Historique
Périodique
Substance abuse tratment and pressures from the criminal justice system: data from a provincial client monitoring system
(Traitement de l'abus de drogues et pression de la part du système de justice criminel : données issues d'un système de surveillance provincial.)
Auteur(s) :
RUSH, B. R. ;
WILD, T. C.
Année
2003
Page(s) :
1119-1128
Langue(s) :
Anglais
Refs biblio. :
19
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
OBLIGATION DE SOINS
;
FACTEUR DE RISQUE
;
EPIDEMIOLOGIE DESCRIPTIVE
Thésaurus géographique
CANADA
Note générale :
Addiction, 2003, 98, (8), 1119-1128
Note de contenu :
tabl.
Résumé :
FRANÇAIS :
Létude explore les stratégies qui à travers le système judiciaire permettent damener les usagers à suivre un traitement et tente de définir les sous-groupes dusagers qui sont le plus susceptibles dentrer en traitement selon cette voie. Davril 1999 à mars 2000, des données sur 45123 patients du centre de traitement de lOntario ont été analysées rétrospectivement. 28,9% avaient des problèmes avec la loi lors de lentrée en traitement et 13,9% avaient une obligation de soins. Ce sont, pour la plus part, des patients hommes, jeunes, célibataires, sans emploi qui nont pas terminé leurs études secondaires.
ENGLISH :
Aims: Compulsory treatment is discussed increasingly as a way to reduce the population burden of addictive behaviours. This study explores the extent to which social control strategies exercised through the criminal justice system are used to bring people into substance abuse treatment at a system level. We also assessed whether particular subgroups may be more or less likely to be brought into treatment in this manner. Design: We employed a secondary analysis of data from a client-based information system which captured demographic, referral and substance use characteristics from people seeking treatment for substance abuse. Participants: A census of clients (n=45123) entering specialized Ontario addiction treatment programmes between 1 April 1999 and 31 March 2000. Findings: Some 28.9% of clients reported legal problems at treatment intake, and 13.9% had an explicit corrections-related condition of treatment contact. Logistic regression analyses indicated that legal problems and corrections-related conditions of treatment were more prevalent among younger, unmarried and unemployed males, who had not completed high school. A number of important interactions were identified between these factors and substance of abuse. Conclusions: Implications for equity accessibility and effectiveness of substance abuse treatment are discussed in relation to the tendency of treatment mandates from criminal justice system to disproportionately affect the entry of this segment of substance-abusing clients. (Author' s abstract)
Létude explore les stratégies qui à travers le système judiciaire permettent damener les usagers à suivre un traitement et tente de définir les sous-groupes dusagers qui sont le plus susceptibles dentrer en traitement selon cette voie. Davril 1999 à mars 2000, des données sur 45123 patients du centre de traitement de lOntario ont été analysées rétrospectivement. 28,9% avaient des problèmes avec la loi lors de lentrée en traitement et 13,9% avaient une obligation de soins. Ce sont, pour la plus part, des patients hommes, jeunes, célibataires, sans emploi qui nont pas terminé leurs études secondaires.
ENGLISH :
Aims: Compulsory treatment is discussed increasingly as a way to reduce the population burden of addictive behaviours. This study explores the extent to which social control strategies exercised through the criminal justice system are used to bring people into substance abuse treatment at a system level. We also assessed whether particular subgroups may be more or less likely to be brought into treatment in this manner. Design: We employed a secondary analysis of data from a client-based information system which captured demographic, referral and substance use characteristics from people seeking treatment for substance abuse. Participants: A census of clients (n=45123) entering specialized Ontario addiction treatment programmes between 1 April 1999 and 31 March 2000. Findings: Some 28.9% of clients reported legal problems at treatment intake, and 13.9% had an explicit corrections-related condition of treatment contact. Logistic regression analyses indicated that legal problems and corrections-related conditions of treatment were more prevalent among younger, unmarried and unemployed males, who had not completed high school. A number of important interactions were identified between these factors and substance of abuse. Conclusions: Implications for equity accessibility and effectiveness of substance abuse treatment are discussed in relation to the tendency of treatment mandates from criminal justice system to disproportionately affect the entry of this segment of substance-abusing clients. (Author' s abstract)
Affiliation :
Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario M5S 2S1
Canada. Canada.
Canada. Canada.