Abstract
Despite a growing consensus among scholars that substance abuse treatment is effective at reducing offending, strict eligibility rules and budgetary considerations greatly limit the impact that current models of therapeutic jurisprudence can have on public safety in the United States. A question of pressing importance for U.S. drug policy is whether it is beneficial to expand application of this model to treat every offender in need and, if so, whether a set of evidence-based, going-to-scale strategies can be developed to prioritize participation. We use evidence from several sources to construct a synthetic dataset for answering the question: What are the benefits we can reasonably expect by expanding treatment to drug-involved offenders? We combine information from the National Survey on Drug Use and Health (NSDUH) and the Arrestee Drug Abuse Monitoring (ADAM) program to estimate the likelihood of various arrestee profiles having drug addiction or dependence problems. We use the same sources to also develop prevalence estimates of these profiles among arrestees nationally. We use information in the Drug Abuse Treatment Outcome Study (DATOS) to compute expected crime-reducing benefits of treating various types of drug-involved offenders under different treatment modalities. We find that annually nearly 1.5 million (probably guilty) arrestees in the U.S. are at risk of abuse or dependence and that treatment alone could avert several million crimes that these individuals would otherwise commit. Results vary by treatment modality and arrestee traits and those results are described herein.


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Notes
See, among others, Anglin and Perrochet (1998), Ball et al. (1983), Brownstein et al. (1992), Condon and Smith (2003), Dawkins (1997), DeLeon (1988a, b), Harrison and Gfroerer (1992), Inciardi et al. (1996), Inciardi (1992), Inciardi and Pottieger (1994), Johnson et al. (1985), MacCoun and Reuter (2001), Miller and Gold (1994), Mocan and Tekin (2004).
We use the terms “probably guilty” and “likely to be convicted” interchangeably.
The conditions for substance abuse disorder focus on the frequency of drug use, the use of drugs in particular situations, negative outcomes that can be linked to the use of drugs, pronounced use of drugs in the face of evidence that drugs are contributing to personal and interpersonal problems. By contrast, the conditions for substance dependency disorder are broader ranging, including physical symptomatology, such as tolerance and withdrawal, and patterns of behavior aimed at either reducing unsuccessfully the influence of drugs or allowing for greater amounts of drugs to be taken.
Information theory builds on the pioneering work of Shannon (1948). He derived a measure of uncertainty—which he called Information Entropy—for quantifying a channel's capacity to communicate information. Faced with the problem of inferring individual features from aggregate properties, Edwin Jaynes, another pioneer in this field, proposed to use Shannon's Information Entropy as an agnostic criterion to maximize (since it measures uncertainty) in order to be very conservative in what we can (or cannot) infer from these aggregate properties (Jaynes 1957a, b). Viewing an experiment (or a sample or a training dataset) as a communication device, the Maximum Entropy procedure—as it has come to be known—is therefore a very general and powerful procedure for learning from statistical evidence
Rhodes et al. (2007) show that the ADAM data can lead to biased prevalence point estimates if one were to use just the annual arrest rate. However, in our analysis, we are concerned only with recovering the relative prevalence, not the absolute prevalence and feel, therefore, that our procedure accurately reflects the distribution of arrests nationwide.
For example, since DATOS is nearly 20 years old, newer evidence on the effects of treating drug-involved offenders can be used to replace or augment columns in the current synthetic dataset.
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This research was supported by a grant from the National Institute of Justice. Views expressed here are the authors’ and do not reflect the official position of policies of the Department of Justice, Maxarth LLC, nor the Urban Institute, its trustees, or funders.
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Bhati, A.S., Roman, J.K. Simulated evidence on the prospects of treating more drug-involved offenders. J Exp Criminol 6, 1–33 (2010). https://doi.org/10.1007/s11292-010-9088-2
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DOI: https://doi.org/10.1007/s11292-010-9088-2

