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Treating Substance Use Disorders in the Criminal Justice System

  • Substance Use and Related Disorders (JR McKay, Section Editor)
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Abstract

The large number of individuals with substance use disorders involved in the nation’s criminal justice system (CJS) represents a unique opportunity, as well as challenges, in addressing the dual concerns of public safety and public health. Unfortunately, a low proportion of those who could benefit from treatment actually receive it while involved in the CJS. This article presents a review of recent research on the effectiveness of major substance abuse treatment interventions used at different possible linkage points during criminal justice case processing, including diversion, jail, prison, and community supervision. This is followed by a discussion of key research and practice issues, including low rates of treatment access and under-utilization of medication-assisted treatment. Concluding comments discuss principles of effective treatment for offenders and identify key gaps in research and practice that need to be addressed to improve and expand provision of effective treatment for offenders.

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Notes

  1. The effectiveness of non-TC prison drug treatment remains largely unknown [13•, 52]. An earlier systematic review of prison programs reviewed seven studies of prison-based outpatient or group counseling programs [107]. Methodological weaknesses were present in most of these studies, but the authors concluded that group counseling programs were not effective in reducing recidivism [107].

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Acknowledgments

This paper was supported in part by NIDA grant U01DA025284.

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Conflict of Interest

Steven Belenko has received research support from NIDA and royalties from Springer.

Matthew Hiller declares that he has no conflict of interest.

Leah Hamilton has received research support from NIDA.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Steven Belenko.

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This article is part of the Topical Collection on Substance Use and Related Disorders

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Belenko, S., Hiller, M. & Hamilton, L. Treating Substance Use Disorders in the Criminal Justice System. Curr Psychiatry Rep 15, 414 (2013). https://doi.org/10.1007/s11920-013-0414-z

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