of childhood family context included parental drug/alcohol problems (yes=1, no=0; Chassin et al, 2004).…”

Section: Methodsmentioning

confidence: 99%

Time to relapse following treatment for methamphetamine use: A long-term perspective on patterns and predictors

Brecht

Herbeck

2014

Drug and Alcohol Dependence

227

151

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Introduction This paper describes methamphetamine (MA) use patterns, specifically duration of continuing abstinence (“time to relapse”) for periods averaging 5 years post-discharge from treatment for MA use, and the relationship with selected user and treatment characteristics. Methods A sample of 350 treatment admissions from a large county substance use disorder (SUD) treatment system was randomly selected (within gender, race/ethnicity, treatment modality strata). Retrospective self-report data are from natural history interviews (NHI) conducted approximately 3 years after treatment and a follow-up 2-3 years later. Relapse is defined as any use of MA with time as the number of months of continuous MA abstinence after treatment discharge until relapse. This outcome was constructed from a monthly MA use timeline using NHI data. A Cox model was used to examine time to relapse and predictors. Results Sixty-one percent of the sample relapsed to MA use within 1 year after treatment discharge and 25% during years 2-5. Significant protective factors predicting longer time to relapse included having experienced serious MA-related psychiatric/behavioral problems (hazard ratio [HR]=0.75, p=0.027), longer duration of the index treatment episode (HR=0.93, p=0.001), and participating in self-help or other treatment during the post-treatment abstinence period(HR=0.29, p<0.001); risk factors for shorter time to relapse included having a parent with alcohol and/or drug use problems (HR =1.35, p=0.020) and involvement in MA sales (HR=1.48, p=0.002). Conclusions Results contribute a long-term perspective on patterns of MA use following treatment and support a need for early post-treatment and long-term continuing care and relapse- prevention services.

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Section: Methodsmentioning

confidence: 99%

Time to relapse following treatment for methamphetamine use: A long-term perspective on patterns and predictors

Brecht

Herbeck

2014

Drug and Alcohol Dependence

227

151

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“…Following prior research (Chi, Satre, & Weisner, 2006; Jaffe, Du, Huang, & Hser, 2012; Ouimette, Gima, Moos, & Finney, 1999), we created 5 mutually exclusive categories - women who were diagnosed with: (1) psychosis (n=162; 3.6%), (2) bipolar disorder (n=233; 5.2%), (3) depression (n=486; 10.9%), (4) anxiety or another mental illness (n=308; 6.9%), and (5) SUD only, i.e., no co-occurring mental illness (n=3,258; 73.3%). Women with several mental health diagnoses (14.5%) were coded into the category of greatest severity, with psychosis considered to be the most severe disorder followed by bipolar disorder, depression, other, and only SUD (see Table 1 note).…”

Section: Methodsmentioning

confidence: 99%

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Evans¹,

Padwa²,

Li³

et al. 2015

Journal of Substance Abuse Treatment

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Objective To determine mental health service utilization patterns among women treated for substance use disorders (SUD) and identify factors associated with patterns of high mental health service use. Methods Data were provided by 4,447 women treated for SUD in California during 2000–2002 for whom mental health services utilization records were acquired. A latent class model was fitted to women’s high use of services (≥6 services/year over 8 years). Multinomial logistic regression was used to identify predisposing, enabling, and need factors associated with utilization patterns. Results In 8 years after initiating SUD treatment, 50% of women utilized mental health services. High use probability was consistently low for most women (76.9%); for others, however, it decreased immediately following SUD treatment and then increased over time (9.3%), increased immediately following SUD treatment and then decreased (8.7%), or remained consistently high (5.1%). Consistently high services use was negatively associated with marriage (OR 0.60, p<0.05) and employment (OR 0.53, p<0.05) and positively associated with older age (OR 1.04, p<0.001), homelessness (OR 1.68, p<0.05), public assistance (OR 1.76, p<0.01), outpatient SUD treatment (OR 3.69, p<0.01), longer SUD treatment retention (OR 1.00, p<0.01), treatment desire (ORs 1.46, p<0.001), and co-occurring disorder diagnosis (ORs 2.89–44.93, p<0.001). Up to 29% of women with co-occurring mental health disorders at SUD treatment entry did not receive any mental health treatment in the subsequent 8 years. Conclusions Mental health services utilization patterns among women treated for SUD are hetereogeneous and dynamic. Understanding factors related to women’s utilization patterns may aid efforts to optimize care and ensure appropriate use of mental health services.

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“…From this perspective, offenders with comorbid mental health and substance use problems constitute a population of relevance for public safety. After release from prison or forensic psychiatric treatment, many have complex treatment needs and substantial risk of criminal recidivism [ 4 – 5 ]. Research has emphasized the importance of providing treatment to these individuals [ 4 – 5 ] but few studies have explored their treatment participation and associated outcomes.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Services and Public Safety: Substance Abuse Outpatient Visits Were Associated with Reduced Crime Rates in a Swedish Cohort

et al. 2015

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Substance abuse is related to offending and substance abuse treatment has been associated with reductions in criminal behavior. This cohort study aimed to explore the relationship between participation in substance abuse interventions and general criminal recidivism among offenders with a combination of mental health problems and substance use problems. In total, 150 Swedish offenders with self-reported mental health and substance use problems were followed for approximately three years with regard to participation in substance abuse interventions and criminal recidivism. Participants with at least three planned visits to specialized outpatient substance abuse clinics had a substantially reduced risk of reoffending as compared to those with fewer than three such visits (HR = 0.47, 95% CI 0.29–0.77). For those with at least three planned visits, general criminal recidivism was reduced by 75% during periods of participation in outpatient visits, as compared to periods of non-participation (HR = 0.25, 95% CI 0.11–0.60). For offenders with mental health problems and substance use problems, outpatient substance abuse interventions could be regarded as important from a clinical risk management perspective, and be encouraged.

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Drug-abusing offenders with comorbid mental disorders: Problem severity, treatment participation, and recidivism

Cited by 42 publications

References 24 publications

Time to relapse following treatment for methamphetamine use: A long-term perspective on patterns and predictors

Time to relapse following treatment for methamphetamine use: A long-term perspective on patterns and predictors

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Mental Health Services and Public Safety: Substance Abuse Outpatient Visits Were Associated with Reduced Crime Rates in a Swedish Cohort

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