Journal of Psychopathology and Behavioral Assessment

, Volume 22, Issue 4, pp 309–324

The Effectiveness of Substance Abuse Treatment in Reducing Violent Behavior

  • Robert G. Orwin
  • Michael Maranda
  • Bruce Ellis


The use of alcohol and other drugs has long been associated with violence. Yet relatively little is known about the effect of treatment on specific violent behaviors. This study examines violent behaviors in the National TreatmentImprovement Evaluation Study (NTIES), and assesses the extent to which treatment appears to reduce violence for each measured behavior. It also examines these reductions by gender, treatment modality, and whether the client wasa victim of violence in addition to being a perpetrator. The results indicate large reductions in violence among clients actively violent during the pretreatment period, with virtually no increase in violence among clients not actively violent during that same period, irrespective of gender, modality, or victimization status. On their face, the results strongly suggest that substance abuse treatment is effective in reducing violent behavior. Alternative explanations areproposed and assessed, followed by implications for policy, practice, and future research.

substance abuse substance abuse treatment violence victimization drug policy 


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  1. Anglin, M. D., & Perrochet, B. (1998). Drug use and crime: A historical review of research conducted at UCLA Drug Abuse Research Center. Substance Use & Misuse, 33(9), 1871–1914.Google Scholar
  2. Bassuk, E., Melnick S., & Browne, A. (1998). Responding to the needs of low-income and homeless women who are survivors of family violence. JAMWA, 53, 57–64.Google Scholar
  3. Fuller, R. K. (1988). Can treatment outcome research rely on alcoholics' self-report? Alcohol Health and Research World, 12, 180–187.Google Scholar
  4. Goldstein, P. J. (1985). The drugs/violence nexus: A tripartite conceptual framework. Journal of Drug Issues, 13, 493–506.Google Scholar
  5. Harwood, H. J., Hubbard, R. L., Collins, J. J., & Rachal, J. V. (1988). The costs of crime and the benefits of drug abuse treatment: A cost-benefit analysis using TOPS data. In C. G. Leukefeld & F.M. Tims (Eds.), Compulsory treatment of drug abuse: Research and clinical practice (NIDA Research Monograph 86, pp. 209–235). Rockville, MD: National Institute of Drug Abuse.Google Scholar
  6. Hein, D., & Hein, N. (1988). Women, violence with intimates, substance abuse relevant theory, empirical findings and recommendations for future research. American Journal of Drug and Alcohol Abuse, 24(3), 419–438.Google Scholar
  7. Hesselbrock, M., Babor, T. F. Hesselbrock, V., Meyer, R. E., & Workman, K. (1983). “Never believe an alcoholic?”: On the validity of self-report measures of alcohol dependence and related constructs. The International Journal of the Addictions, 18, 593–609.Google Scholar
  8. Koenig, L., Denmead, G., Nguyen, R., Harrison, M.,& Harwood, H. (1999 April). The costs and benefits of substance abuse treatment: Findings from the National Treatment Improvement Study NTIES. NEDS meeting, April 1999, Rockville, MD.Google Scholar
  9. Lipsey, M. (1990). Design sensitivity: Statistical power for experimental research. Newbury Park, CA: Sage.Google Scholar
  10. McLellan, A. T. (1998, april). The effectiveness and cost-effectiveness of treatment. Presented at the National Conference on Drug Addiction Treatment: From Research to Practice, Washington, DC, April 8–9.Google Scholar
  11. Moss, H. B., & Tarter, R. B. (1993). Substance abuse, aggression and violence: What are the connections? The American Journal on Addictions, 2(2), 149–160.Google Scholar
  12. Murphy, B. S., Stevens, S. J., McGrath, R. A., Wexler, H. K., & Reardon, D. (1998). Women and violence: A different look. Drugs and Society, 13(1/2), 131–144.Google Scholar
  13. NOR C. (1997, March). The National Treatment Improvement Evaluation Study final report. U.S. Department of Health and Human Services.Google Scholar
  14. O'Farrell, T. J., Van Hutton, V., & Murphy, C. M. (1999). Domestic violence before and after alcoholism treatment: A two-year longitudinal study. Journal of Studies in Alcoholism, 60(3), 317–321.Google Scholar
  15. Permnanen, K. (1991). Alcohol in human violence. New York: Guilford Press.Google Scholar
  16. Polich, J. M. (1982). The validity of self-reports in alcoholism research. Addictive Behaviors, 7, 123–132.Google Scholar
  17. Skinner, H. A. (1984). Assessing alcohol use by patients in treatment. In R. G. Smart, H. D. Cappell, F. B. Glaser, Y. Israel, H. Kalant, R. E. Popham, W. Schmidt, & E. M. Sellers (Eds.), Research advances in alcohol and drug Problems (Vol. 8). New York: Plenum Press.Google Scholar
  18. Sobell, L. C.,& Sobell, M. B. (1981). Effects of three interview factors on the validity of alcohol abusers' self-reports. American Journal of Drug and Alcohol Abuse, 8, 225–237.Google Scholar
  19. Svikis, D. S., Golden, A. S., Huggins, G. R., Pickens, R. W., McCaul, M. E., Velez, M. L., Rosendale, C. T., Brooner, R. K., Gazaway, P. M., Stitzer, M. L., & Ball, C. E. (1997). Cost-effectiveness of treatment for drug-abusing pregnant women. Drug and Alcohol Dependence, 45, 105–113.Google Scholar

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Robert G. Orwin
    • 1
  • Michael Maranda
    • 1
  • Bruce Ellis
    • 1
  1. 1.Battelle Centers for Public Health Research and EvaluationUSA

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