Criminal justice referral and incentives in outpatient substance abuse treatment

Anthony DeFulio, Maxine L Stitzer, John Roll, Nancy Petry, Paul Nuzzo, Robert P. Schwartz, Patricia Stabile

Research output: Contribution to journalArticle

Abstract

A substantial number of substance abusers entering outpatient psychosocial counseling treatment are referred from the criminal justice (CJ) system. This secondary analysis of previously published findings from a large (N= 415) multi-site trial of a prize-based abstinence incentive intervention (Petry et al., 2005) examined the influence of CJ referral on usual care outcomes and response to the incentive procedure. CJ referrals (n= 138) were more likely than those not CJ referred (n= 277) to provide stimulant negative urine samples whether missing samples were counted as positive (50 versus 41%, p= .016) or as missing (96 versus 91%, p<.001). A significant interaction term was found only for percentage of treatment completers (p= .027). However, on that retention variable, and three additional drug use measures, significant incentive effects were confined to participants who entered treatment without referral from the criminal justice system. The study suggests that abstinence incentives should be offered as a first priority to stimulant users entering treatment without criminal justice referral. However, incentives can be considered for use with CJ-referred stimulant users based on the observation that best outcomes were obtained in CJ referrals who also received the abstinence incentive program.

Original languageEnglish (US)
Pages (from-to)70-75
Number of pages6
JournalJournal of Substance Abuse Treatment
Volume45
Issue number1
DOIs
StatePublished - Jul 2013

Fingerprint

Criminal Law
Substance-Related Disorders
Motivation
Outpatients
Referral and Consultation
Therapeutics
Counseling
Urine

Keywords

  • Cocaine
  • Contingency management
  • Methamphetamine
  • NIDA Clinical Trials Network
  • Parole
  • Probation
  • Reinforcement
  • Stimulant drug addiction

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Phychiatric Mental Health
  • Medicine (miscellaneous)

Cite this

Criminal justice referral and incentives in outpatient substance abuse treatment. / DeFulio, Anthony; Stitzer, Maxine L; Roll, John; Petry, Nancy; Nuzzo, Paul; Schwartz, Robert P.; Stabile, Patricia.

In: Journal of Substance Abuse Treatment, Vol. 45, No. 1, 07.2013, p. 70-75.

Research output: Contribution to journalArticle

DeFulio, Anthony ; Stitzer, Maxine L ; Roll, John ; Petry, Nancy ; Nuzzo, Paul ; Schwartz, Robert P. ; Stabile, Patricia. / Criminal justice referral and incentives in outpatient substance abuse treatment. In: Journal of Substance Abuse Treatment. 2013 ; Vol. 45, No. 1. pp. 70-75.
@article{62b74c7ae1e547068491d47bb650e656,
title = "Criminal justice referral and incentives in outpatient substance abuse treatment",
abstract = "A substantial number of substance abusers entering outpatient psychosocial counseling treatment are referred from the criminal justice (CJ) system. This secondary analysis of previously published findings from a large (N= 415) multi-site trial of a prize-based abstinence incentive intervention (Petry et al., 2005) examined the influence of CJ referral on usual care outcomes and response to the incentive procedure. CJ referrals (n= 138) were more likely than those not CJ referred (n= 277) to provide stimulant negative urine samples whether missing samples were counted as positive (50 versus 41{\%}, p= .016) or as missing (96 versus 91{\%}, p<.001). A significant interaction term was found only for percentage of treatment completers (p= .027). However, on that retention variable, and three additional drug use measures, significant incentive effects were confined to participants who entered treatment without referral from the criminal justice system. The study suggests that abstinence incentives should be offered as a first priority to stimulant users entering treatment without criminal justice referral. However, incentives can be considered for use with CJ-referred stimulant users based on the observation that best outcomes were obtained in CJ referrals who also received the abstinence incentive program.",
keywords = "Cocaine, Contingency management, Methamphetamine, NIDA Clinical Trials Network, Parole, Probation, Reinforcement, Stimulant drug addiction",
author = "Anthony DeFulio and Stitzer, {Maxine L} and John Roll and Nancy Petry and Paul Nuzzo and Schwartz, {Robert P.} and Patricia Stabile",
year = "2013",
month = "7",
doi = "10.1016/j.jsat.2012.12.012",
language = "English (US)",
volume = "45",
pages = "70--75",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Criminal justice referral and incentives in outpatient substance abuse treatment

AU - DeFulio, Anthony

AU - Stitzer, Maxine L

AU - Roll, John

AU - Petry, Nancy

AU - Nuzzo, Paul

AU - Schwartz, Robert P.

AU - Stabile, Patricia

PY - 2013/7

Y1 - 2013/7

N2 - A substantial number of substance abusers entering outpatient psychosocial counseling treatment are referred from the criminal justice (CJ) system. This secondary analysis of previously published findings from a large (N= 415) multi-site trial of a prize-based abstinence incentive intervention (Petry et al., 2005) examined the influence of CJ referral on usual care outcomes and response to the incentive procedure. CJ referrals (n= 138) were more likely than those not CJ referred (n= 277) to provide stimulant negative urine samples whether missing samples were counted as positive (50 versus 41%, p= .016) or as missing (96 versus 91%, p<.001). A significant interaction term was found only for percentage of treatment completers (p= .027). However, on that retention variable, and three additional drug use measures, significant incentive effects were confined to participants who entered treatment without referral from the criminal justice system. The study suggests that abstinence incentives should be offered as a first priority to stimulant users entering treatment without criminal justice referral. However, incentives can be considered for use with CJ-referred stimulant users based on the observation that best outcomes were obtained in CJ referrals who also received the abstinence incentive program.

AB - A substantial number of substance abusers entering outpatient psychosocial counseling treatment are referred from the criminal justice (CJ) system. This secondary analysis of previously published findings from a large (N= 415) multi-site trial of a prize-based abstinence incentive intervention (Petry et al., 2005) examined the influence of CJ referral on usual care outcomes and response to the incentive procedure. CJ referrals (n= 138) were more likely than those not CJ referred (n= 277) to provide stimulant negative urine samples whether missing samples were counted as positive (50 versus 41%, p= .016) or as missing (96 versus 91%, p<.001). A significant interaction term was found only for percentage of treatment completers (p= .027). However, on that retention variable, and three additional drug use measures, significant incentive effects were confined to participants who entered treatment without referral from the criminal justice system. The study suggests that abstinence incentives should be offered as a first priority to stimulant users entering treatment without criminal justice referral. However, incentives can be considered for use with CJ-referred stimulant users based on the observation that best outcomes were obtained in CJ referrals who also received the abstinence incentive program.

KW - Cocaine

KW - Contingency management

KW - Methamphetamine

KW - NIDA Clinical Trials Network

KW - Parole

KW - Probation

KW - Reinforcement

KW - Stimulant drug addiction

UR - http://www.scopus.com/inward/record.url?scp=84876984274&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876984274&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2012.12.012

DO - 10.1016/j.jsat.2012.12.012

M3 - Article

C2 - 23433822

AN - SCOPUS:84876984274

VL - 45

SP - 70

EP - 75

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 1

ER -