Treatment engagement in a prison-based Therapeutic Community: A mixed-methods approach

Kimberly M. Davidson, Jacob Young

Research output: Contribution to journalArticle

Abstract

Given the high proportion of inmates with histories of substance use disorders in the era of mass incarceration, many correctional institutions have integrated the prison-based Therapeutic Community (TC) into their programming. While most evaluations provide evidence of lowered rates of relapse and recidivism, the majority of TC graduates still have negative outcomes post-release. Filling an important gap in the TC treatment literature, we analyze quantitative measures of treatment engagement alongside qualitative narratives from prison-based TC residents, providing an essential look into the black box of TC treatment mechanisms. Quantitative results show more between-person variation than within-person change, reflecting trivial increases in treatment engagement throughout time in the program. Qualitative results unpack these findings, pointing to processes of selection bias, heterogeneous treatment effects, and program fidelity lapses. In combination, our mixed data identify tangible modifications to program implementation that could strengthen desired post-release outcomes.

Original languageEnglish (US)
Pages (from-to)33-42
Number of pages10
JournalJournal of Substance Abuse Treatment
Volume103
DOIs
StatePublished - Aug 1 2019

Fingerprint

Therapeutic Community
Prisons
Selection Bias
Substance-Related Disorders
Recurrence

Keywords

  • Corrections
  • Mixed-methods
  • Substance abuse
  • Therapeutic Community
  • Treatment engagement

ASJC Scopus subject areas

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

Cite this

Treatment engagement in a prison-based Therapeutic Community : A mixed-methods approach. / Davidson, Kimberly M.; Young, Jacob.

In: Journal of Substance Abuse Treatment, Vol. 103, 01.08.2019, p. 33-42.

Research output: Contribution to journalArticle

@article{166a70533f0942fd8626c1724ce6fbf2,
title = "Treatment engagement in a prison-based Therapeutic Community: A mixed-methods approach",
abstract = "Given the high proportion of inmates with histories of substance use disorders in the era of mass incarceration, many correctional institutions have integrated the prison-based Therapeutic Community (TC) into their programming. While most evaluations provide evidence of lowered rates of relapse and recidivism, the majority of TC graduates still have negative outcomes post-release. Filling an important gap in the TC treatment literature, we analyze quantitative measures of treatment engagement alongside qualitative narratives from prison-based TC residents, providing an essential look into the black box of TC treatment mechanisms. Quantitative results show more between-person variation than within-person change, reflecting trivial increases in treatment engagement throughout time in the program. Qualitative results unpack these findings, pointing to processes of selection bias, heterogeneous treatment effects, and program fidelity lapses. In combination, our mixed data identify tangible modifications to program implementation that could strengthen desired post-release outcomes.",
keywords = "Corrections, Mixed-methods, Substance abuse, Therapeutic Community, Treatment engagement",
author = "Davidson, {Kimberly M.} and Jacob Young",
year = "2019",
month = "8",
day = "1",
doi = "10.1016/j.jsat.2019.05.011",
language = "English (US)",
volume = "103",
pages = "33--42",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Treatment engagement in a prison-based Therapeutic Community

T2 - A mixed-methods approach

AU - Davidson, Kimberly M.

AU - Young, Jacob

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Given the high proportion of inmates with histories of substance use disorders in the era of mass incarceration, many correctional institutions have integrated the prison-based Therapeutic Community (TC) into their programming. While most evaluations provide evidence of lowered rates of relapse and recidivism, the majority of TC graduates still have negative outcomes post-release. Filling an important gap in the TC treatment literature, we analyze quantitative measures of treatment engagement alongside qualitative narratives from prison-based TC residents, providing an essential look into the black box of TC treatment mechanisms. Quantitative results show more between-person variation than within-person change, reflecting trivial increases in treatment engagement throughout time in the program. Qualitative results unpack these findings, pointing to processes of selection bias, heterogeneous treatment effects, and program fidelity lapses. In combination, our mixed data identify tangible modifications to program implementation that could strengthen desired post-release outcomes.

AB - Given the high proportion of inmates with histories of substance use disorders in the era of mass incarceration, many correctional institutions have integrated the prison-based Therapeutic Community (TC) into their programming. While most evaluations provide evidence of lowered rates of relapse and recidivism, the majority of TC graduates still have negative outcomes post-release. Filling an important gap in the TC treatment literature, we analyze quantitative measures of treatment engagement alongside qualitative narratives from prison-based TC residents, providing an essential look into the black box of TC treatment mechanisms. Quantitative results show more between-person variation than within-person change, reflecting trivial increases in treatment engagement throughout time in the program. Qualitative results unpack these findings, pointing to processes of selection bias, heterogeneous treatment effects, and program fidelity lapses. In combination, our mixed data identify tangible modifications to program implementation that could strengthen desired post-release outcomes.

KW - Corrections

KW - Mixed-methods

KW - Substance abuse

KW - Therapeutic Community

KW - Treatment engagement

UR - http://www.scopus.com/inward/record.url?scp=85066028854&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85066028854&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2019.05.011

DO - 10.1016/j.jsat.2019.05.011

M3 - Article

C2 - 31229190

AN - SCOPUS:85066028854

VL - 103

SP - 33

EP - 42

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

ER -