Community-Based co-occurring disorder (COD) intermediate and advanced treatment for offenders
Against a backdrop of increasing concern about the adequacy of treatment for co‐occurring substance use and mental disorders (typically known as “co‐occurring disorders,” or COD) in the criminal justice system, this article attempts to provide empirical evidence for a typology of levels of COD treat...
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| Veröffentlicht in: | Behavioral sciences & the law 2008-01, Vol.26 (4), p.457-473 |
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| container_end_page | 473 |
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| container_title | Behavioral sciences & the law |
| container_volume | 26 |
| creator | Melnick, Gerald Coen, Carrie Taxman, Faye S. Sacks, Stanley Zinsser, Katherine M. |
| description | Against a backdrop of increasing concern about the adequacy of treatment for co‐occurring substance use and mental disorders (typically known as “co‐occurring disorders,” or COD) in the criminal justice system, this article attempts to provide empirical evidence for a typology of levels of COD treatment for offenders in both prison and community settings. The paper investigates two levels of treatment programs for COD; “intermediate” programs, in which treatment programming has been designed primarily for offenders with a single disorder, and “advanced” programs, in which programming has been designed to provide integrated substance abuse treatment and mental health services. Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence‐ and consensus‐based practices. Results provide support for the distinction between intermediate‐ and advanced‐level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence‐ and consensus‐based practices so as to modify treatment sufficiently to address both diseases. Copyright © 2008 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/bsl.827 |
| format | Article |
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The paper investigates two levels of treatment programs for COD; “intermediate” programs, in which treatment programming has been designed primarily for offenders with a single disorder, and “advanced” programs, in which programming has been designed to provide integrated substance abuse treatment and mental health services. Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence‐ and consensus‐based practices. Results provide support for the distinction between intermediate‐ and advanced‐level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence‐ and consensus‐based practices so as to modify treatment sufficiently to address both diseases. 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Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence‐ and consensus‐based practices. Results provide support for the distinction between intermediate‐ and advanced‐level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence‐ and consensus‐based practices so as to modify treatment sufficiently to address both diseases. 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| ispartof | Behavioral sciences & the law, 2008-01, Vol.26 (4), p.457-473 |
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| source | MEDLINE; Wiley Journals; HeinOnline Law Journal Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Community Community Mental Health Services - organization & administration Community Mental Health Services - statistics & numerical data Comorbidity Crime - statistics & numerical data Criminal justice Criminal justice system Drug abuse Humans Intermediate Care Facilities Mental disorders Mental Disorders - diagnosis Mental Disorders - epidemiology Mental Disorders - therapy Mental health Mental health services Offenders Prevalence Prisoners Psychiatric disorders Severity of Illness Index Social Support Substance abuse Substance abuse treatment Substance-Related Disorders - diagnosis Substance-Related Disorders - epidemiology Substance-Related Disorders - rehabilitation Surveys and Questionnaires Treatment methods |
| title | Community-Based co-occurring disorder (COD) intermediate and advanced treatment for offenders |
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