IBR HOME PAGE WHAT S NEW ABOUT IBR RESOURCE COLLECTIONS STAFF PROJECTS NEWSLETTERS PUBLICATIONS PRESENTATIONS MANUALS FORMS OTHER LINKS
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1 Evidence-Based Model Staff Resources Climate Interventio ntionsns T Family & Friends Skills Personal Health Support Alcohol and Offenders: The Alcohol and Addiction and The Alcohol and Addiction and Prevention Associations 19 th Annual Legislative Breakfast (February 26, 2004; Topeka, KS) Alcohol & Offenders: IBR HOME PAGE WHAT S NEW ABOUT IBR RESOURCE COLLECTIONS STAFF PROJECTS NEWSLETTERS PUBLICATIONS PRESENTATIONS MANUALS FORMS OTHER LINKS SITE GUIDES: Search Contents Site map Institute of Research at Texas Christian University A National Research Center addiction treatment studies in community and correctional settings Spotlight The IBR Website has been redesigned to streamline access and highlight integrated sets of materials manuals, ms, findings on selected topics listed in the new Resource Collections New Projects funded by NIDA Studies on transferring research to practice were recently published in a special issue of Journal of Substance Abuse Newest releases of Research Summaries, Newsletters, & Data Collection Instruments Handoutsfrom conference presentations listed IBR Resource Collections Overview National Evaluations Correctional Evaluations Process Counseling Manuals Organizational Functioning Assessment Systems Core Forms& Research Summaries available Kevin Knight, Ph.D. Texas Christian University DATOS Latest Publication Abstracts PowerPoint Presentations Foundations Is treatment effective? How does it work? Can we improve it? What is addiction? A chronic but treatable condition ( relapses are common -- like other health problems) Genetic Component: Heritability Estimates Eye Color 1.00 Asthma (adult only) Diabetes Type I (males) Type II (males) Hypertension (males) Alcohol Opiate (males) 2004 TCU Institute of Research, IBR Web site: Page 1 of 6
2 Alcohol and Offenders: The Alcohol and Addiction and Comparative Rates Relapse & Compliance % Relapsed (Mdn) in 1 Yr % Complied w Trt Plan 70 Failure Rates Addictions (reduction <50% in use after 6 mos.) Diabetes Hypertension Asthma O Brien & McLellan, 1996, The Lancet Alcohol Opiates Cocaine Nicotine O Brien & McLellan, 1996, The Lancet Adherence Effective s 50% of medical patients LIE about adherence Adherence to prescribed medications Adherence to recommended behavioral changes (e.g. diet, exercise, etc.) Relapse factors Sources: National Center Health Stats;Harrison, 13th Ed. (more than published studies) Illegal Detected (UA+) Among Male Arrestees (in 23 Cities)* % Any % Cocaine Illicit among State Prisoners (Percentages in 1997; N~1,050,000) 83 Treated? Only 4 of Ever d s Ever d Regularly d in Mo. Bee Offense Using at Offense *Based on original 23 DUF cities; 1999 data St. Louis not available. Bureau of Justice Statistics, TCU Institute of Research, IBR Web site: Page 2 of 6
3 Alcohol and Offenders: The Alcohol and Addiction and Substance Abuse is a Stage-Based Process Screening & Referral Courts, Judges, Prosecutors Criminal Justice Assessment Probation, CI Facility System Correctional s Offender Re-entry Case Mgmt, Parole Effectiveness % Reduction in Recidivism -7-6 Sanctions Inappropriate Appropriate Andrews et al., 1990, Criminal Justice and Behavior Delaware/Crest : 3-Year Re-Arrest & Rates Texas/High- Group: 3-Year Return-to-Custody Rates (%) % with New Arrests % with Year 3 Year 2 Year No (n=210) ITC Dropout* (n=109) ITC, but no * (n=101) ITC + * (n=69) *p<.05 (adjusted diff vs. No Trt) 10 No (n=58) 18 Dropouts (n=101) 11 1 Completers* (n=123) *p<.01 Martin, Butzin, Saum, & Inciardi, 1999 (The Prison Journal) Knight, Simpson, & Hiller, 1999 (The Prison Journal) Texas/New Offenses Only: 3-Year Return-to-Custody Rates (%) 19 No 22 Dropouts 6 Completers Knight, Simpson, & Hiller, 1999, The Prison Journal Weekly Cocaine (Adjusted) in Year After LTR (90+ Days) 58 ODF (90+ Days) 76 STI (21+ Days) HIGH Problem s (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999 (Arch Gen Psychiatry) 2004 TCU Institute of Research, IBR Web site: Page 3 of 6
4 Alcohol and Offenders: The Alcohol and Addiction and Foundations NIDA List of Scientifically Based Approaches Is treatment effective? How does it work? Can we improve it? Principles of Addiction : A Research Based Guide (NIDA, 2000) and Resources: The Way it SHOULD Be! Housing & Transportation Child Care Financial Core Intake Assessment Plans Family Medical Group/Individual Counseling Abstinence Based Pharmacotherapy Self-Help (AA/NA) AIDS / HIV Risks Mental Health Urine Monitoring Case Management Continuing Care Legal Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997 (PAB) Vocational Educational Evidence-Based Model Staff Resources Climate Family & Friends Skills Personal Health / Support Foundations Is treatment effective? How does it work? Can we improve it? Improving (Panel III: Page of NTP) Strengthen! Organizational Culture & Business & Info Mgmt Management Financing Stages of Costs, Efficiency, & Permance 2004 TCU Institute of Research, IBR Web site: Page 4 of 6
5 Alcohol and Offenders: The Alcohol and Addiction and Process Organizational Functioning / / Problem Recognition Desire Help 2-4 Weeks : : Climate Resources Staff Motivation Systems : : Budget Reductions Evidence-Based Model Skills & Support Support Needs assessments duration Outcome criteria : : / Skills Personal Health Skills & Support Skills & Support : : / / Skills Skills 2004 TCU Institute of Research, IBR Web site: Page 5 of 6
6 Alcohol and Offenders: The Alcohol and Addiction and / AA/NA/CA / 3-7 Day Slice (Detoxification) 2004 TCU Institute of Research, IBR Web site: Page 6 of 6
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