Historique
Périodique
The promise of prison-based treatment for dually diagnosed inmates
(Un traitement en prison pour détenus dépendants de substances psychoactives présentant une comorbidité psychiatrique)
Auteur(s) :
WEXLER, H. K.
Année
2003
Page(s) :
223-231
Langue(s) :
Anglais
Refs biblio. :
42
Domaine :
Plusieurs produits / Several products
Note générale :
Journal of Substance Abuse Treatment, 2003, 25, (3), 223-231
Résumé :
ENGLISH :
The Stay'n Out therapeutic community was created 25 years ago, the first rigorously evaluated prison program that demonstrated recidivism reduction. Since then, there has been a growing appreciation for the recidivism-reducing benefit of substance abuse treatment and the general understanding has been reached that prison treatment for substance abuse is good for the public interest. A number of replicated outcome studies have led to increases in treatment capacity in most state correctional systems, primarily utilizing the therapeutic community model. In contrast, efforts to introduce treatment for offenders with co-occurring mental illness and substance abuse disorders (COD) are only beginning. This article describes developments in prison substance abuse treatment and reentry programs and offers some guiding observations from prison substance abuse treatment history that could facilitate the development of COD treatment. Lessons learned include that : public safety (i.e., recidivism reduction) is a primary goal ; personal accountability as a basic treatment value facilitates cooperation between treatment and correctional staff self help approaches foster more ambitious treatment goals than just symptom reduction; and well-run treatment programs often ease the burden of correctional administration. (Editor's abstract.)
Affiliation :
Natl. Development and Res. Inst., Inc., Ctr. for Integration of Res. and Practice, 71 West 23rd Street, 8th Floor, NY 10010 ; HKWexleraol.com
Etats-Unis. United States.
Etats-Unis. United States.