PRETREATMENT CHARACTERISTICS AND TREATMENT PERFORMANCE OF LEGALLY COERCED VERSUS VOLUNTARY METHADONE MAINTENANCE ADMISSIONS

Analyses were conducted to determine whether addicts coerced into treatment by actions of the criminal justice system differed from voluntary entrants in terms of background characteristics, early risk factors, or drug use and criminal behavior during pretreatment, treatment, and post treatment periods. Subjects were categorized into high, moderate, and low legal coercion groups based on their official legal status, related narcotics testing requirements, and their self‐reported perceptions of criminal justice system coercion. Those induced to enter the treatment program through legal channels had slightly higher rates of serious property offenses and higher proportions of time incarcerated and under legal supervision, but they did not differ from voluntary entrants in overall criminal behavior during pretreatment periods. All groups showed substantial improvement in level of narcotics use, criminal involvement, and most other behaviors during treatment, but there was some regression after treatment.