Randomized trial of a reentry modified therapeutic community for offenders with co-occurring disorders: Crime outcomes

Abstract This article describes a randomized study to determine the effectiveness of a reentry modified therapeutic community (RMTC) for offenders with co-occurring substance use and mental disorders (co-occurring disorders or COD). Men with COD, approved for community corrections placement postrele...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2012-04, Vol.42 (3), p.247-259
Main Authors: Sacks, Stanley, Ph.D, Chaple, Michael, Ph.D, Sacks, JoAnn Y., Ph.D, McKendrick, Karen, M.P.H, Cleland, Charles M., Ph.D
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
After care
Aftercare
Biological and medical sciences
Co-occurring disorders
Community corrections
Crime
Criminals
Desintoxication. Drug withdrawal
Drug addiction
Drug use
Humans
Imprisonment
Male
Medical sciences
Mental disorders
Mental Disorders - therapy
Mental health disorder
Middle Aged
Miscellaneous
Modified therapeutic community
Offenders
Prisoners
Prisons
Psychiatric disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reentry
Substance abuse treatment
Substance use disorder
Substance-Related Disorders - therapy
Therapeutic communities
Therapeutic Community
Treatments
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Summary:Abstract This article describes a randomized study to determine the effectiveness of a reentry modified therapeutic community (RMTC) for offenders with co-occurring substance use and mental disorders (co-occurring disorders or COD). Men with COD, approved for community corrections placement postrelease, were recruited from nine Colorado prisons and stratified according to the type of treatment received while incarcerated (i.e., a prison modified therapeutic community [MTC] program or standard care). When released, each offender was randomly assigned either to the experimental RMTC (E-RMTC) condition ( n = 71) or to the control parole supervision and case management (PSCM) condition ( n = 56). An intent-to-treat analysis 12 months postprison release showed that the E-RMTC participants were significantly less likely to be reincarcerated (19% vs. 38%), with the greatest reduction in recidivism found for participants who received MTC treatment in both settings. These findings support the RMTC as a stand-alone intervention and provide initial evidence for integrated MTC programs in prison and in aftercare for offenders with COD.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2011.07.011