Journal of Substance Abuse Treatment
Volume 27, Issue 4 , Pages 313-323, December 2004

Criminal recidivism in three models of mandatory drug treatment

  • Douglas Young, M.S.

      Affiliations

    • Bureau of Governmental Research, University of Maryland, College Park, 4511 Knox Rd, Suite 301, College Park, MD 20740, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 301 403 8334; fax: +1 301 403 4404
  • ,
  • Reginald Fluellen, Ph.D.

      Affiliations

    • National Black Leadership Commission on AIDS, 105 East 22nd Street, Suite 711, New York, NY 10010, USA
  • ,
  • Steven Belenko, Ph.D.

      Affiliations

    • Treatment Research Institute at the University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106-3475, USA

Received 17 November 2003; received in revised form 26 May 2004; accepted 20 August 2004.

Abstract 

Although research has generally been supportive of compulsory treatment programs for drug abusers, findings remain mixed, and few studies have assessed the impacts of different coercive program elements. This study compared criminal recidivism outcomes of 350 clients mandated to the same long-term residential treatment facilities from three different legal sources. On several measures of recidivism, including long-term re-arrest rates that controlled for time at risk, clients mandated from two highly structured programs were found to recidivate at less than half the rate of comparison group clients. This group effect was upheld in multivariate models that controlled for pre-treatment differences and other factors related to recidivism. Combined with results of a previous retention study involving these clients, the findings provide support for the use of structured protocols for informing clients in mandatory programs about legal contingencies of participation and enforcing contingencies through frequent contact between legal agents and treatment staff.

Keywords: Mandatory treatment, Recidivism, Coercion, Courts

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PII: S0740-5472(04)00119-9

doi:10.1016/j.jsat.2004.08.007

Journal of Substance Abuse Treatment
Volume 27, Issue 4 , Pages 313-323, December 2004