Three-Year Outcomes of Therapeutic Community Treatment for Drug-Involved Offenders in Delaware: From Prison to Work Release to Aftercare

Delaware researchers have argued for a continuum of primary (in prison), secondary (work release), and tertiary (aftercare) therapeutic community (TC) treatment for drug-involved offenders. Previous work has demonstrated significant reductions in relapse and recidivism for offenders who received pri...

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Bibliographic Details
Published in:The Prison journal (Philadelphia, Pa.) Pa.), 1999-09, Vol.79 (3), p.294-320
Main Authors: MARTIN, STEVEN S., BUTZIN, CLIFFORD A., SAUM, CHRISTINE A., INCIARDI, JAMES A.
Format: Article
Language:English
Subjects:
After Care
Delaware
Drug Abuse
Offenders
Prisoners
Prisons
Recidivism
Relapse
Substance abuse treatment
Treatment Outcomes
Treatment Programs
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Summary:Delaware researchers have argued for a continuum of primary (in prison), secondary (work release), and tertiary (aftercare) therapeutic community (TC) treatment for drug-involved offenders. Previous work has demonstrated significant reductions in relapse and recidivism for offenders who received primary and secondary TC treatment 1 year after leaving work release. However, much of the effect declines significantly when the time at risk moves to 3 years after release. Further analyses reveal that program effects remain significant when the model takes into account not simply exposure to the TC program, but, more importantly, program participation, program completion, and aftercare. Clients who complete secondary treatment do better than those with no treatment or program dropouts, and those who receive aftercare do even better in remaining drug- and arrest-free.
ISSN:0032-8855
1552-7522
DOI:10.1177/0032885599079003002