Revised January 2013
Targeted Interventions for Corrections (TIC)
PI: Dwayne Simpson, Ph.D. (R37DA013093)
Community-based re-entry treatment programs for correctional populations often are not integrated into using an overall "continuing-care" strategy and are not managed or monitored according to procedures designed to help guide or maximize their effectiveness. The objective for this study was to establish guidelines and resources for an evidence-based library of targeted treatment intervention components for outpatient (i.e., moderate severity) re-entry correctional programs. These materials were drawn primarily from existing drug treatment resources, especially those previously developed by CJ-DATS Research Centers. The TCU Treatment Model provides conceptual and scientific foundations for the use of targeted interventions that address client problems related to treatment readiness and motivation, anger and hostility, criminal thinking, risky behaviors for HIV/AIDS/Hepatitis C, communication, and other social skill deficits.
Specific aims were to establish a set of targeted interventions that:
- Address counseling needs in community re-entry treatment programs.
- Meet "evidence-based" standards of effectiveness for correctional populations.
Represent brief, flexible, and focused treatment tools, and are judged and adopted as user-friendly and manual-guided applications.
Transitional Case Management (TCM)
PI: Michael Prendergast, Ph.D. (R01DA013114)
A major obstacle to the effectiveness of post-prison treatment for substance-abusing offenders is low treatment engagement: the failure of parolees to show up for scheduled treatment and, if they do show up, their tendency to drop out early. This is particularly a problem where participation in treatment by parolees is voluntary, where incentives (pressures) to enter and remain in treatment are usually minimal. The Transitional Case Management study tested whether case management taking place during a prison inmate’s transition from prison to the community increases participation in community drug abuse treatment, enhances access to needed social services, and improves outcomes.
The specific aims were to:
- Assess whether the TCM intervention increases the likelihood that parolees leaving prison treatment enter and successfully complete treatment, gain access to needed services, and reduce drug relapse and recidivism.
- Determine whether the TCM intervention increases the likelihood that treatment, criminal justice, and community services agency staff improve their patterns of communication and collaboration in dealing with substance-abusing parolees.
Assess whether the TCM intervention is more cost effective than standard referral processes.
PI: Peter Friedman, M.D. (U01DA016191)
The parole and outpatient addiction treatment systems have limited collaboration and communication, which may lead to a multitude of behavioral expectations with variable reinforcement. Research supports that behavioral outcomes are optimized when behavioral expectations are few in number, clear, and consistently reinforced. Step’n Out examined whether improved integration between the parole and outpatient addiction treatment systems improved treatment adherence, drug use, and public safety outcomes among drug-involved parolees.
The specific aims of Step’n Out were:
- Systematize collaborative assessment, treatment orientation, planning, and monitoring between parole officers, treatment counselors and clients.
- Encourage therapeutic relationships and lasting behavioral change through a coordinated, supportive approach to supervision that emphasizes the client’s pro-social goals and positive responses to their attainment.
Outlines NIDA’s drug abuse and addiction research strategic priorities for the next 5 years, focusing on prevention, treatment, HIV/AIDS, and other cross-cutting issues.