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Results for drug abuse treatment, inmates (u.s.)

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Author: Taxman, Faye S.

Title: Evaluating the Implementation & Impact of a Seamless System of Care for Substance Abusing Offenders: The HIDTA Model

Summary: By the end of the year 2000, more than 6.5 million adults were under the supervision of the correctional system, and more than half of these offenders are estimated to have significant substance abuse problems. Traditional, boundary-laden treatment and control strategies have been unable to change offender drug use and criminal behavior. Among the state probation populations, the proportion of offenders who successfully complete their supervision has dropped from seventy (70) percent to sixty (60) percent in the past decade, due in large part to offenders’ failure to abide by the conditions of their release related to abstinence from druglalcohol use and/or participation in treatment. In 1999 alone, fourteen (14) percent of the probation population (244,700) and forty two (42) percent of the parole population (173,800) were returneasent to prison for a rule violation and/or a new offense. Invariably, this is the result of the offender’s continued involvement in drug use and/or drug-related criminal behavior. Without significant increases in resource levels, treatment availability and quality will continue to be major barriers to offender change. The question that remains is how to utilize the leverage of the criminal justice system in a manner that supports-rather than subverts-treatment goals. In response, the Office of National Drug Control Policy (ONDCP) sponsored a demonstration project that commenced in 1994 to pilot new strategies to improve treatment services to offenders, specifically the formulation of a new model of incorporating treatment within the criminal justice system - the Seamless System of Care. The HIDTA Model was designed to target hard-core, substance abusing offenders who are both difficult clients for treatment providers and difficult offenders for community supervision agents. Part of this demonstration project was the restructuring of the treatment and supervision delivery systems for criminal justice offenders within the High Intensity Drug Trafficking Areas (HIDTA) program in the Washington, DC - Baltimore corridor. Each of the 12 participating jurisdictions (VA: Alexandria City, Arlington County, Fairfax/ Falls Church, Loudon County, Prince William County; MD: Baltimore City, Baltimore County, Charles County, Howard County, Montgomery County, Prince William County, and the District of Columbia) developed a seamless system tailored to their own socio-legal environment which included system reforms consistent with the core components of the HlDTA model. The HIDTA model is based on the concept of the boundaryless system that “transcends the traditional organizational boundaries to focus attention on improved outcomes”(Taxman & Bouffard:2000:41). Specifically, a main objective of the ONDCP demonstration project was to redefine the relationship between the criminal justice and treatment systems from one based on the brokerage of services (case management) to one defined by rationing and triage (systemic case management). The four key components of the HIDTA seamless system include: (1) continuum of care, (2) supervision, (3) urinalysis testing, and (4) compliance measures and graduated sanctions. This evaluation report provides a detailed examination of the development, implementation, and initial impact of the High Intensity Drug Trafficking Areas (HIDTA) Model, based on a multi- site (12 jurisdictions) analysis of the program. Using a simple pre-post, non-experimental design, data were collected at each of these twelve sites on the total population of offenders admitted to the HIDTA program in 1997 (N=1,216). By using a non-experimental design to conduct our initial review, we could provide preliminary outcome data to jurisdictions while focusing our evaluation resources on the critical question of level of implementation. Data were collected on the following: (1) demographic and criminal history, (2) treatment placement and movement through treatment, (3) criminal justice supervision and services, (4) drug testing results, and (5) the use of graduated sanctions by either the treatment agency or the criminal justice agency. The integration of records from treatment providers and criminal justice agency providers was critical to assessing the impact of the HlDTA Model on the offenders included in this study.

Details: College Park, MD: University of Maryland Center for Applied Policy Studies, Bureau of Governmental Research, 2002. 56p.

Source: Internet Resource: Accessed August 26, 2011 at: https://www.ncjrs.gov/pdffiles1/nij/grants/197046.pdf

Year: 2002

Country: United States

URL: https://www.ncjrs.gov/pdffiles1/nij/grants/197046.pdf

Shelf Number: 122557

Keywords:
Drug Abuse and Crime
Drug Abuse Treatment, Inmates (U.S.)
Drug Offenders
Prisoners