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Impact of California's Proposition 36 on the Drug Treatment System: Treatment Capacity and Displacement
California's Proposition 36 offers nonviolent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. We examined how treatment capacity changed to accommodate Proposition 36 clients and whether displacement of other clients was an unintended...
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| Published in: | American journal of public health (1971) 2007-01, Vol.97 (1), p.104-109 |
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| Main Authors: | , , , , , |
| Format: | Article |
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| cited_by | cdi_FETCH-LOGICAL-c482t-1eb98e9191fb36001a56763055cab0e82ac2e3ec7e5a4bd7b7a8e5fbe0abc5283 |
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| cites | cdi_FETCH-LOGICAL-c482t-1eb98e9191fb36001a56763055cab0e82ac2e3ec7e5a4bd7b7a8e5fbe0abc5283 |
| container_end_page | 109 |
| container_issue | 1 |
| container_start_page | 104 |
| container_title | American journal of public health (1971) |
| container_volume | 97 |
| creator | Hser, Yih-Ing Teruya, Cheryl Brown, Alison H Huang, David Evans, Elizabeth Anglin, M. Douglas |
| description | California's Proposition 36 offers nonviolent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. We examined how treatment capacity changed to accommodate Proposition 36 clients and whether displacement of other clients was an unintended consequence.
Treatment admissions were compared for the year before and 2 years after the law was enacted. Surveys of county administrators and treatment providers were conducted in Kern, Riverside, Sacramento, San Diego, and San Francisco counties.
The number of Proposition 36 offenders admitted to treatment continued to increase in the state (approximately 32000 in Year 1 and 48000 in Year 2) and in the 5 counties; total treatment admissions stabilized in Year 2 after increasing in Year 1. Voluntary clients decreased by 8000 each year statewide, but the change varied across counties. One third of treatment providers reported decreased treatment availability for non-Proposition 36 clients in Year 2.
Despite expanded treatment capacity (mostly in outpatient treatment), indirect evidence suggests that displacement of voluntary clients may have occurred in part because of the demand for treatment by Proposition 36 clients. |
| doi_str_mv | 10.2105/AJPH.2005.069336 |
| format | article |
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Treatment admissions were compared for the year before and 2 years after the law was enacted. Surveys of county administrators and treatment providers were conducted in Kern, Riverside, Sacramento, San Diego, and San Francisco counties.
The number of Proposition 36 offenders admitted to treatment continued to increase in the state (approximately 32000 in Year 1 and 48000 in Year 2) and in the 5 counties; total treatment admissions stabilized in Year 2 after increasing in Year 1. Voluntary clients decreased by 8000 each year statewide, but the change varied across counties. One third of treatment providers reported decreased treatment availability for non-Proposition 36 clients in Year 2.
Despite expanded treatment capacity (mostly in outpatient treatment), indirect evidence suggests that displacement of voluntary clients may have occurred in part because of the demand for treatment by Proposition 36 clients.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2005.069336</identifier><identifier>PMID: 17138930</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject><![CDATA[Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Alcohol ; Biological and medical sciences ; California ; Community Mental Health Services - legislation & jurisprudence ; Community Mental Health Services - organization & administration ; Community Mental Health Services - utilization ; Counties ; Crime prevention ; Criminal justice ; Drug abuse ; Drug addiction ; Drug and Narcotic Control - legislation & jurisprudence ; Drug therapy ; Family counseling ; Forensic Psychiatry - legislation & jurisprudence ; Health Care Surveys ; Health services ; Health Services Accessibility ; Health Services Needs and Demand ; Humans ; Imprisonment ; Licenses ; Medical sciences ; Methadone ; Methamphetamine ; Middle Aged ; Miscellaneous ; Nonviolence ; Parole & probation ; Participation ; Patient Admission ; Prisons ; Program Evaluation ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health ; Public Health Administration ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; Research and Practice ; Substance abuse treatment ; Substance Abuse Treatment Centers - legislation & jurisprudence ; Substance Abuse Treatment Centers - organization & administration ; Substance Abuse Treatment Centers - utilization ; Substance-Related Disorders - rehabilitation]]></subject><ispartof>American journal of public health (1971), 2007-01, Vol.97 (1), p.104-109</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright American Public Health Association Jan 2007</rights><rights>American Journal of Public Health 2007 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c482t-1eb98e9191fb36001a56763055cab0e82ac2e3ec7e5a4bd7b7a8e5fbe0abc5283</citedby><cites>FETCH-LOGICAL-c482t-1eb98e9191fb36001a56763055cab0e82ac2e3ec7e5a4bd7b7a8e5fbe0abc5283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/215081156/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/215081156?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,3981,4010,11667,21366,21373,27843,27900,27901,27902,33588,33962,36037,43709,43924,44339,53766,53768,74192,74438,74865</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18434163$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17138930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hser, Yih-Ing</creatorcontrib><creatorcontrib>Teruya, Cheryl</creatorcontrib><creatorcontrib>Brown, Alison H</creatorcontrib><creatorcontrib>Huang, David</creatorcontrib><creatorcontrib>Evans, Elizabeth</creatorcontrib><creatorcontrib>Anglin, M. Douglas</creatorcontrib><title>Impact of California's Proposition 36 on the Drug Treatment System: Treatment Capacity and Displacement</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>California's Proposition 36 offers nonviolent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. We examined how treatment capacity changed to accommodate Proposition 36 clients and whether displacement of other clients was an unintended consequence.
Treatment admissions were compared for the year before and 2 years after the law was enacted. Surveys of county administrators and treatment providers were conducted in Kern, Riverside, Sacramento, San Diego, and San Francisco counties.
The number of Proposition 36 offenders admitted to treatment continued to increase in the state (approximately 32000 in Year 1 and 48000 in Year 2) and in the 5 counties; total treatment admissions stabilized in Year 2 after increasing in Year 1. Voluntary clients decreased by 8000 each year statewide, but the change varied across counties. One third of treatment providers reported decreased treatment availability for non-Proposition 36 clients in Year 2.
Despite expanded treatment capacity (mostly in outpatient treatment), indirect evidence suggests that displacement of voluntary clients may have occurred in part because of the demand for treatment by Proposition 36 clients.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol</subject><subject>Biological and medical sciences</subject><subject>California</subject><subject>Community Mental Health Services - legislation & jurisprudence</subject><subject>Community Mental Health Services - organization & administration</subject><subject>Community Mental Health Services - utilization</subject><subject>Counties</subject><subject>Crime prevention</subject><subject>Criminal justice</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug and Narcotic Control - legislation & jurisprudence</subject><subject>Drug therapy</subject><subject>Family counseling</subject><subject>Forensic Psychiatry - legislation & jurisprudence</subject><subject>Health Care Surveys</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Imprisonment</subject><subject>Licenses</subject><subject>Medical sciences</subject><subject>Methadone</subject><subject>Methamphetamine</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nonviolence</subject><subject>Parole & probation</subject><subject>Participation</subject><subject>Patient Admission</subject><subject>Prisons</subject><subject>Program Evaluation</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health</subject><subject>Public Health Administration</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Douglas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of California's Proposition 36 on the Drug Treatment System: Treatment Capacity and Displacement</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>97</volume><issue>1</issue><spage>104</spage><epage>109</epage><pages>104-109</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>California's Proposition 36 offers nonviolent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. We examined how treatment capacity changed to accommodate Proposition 36 clients and whether displacement of other clients was an unintended consequence.
Treatment admissions were compared for the year before and 2 years after the law was enacted. Surveys of county administrators and treatment providers were conducted in Kern, Riverside, Sacramento, San Diego, and San Francisco counties.
The number of Proposition 36 offenders admitted to treatment continued to increase in the state (approximately 32000 in Year 1 and 48000 in Year 2) and in the 5 counties; total treatment admissions stabilized in Year 2 after increasing in Year 1. Voluntary clients decreased by 8000 each year statewide, but the change varied across counties. One third of treatment providers reported decreased treatment availability for non-Proposition 36 clients in Year 2.
Despite expanded treatment capacity (mostly in outpatient treatment), indirect evidence suggests that displacement of voluntary clients may have occurred in part because of the demand for treatment by Proposition 36 clients.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>17138930</pmid><doi>10.2105/AJPH.2005.069336</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0090-0036 |
| ispartof | American journal of public health (1971), 2007-01, Vol.97 (1), p.104-109 |
| issn | 0090-0036 1541-0048 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1716257 |
| source | ABI/INFORM global; American Public Health Association; Politics Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); PAIS Index; BSC - Ebsco (Business Source Ultimate); PubMed Central |
| subjects | Addictive behaviors Adolescent Adult Adult and adolescent clinical studies Alcohol Biological and medical sciences California Community Mental Health Services - legislation & jurisprudence Community Mental Health Services - organization & administration Community Mental Health Services - utilization Counties Crime prevention Criminal justice Drug abuse Drug addiction Drug and Narcotic Control - legislation & jurisprudence Drug therapy Family counseling Forensic Psychiatry - legislation & jurisprudence Health Care Surveys Health services Health Services Accessibility Health Services Needs and Demand Humans Imprisonment Licenses Medical sciences Methadone Methamphetamine Middle Aged Miscellaneous Nonviolence Parole & probation Participation Patient Admission Prisons Program Evaluation Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health Public Health Administration Public health. Hygiene Public health. Hygiene-occupational medicine Questionnaires Research and Practice Substance abuse treatment Substance Abuse Treatment Centers - legislation & jurisprudence Substance Abuse Treatment Centers - organization & administration Substance Abuse Treatment Centers - utilization Substance-Related Disorders - rehabilitation |
| title | Impact of California's Proposition 36 on the Drug Treatment System: Treatment Capacity and Displacement |
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