Graduate Thesis Or Dissertation
 

Outcome Evaluation of Inmate Recovery Program: Follow-Up Evaluations of a Jail-Based Substance Abuse Treatment Program Over a Five Year Period

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  • Overcrowding is a serious problem in prisons and jails. Most people who are in prison and jail have substance abuse problems. Long-term, intensive, therapeutic community, substance abuse treatment in prison has proven effective in reducing arrests, amounts of incarceration and time until first arrest. Jails, with their shorter times of incarceration, make long-term treatment impossible and therapeutic communities or milieu therapy difficult. There are few substance abuse treatment programs in jails and even fewer outcome evaluations to determine effectiveness so it is not known if jail treatment is effective. Graduates of the Inmate Recovery Program (a short term, day treatment style, jail-based substance abuse treatment program) were compared four years before and up to five years after treatment with a nontreated control group and a treatment drop-out group. The IRP group had fewer arrests, less time incarcerated, a bigger drop in rates of incarceration and a longer time lapse until first arrest than the drop-outs. The IRP group had less arrests, a longer time lapse until first arrest, a bigger drop in rate of incarceration and less incarceration in two out of five years than the control group. IRP produced a conservative net avoided cost of incarceration of $786,593.89 alone. This is equivalent to an average savings of $3,480.50 per client for the average three and a half years after treatment. Experiences prior to IRP also impacted treatment results. Subjects with fewer previous prison sentences; fewer prior arrests; less time incarcerated the year of treatment; more prior alcohol and drug related arrests; a job, or another legal source of income; who were older; and had more DUII arrests before treatment were associated with fewer arrests and less time incarcerated after treatment. This information may help improve future IRP performance. Therefore the Inmate Recovery Program has a variety of favorable impacts and appears to also be a cost-effective program.
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