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Psychosocial Interventions for Substance-Abusing Criminal Offenders: Borrowing US Experience for the Chinese Context

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Abstract

Research and evaluation studies on in-prison interventions and community rehabilitative programs in the USA have made much progress in recent decades and produced many promising findings that can be shared and perhaps emulated in countries with emerging substance misuse problems. Drawing from our own research and a review of the literature on promising psychosocial interventions—most notably, cognitive–behavioral interventions, contingency management, and motivational interviewing, we reflect on what we have personally learned from the principles and research accumulated from the USA with a particular application for the Chinese context. The best lessons from decades of research in this field in the USA include: (1) avoid reinventing the wheel and embrace the basic principles of effective psychosocial interventions, (2) develop a treatment environment that humanizes substance misusers and promotes social reintegration, and (3) employ inexpensive but rigorous evaluation strategies to provide evidence for incremental improvement in treatment. Specific challenges in the Chinese sociocultural context are also discussed and recommendations made for improved access and services in the treatment of substance misuse in the world’s most populous country.

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Notes

  1. Prison population statistics can be found at www.cdcr.ca.gov.

  2. Prior to AB109, the State of California was already ordered by the federal government to reduce its prison population, a decision affirmed by the US Supreme Court. Additional details about this major restructuring in the state prison system can be found at: http://www.cdcr.ca.gov/realignment/.

  3. Like many established psychometric tests, commercial risk and needs assessment instruments for US prison populations, such as the Level of Service Inventory-Revised (LSI-R) and Correctional Offender Management Profiling for Alternative Sanctions (COMPAS), typically involve two types of fees—an annual license fee (usually a few thousand dollars) and a per-use fee (usually around $3 per use). For example, details can be found at https://www.gifrinc.com/course/lsi-r/ for fee structures on LSI-R, probably the most widely recognized risk and needs assessment instrument for justice-involved populations in North America.

  4. For instance, numerous instructional and assessment materials about MI and motivational enhancement therapy can be downloaded for free from NIDA’s website: https://www.drugabuse.gov.

  5. Specific instructions on how to conduct CBT training can be found at NIDA’s website: https://archives.drugabuse.gov/TXManuals/CBT/CBT1.html. Similar CBT training manuals can also be found at NIAAA’s official website: https://pubs.niaaa.nih.gov/publications/MATCHSeries3/.

  6. Details about this coordinated effort in Europe can be found at: http://www.emcdda.europa.eu/.

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Zhang, S.X., Qiu, G. Psychosocial Interventions for Substance-Abusing Criminal Offenders: Borrowing US Experience for the Chinese Context. Eur J Crim Policy Res 24, 155–169 (2018). https://doi.org/10.1007/s10610-017-9363-0

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