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Engaging vulnerable populations in drug treatment court: Six month outcomes from a co-occurring disorder wraparound intervention
- Source :
- International Journal of Law and Psychiatry. 76:101700
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objective Although drug treatment courts (DTCs) have demonstrated positive outcomes, participants with co-occurring mental health and substance use disorders (CODs) are a high-risk group that often struggle with treatment engagement not previously examined. This pilot study fills this gap by looking at six-month behavioral health and criminal justice outcomes among a hard to engage DTC COD participant sample in two Massachusetts DTCs receiving a wraparound-treatment (Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Criminal Justice - MISSION-CJ). Methods Participants were evaluated at baseline and at six-month follow-up. Bivariate analyses examined baseline differences between clients with higher versus low engagement were examined. A mixed analysis of variance (ANOVA) for repeated measures with time as the within subject factor, and level of engagement as the between subject factor was performed for criminal justice (CJ) and behavioral health outcomes. Results Participants were primarily male (86.6%), White (90.6%), living in unstable housing (86.2%), had an average of 18.94 years of criminal justice involvement, had an average of 15.49 years of regular illicit substance use, and mild mental health symptoms as measured by the BASIS-32 average total score (0.51), with no statistically significant differences at baseline from bivariate analyses. Mixed ANOVA results demonstrated significant effect time of time in MISSION-CJ on reducing nights in jail (p = 0.0266), opioid use (p = 0.0013), and mental health symptom (p = 0.0349). Additional improvements in nights in jail p = 0.0139), illicit substance use (p = 0.0358), and opioid use (p = 0.0013), were observed for clients that had high engagement in MISSION-CJ. Conclusions Wraparound services, such as MISSION-CJ, alongside DTC programming for a chronic relapsing DTC population can improve engagement in treatment and CJ and behavioral health outcomes. Future research is needed with MISSION-CJ that includes a randomized trial and a larger sample.
- Subjects :
- Male
medicine.medical_specialty
Substance-Related Disorders
media_common.quotation_subject
Population
Pilot Projects
Relapse prevention
Vulnerable Populations
Pathology and Forensic Medicine
law.invention
03 medical and health sciences
0302 clinical medicine
Sobriety
Randomized controlled trial
law
Criminal Law
Humans
Medicine
Psychiatry
education
0505 law
media_common
education.field_of_study
business.industry
Addiction
05 social sciences
Repeated measures design
Mental health
030227 psychiatry
Psychiatry and Mental health
Pharmaceutical Preparations
Mixed-design analysis of variance
050501 criminology
business
Law
Subjects
Details
- ISSN :
- 01602527
- Volume :
- 76
- Database :
- OpenAIRE
- Journal :
- International Journal of Law and Psychiatry
- Accession number :
- edsair.doi.dedup.....51b18c39f73bfbb12995f0c11dc4efce