|Interventions for drug-using offenders with co-occurring mental illness [Review] (2015)
|A. E. PERRY ; M. NEILSON ; M. MARTYN-ST JAMES ; J. M. GLANVILLE ; R. WOODHOUSE ; C. GODFREY ; C. HEWITT
|Type de document :
|Article : Périodique
|Cochrane Database of Systematic Reviews (n°6, 2015)
|Article en page(s) :
|CD010901 ; 101 p.
|TRA (Traitement et prise en charge / Treatment and care)
Thésaurus mots-clésDELINQUANCE ; INTERVENTION ; PSYCHOPATHOLOGIE ; EFFICACITE ; CRIMINALITE ; COMORBIDITE ; RECIDIVE ; COMMUNAUTE THERAPEUTIQUE ; RECHUTE ; PRISE EN CHARGE ; REDUCTION DE CONSOMMATION ; JUSTICE ; TRAITEMENT ; PSYCHOTHERAPIE
Background: A number of policy directives are aimed at enabling people with drug problems to live healthy, crime-free lives. Drug-using offenders with co-occurring mental health problems represent a group who access treatment for a variety of different reasons. The complexity of the two problems makes the treatment and rehabilitation of this group particularly challenging.
Study characteristics: The review authors searched scientific databases and Internet resources to identify randomised controlled trials (where participants are allocated at random to one of two or more treatment groups) of interventions to reduce, eliminate, or prevent relapse or criminal activity of drug-using offenders with co-occurring mental illness. We included people of any gender, age, or ethnicity.
Key results: We identified eight trials evaluating treatments for drug-using offenders with co-occurring mental illness. The interventions included case management via a mental health court: a therapeutic community; an evaluation of motivational interviewing techniques and cognitive skills (a person's ability to process thoughts) in comparison to relaxation training; and an evaluation of interpersonal psychotherapy in comparison to a psycho-educational intervention. Overall, the interventions reported limited success with reducing self report drug use, but did report some success with reducing re-incarceration rates, but not re-arrest. The therapeutic community studies reported a reduction in re-incarceration but were shown to be less effective for re-arrest and self report drug use. Three single studies evaluating case management via a mental health drug court, motivational interviewing and cognitive skills, and interpersonal psychotherapy did not report significant reductions in criminal activity and self report drug use respectively. Some information is provided on the costs and cost-effectiveness of such interventions and trial evaluations focusing specifically on the needs of drug-using offenders with co-occurring mental illness are required.
Quality of the evidence: This review was limited by the lack of information reported in this group of trials. The quality of the evidence was moderate for therapeutic community and low to very low for the other types of intervention. The evidence is current to May 2014.
|Drogues illicites / Illicit drugs
|Sous-type de document :
|Revue de la littérature / Literature review
|Department of Health Sciences, University of York, York, UK