Journal of Experimental Criminology

, Volume 2, Issue 1, pp 45–65 | Cite as

Acupuncture in drug treatment: Exploring its role and impact on participant behavior in the drug court setting

  • Michael D. White
  • John S. Goldkamp
  • Jennifer B. Robinson


The originators of the Miami drug court incorporated acupuncture into the substance abuse treatment regimen that has been widely imitated in hundreds of drug courts since 1989. Although there is some evidence to suggest that acupuncture may be an effective adjunct to treatment more generally, research has not yet examined its role and impact in the drug court setting. This paper describes an effort to study the impact of acupuncture on offender behavior and progress in treatment in the Clark County, (Las Vegas) Nevada Drug Court using a prospective modified experiment, where 336 new participants were randomly assigned to acupuncture and no-acupuncture conditions. However, significant treatment contamination hindered straightforward analysis, as nearly 40% of the control group received at least some acupuncture. To compensate for the treatment compliance problem, two-stage least-squares (2SLS) regression is employed with original group assignment as an instrumental variable and acupuncture exposure as a predictor. Results indicate no significant difference along a range of criminal justice and treatment outcomes, with the exception of one measure of treatment progress. The paper concludes with a discussion of the implications of the findings and the need to design studies that are better able to separate the effects of acupuncture from other treatment and court interventions.

Key words

acupuncture drug court drug treatment 


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  1. Angrist, J. D. & Evans, W.N. (1998). Children and their parents' labor supply: Evidence from exogenous variations in family size. American Economic Review 88(3), 450–477.Google Scholar
  2. Angrist, J. D. & Krueger, A. B. (2001). Instrumental variables and the search for identification: From supply and demand to natural experiments. Journal of Economic Perspectives 15(4), 69–85.Google Scholar
  3. Belenko, S. (1998). Research on drug courts: A critical review. National Drug Court Institute Review 1(1), 1–14.Google Scholar
  4. Berman, A. H., Lundberg, U., Krook, A. L. & Gyllenhammar, C. (2004). Treating drug using prison inmates with auricular acupuncture: A randomized controlled trial. Journal of Substance Abuse Treatment 26, 95–102.CrossRefGoogle Scholar
  5. Bullock, M. L., Kiresuk, T. J., Pheley, A. M., Culliton, P. D. & Lenz, S. K. (1999). Auricular acupuncture in the treatment of cocaine abuse. Journal of Substance Abuse Treatment 16, 31–38.CrossRefGoogle Scholar
  6. Bullock, M. L., Kiresuk, T. J., Sherman, R. E., Lenz, S. K., Culliton, P. D., Boucher, T. A. & Nolan, C. J. (2002). A large randomized placebo controlled study of auricular acupuncture for alcohol dependence. Journal of Substance Abuse Treatment 22, 71–77.CrossRefGoogle Scholar
  7. Center for Substance Abuse Treatment (1995). Detoxification from alcohol and other drugs: Treatment improvement protocol (TIP) series 19. Rockville, MD: U.S. Department of Health and Human Services, Center for Substance Abuse Treatment.Google Scholar
  8. Goldkamp, J. S. (1994). Miami's treatment drug court for felony defendants: Some implications of assessment findings. The Prison Journal 73(2), 110–166.Google Scholar
  9. Goldkamp, J. S. (2000). The drug court response: Issues and implications for justice change. Albany Law Review 63, 923–961.Google Scholar
  10. Goldkamp, J. S. (2003). The impact of drug courts. Criminology and Public Policy 2, 197–206.Google Scholar
  11. Goldkamp, J. S., White, M. D. & Robinson, J. (2000). Retrospective evaluation of two pioneering drug courts: Phase I findings from Clark County, Nevada, and Multnomah County, Oregon. Philadelphia: Crime and Justice Research Institute.Google Scholar
  12. Goldkamp, J. S., White, M. D. & Robinson, J. B. (2001a). Context and change: The evolution of pioneering drug courts in Portland and Las Vegas (1991–1998). Law and Policy 23(2), 141–170.Google Scholar
  13. Goldkamp, J. S., White, M. D. & Robinson, J. B. (2001b). Do drug courts work? Getting inside the drug court black box. Journal of Drug Issues 31(1), 27–72.Google Scholar
  14. Goldkamp, J. S., White, M. D. & Robinson, J. B. (2001c). From whether to how drug courts work: Retrospective evaluation of drug courts in Clark County (Las Vegas) and Multnomah County (Portland): Final report. Crime and Justice Research Institute. Funded by the National Institute of Justice.Google Scholar
  15. Harrell, A. (2003). Judging drug courts: Balancing the evidence. Criminology and Public Policy 2, 207–212.Google Scholar
  16. Imbens, G. W. & Angrist, J. D. (1994). Identification and estimation of local average treatment effects. Econometrica 62(2), 467–475.Google Scholar
  17. Katims, J. J., Ng, L. K. Y. & Lowinson, J. H. (1992). Acupuncture and transcutaneous electrical nerve stimulation: Afferent nerve stimulation (ANS) in the treatment of addiction. In: J. H. Lowenson, P. Ruiz, R. B. Millman & J. G. Langrod (Eds.), Substance abuse: A comprehensive textbook. 2nd edn. Baltimore: Williams and Wilkins.Google Scholar
  18. Kelling et al. (1974). The Kansas City preventive patrol experiment. Washington, DC: The Police Foundation.Google Scholar
  19. Killeen, T. K., Haight, B., Brady, K., Herman, J., Michel, Y., Stuart, G. & Young, S. (2002). The effect of auricular acupuncture on psychophysiological measures of cocaine craving. Issues in Mental Health Nursing 23, 445–459.CrossRefGoogle Scholar
  20. Konefal, J. (1997). Presentation at the National Institute of Health (NIH) Consensus Development Conference in Acupuncture.Google Scholar
  21. Leshner, A. I. (1999). Addiction is a brain disease – and it matters. Alternatives to Incarceration 5(2), 14–15.Google Scholar
  22. Margolin, A., Avants, S. K., Holford, T. R. & Kosten, T. R. (2000). A randomized controlled trial of auricular acupuncture for cocaine dependence. Archives of Internal Medicine 160(2), 305–2312.Google Scholar
  23. Margolin, A. Kleber, H. D., Avants, S. K., Konefal, J., Gawin, F., Stark, E., Sorenson, J., Midkiff, E., Wells, E., Jackson, T. R., Bullock, M., Culliton, P. D., Boles, S. & Vaughn, R. (2001). Acupuncture for the treatment of cocaine addiction – A randomized controlled trial. Journal of the American Medical Association 287(1), 55–63.Google Scholar
  24. McLellan, A. T., Grossman, D. S., Blaine, J. D. & Haverkos, H. W. (1993). Acupuncture treatment for drug abuse: A technical review. Journal of Substance Abuse Treatment 10, 569–576.Google Scholar
  25. Office of Justice Programs (OJP) Drug Court Clearinghouse, Drug Court Activity Update: July 13, 2004. Available online, at (last visited Sep. 19, 2004).
  26. Pennell, S. & Martin, R. (1994). Solutions/Soluciones: An evaluation of an acupuncture program for drug treatment in San Diego County. San Diego, CA: Criminal Justice Research Division, San Diego Association of Governments.Google Scholar
  27. Sapir-Weise, R., Berglund, M., Frank, A. & Kristenson, H. (1999). Acupuncture in alcoholism treatment: A randomized out-patient study. Alcohol and Alcoholism 34(4), 629–635.CrossRefGoogle Scholar
  28. Schwartz, M., Saitz, R., Mulvey, K. & Brannigan, P. (1999). The value of acupuncture detoxification programs in a substance abuse treatment system. Journal of Substance Abuse Treatment 17(4), 305–312.Google Scholar
  29. Sherman, L. W. & Berk, R. A. (1984). The specific deterrent effects of arrest for domestic assault. American Sociological Review 49(2), 261–272.Google Scholar
  30. Singer, A. (1992). Effective treatment for drug-involved offenders: A review and synthesis for judges and other court personnel. Newton, MA: Education Development Center, Inc.Google Scholar
  31. Washburn, A. M., Fullilove, R. E., Fullilove, M. T., Keenan, P. A., McGee, B., Morris, K. A., Sorenson, J. L. & Clark, W. W. (1993). Acupuncture heroin detoxification: A single-blind clinical trial. Journal of Substance Abuse Treatment 10, 345–351.CrossRefGoogle Scholar
  32. Wilson, D. B., Mitchell, O. & MacKenzie, D. (2002). A systematic review of drug court effects on recidivism. Presented at the American Society of Criminology meeting, Chicago, Illinois.Google Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  • Michael D. White
    • 1
  • John S. Goldkamp
    • 2
  • Jennifer B. Robinson
    • 3
  1. 1.Department of Law, Police Science and Criminal Justice AdministrationJohn Jay College of Criminal JusticeNew YorkUSA
  2. 2.Department of Criminal JusticeTemple UniversityPhiladelphiaUSA
  3. 3.College of Criminal JusticeNortheastern UniversityBostonUSA

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