Effect of continuing care for people with cocaine dependence on criminal justice sentences
Open accessAbstract
While continuing care for substance use treatment has been associated with reduced involvement in the criminal justice system, much of this research lacks random assignment to continuing care and so is limited by self‐selection bias. This study sought to determine the impact of adding telephone‐based continuing care to intensive outpatient programs on criminal justice outcomes for people with cocaine dependence. In three continuing care studies, spanning 1998–2008, participants were randomly assigned to an intensive outpatient program or an intensive outpatient program plus a telephone‐based continuing care intervention. Cocaine‐dependent participants from these three studies were included in the analyses, with outcomes derived from a dataset of jurisdiction‐wide criminal sentences from a state sentencing agency. Multiple logistic regression was employed to examine the odds of a criminal conviction occurring in the 4 years after enrollment in a continuing care study. The results showed that, controlling for a criminal sentence in the previous year, gender, age, and continuing care study, people with cocaine dependence randomized to an intensive outpatient program plus a telephone‐based continuing care intervention had 54% lower odds (p = 0.05, odds ratio = 0.46, 95% CI: 0.20–1.02) of a criminal sentence in the 4 years after enrollment in the continuing care study, compared with those randomized to an intensive outpatient program alone. We can conclude that adding telephone monitoring and counseling to intensive outpatient programs is associated with fewer criminal convictions over a 4‐year follow‐up period compared with intensive outpatient programs alone.
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- Authors
- Wimberly, A. S., Hyatt, J. M., & McKay, J. R.
- Affiliations
- Columbia University (US)
- Drexel University (US)
- Philadelphia VA Medical Center (US)
- Corresponding author
- Wimberly, Alexandra S.
- Venue
- Behavioral Sciences & the Law
- Publisher
- Wiley
- Published
- 2018-01
- Volume
- 36
- Issue
- 1
- Pages
- 116-129
- ISSN
- 0735-3936 (ISSN-L)
- 1099-0798
- PMC
- PMC6051697
- OpenAlex
- W2789833149
- Cited by
- 8
- References
- 55
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2019: 3
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Behavioral Sciences & the Law (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K24 DA029062, F31 DA038429, R01 DA020623, K02 DA000361; National Institute of Health Grant/Award Number: 5T32DA037801)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- cocaine dependence, continuing care, intensive outpatient treatment, criminal conviction, addiction treatment, random assignment, self-selection bias, criminal justice involvement
- MeSH terms
- Adult, Continuity of Patient Care, Counseling, Criminal Law, Female, Humans, Male, Middle Aged, Treatment Outcome, Cocaine-Related Disorders
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