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Date: April 30, 2024 Tue
Time: 1:10 am
Time: 1:10 am
Results for substance abuse (oregon, u.s.)
1 results foundAuthor: Oregon. Audits Division Title: Department of Corrections: Treatment of the Highest-risk Offenders Can Avoid Costs Summary: The effects of substance abuse on Oregon’s economy and communities are substantial. According to a report by the consulting firm ECONorthwest, the direct economic costs from substance abuse in Oregon totaled approximately $5.9 billion in 2006. Alcohol and drug enforcement costs alone were about $656 million. As of December 2012, 70% of incarcerated offenders had some level of substance abuse problem. Research indicates that addressing the treatment needs of offenders is critical to reducing overall crime and other societal issues related to substance abuse. Studies also show the importance of treating those offenders with the highest-risk of committing new crimes. Previous evaluations have determined that Department of Corrections (DOC) and county community corrections agencies’ practices are effective and align with best practices. Offenders are systematically assessed for factors known to influence future criminal behavior and these assessments are used in determining offender programming and treatment. Our analysis of offenders released during 2008-2011, found that most were assessed in the community and in prison, and most treatment resources were directed at the highest risk offenders. However, about half of all the highest-risk offenders did not receive treatment. Highest-risk offenders are those who have been assessed by DOC and community corrections agencies as having a medium-to-high risk to reoffend and a moderate-to-high substance abuse challenge. While these offenders are costly to supervise and treat in the community, about $16 a day, the cost is substantially less than the approximate $84 a day cost in prison. We found 4,525 of the offenders assessed as highest-risk who were released from 2008-2011 did not receive treatment. We estimate Oregon taxpayers and victims could have avoided about $21.6 million in costs if substance abuse treatment had been provided to all of the highest-risk offenders. We found variations in funding and treatment efforts among counties. These variations are often due to funding shortfalls and differences in available community corrections services. The expansion of Medicaid eligibility under the federal Patient Protection and Affordable Care Act (ACA), which becomes effective in January 2014, offers an opportunity for the State and local community corrections agencies to provide substance abuse treatment to untreated highest-risk offenders, despite current funding limitations. Once the expansion becomes effective, additional released offenders may qualify for coverage. Under the ACA, the federal government will cover almost the entire cost of the expansion population, starting at 100 % funding from 2014-2016 and gradually decreasing to a minimum of 90 % in 2020. This expansion of health care coverage has the potential to relieve financially-stressed counties of nearly all costs of providing substance abuse treatment to offenders in the community and to make treatment seamless following their release. We recommend that DOC management work with county community corrections agencies and the Legislature to coordinate funding and track resources to provide substance abuse treatment for the highest-risk offenders wherever possible. We also recommend that DOC management explore utilizing expanded Medicaid funding for substance abuse treatment for released offenders and consider integrating Medicaid eligibility review into release planning. Details: Salem, OR: Audits Division, 2013. 20p. Source: Internet Resource: Report Number 2013-20: Accessed August 19, 2013 at: http://www.sos.state.or.us/audits/pages/state_audits/full/2013/2013-20.pdf Year: 2013 Country: United States URL: http://www.sos.state.or.us/audits/pages/state_audits/full/2013/2013-20.pdf Shelf Number: 129644 Keywords: Cost-Benefit AnalysisCosts of CrimeCosts of Criminal JusticeDrug Abuse and CrimeDrug Abuse TreatmentRisk AssessmentSubstance Abuse (Oregon, U.S.) |