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Factors associated with treatment compliance and its effects on retention among participants in a court-mandated treatment program

机译:与治疗依从性相关的因素及其对法院强制性治疗计划中参与者保留的影响

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摘要

Drug treatment court (DTC) programs have been implemented and promoted in American as well as Canadian judicial systems as an effective tool for reducing criminal recidivism rates. An evaluation of the program in Toronto revealed that the drug court participants' substance abuse and criminal behaviors are reduced while they are under the drug courts' jurisdiction, and to some extent recidivism is reduced after participants leave the program. However, while we know from the literature that there are positive effects of the program, the characteristics of drug-dependent offenders who benefit the most from the DTC are less clear. The main purpose of this study was to understand where the prediction from literature,that compliance determines success in treatment, fails. Thus, study participants were divided into two groups: 1) those who might normally be expected to not comply yet who do in the long run (unexpected retention, UR); and 2) those who might normally be expected to comply, but who do not (unexpected expulsions, UE). Discriminant function analysis showed that participants considered UR were subject to conditions of social disadvantage yet quite motivated; whereas UE participants had no housing concern, no indication of family problems, but had additional criminal justice involvement at an early stage of the program. Implications for strengthening DTCs as well as suggestions for future research in the drug treatment and drug court fields are discussed.
机译:药物治疗法院(DTC)计划已在美国和加拿大司法系统中实施和推广,作为降低犯罪累犯率的有效工具。在多伦多对该计划的评估显示,在毒品法院管辖范围内的时候,毒品法庭参与者的药物滥用和犯罪行为有所减少,并且在参与者离开计划之后,在某种程度上减少了累犯。但是,虽然我们从文献中知道该计划有积极作用,但从DTC中受益最大的毒品依赖罪犯的特征尚不清楚。这项研究的主要目的是了解文献中的预测,即依从性决定治疗的成功在哪里失败。因此,研究参与者分为两类:1)长期以来通常可能被期望不遵守的人(意外保留率,UR); 2)那些通常被期望遵守但不遵守的人(意外开除,UE)。判别功能分析表明,认为UR的参与者受到社会不利条件的影响,但动机很强。而UE参与者没有住房问题,没有家庭问题的迹象,但是在该计划的早期阶段还额外介入了刑事司法。讨论了加强DTC的意义以及对毒品治疗和毒品法庭领域未来研究的建议。

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