Treatment engagement in a prison-based Therapeutic Community: A mixed-methods approach.

Abstract:

:Given the high proportion of inmates with histories of substance use disorders in the era of mass incarceration, many correctional institutions have integrated the prison-based Therapeutic Community (TC) into their programming. While most evaluations provide evidence of lowered rates of relapse and recidivism, the majority of TC graduates still have negative outcomes post-release. Filling an important gap in the TC treatment literature, we analyze quantitative measures of treatment engagement alongside qualitative narratives from prison-based TC residents, providing an essential look into the black box of TC treatment mechanisms. Quantitative results show more between-person variation than within-person change, reflecting trivial increases in treatment engagement throughout time in the program. Qualitative results unpack these findings, pointing to processes of selection bias, heterogeneous treatment effects, and program fidelity lapses. In combination, our mixed data identify tangible modifications to program implementation that could strengthen desired post-release outcomes.

journal_name

J Subst Abuse Treat

authors

Davidson KM,Young JTN

doi

10.1016/j.jsat.2019.05.011

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

33-42

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(19)30057-1

journal_volume

103

pub_type

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