Yacoubian George S
The McFarland Institute, 8601 Georgia Ave., Ste 601, 20910, Silver Spring, MD, USA.
J Subst Abuse Treat. 2003 Jun;24(4):341-5. doi: 10.1016/s0740-5472(03)00044-8.
The Arrestee Drug Abuse Monitoring (ADAM) Program collects self-report survey information and urine specimens from adult arrestees in 35 cities nationwide. In 2000, a new survey instrument was fielded that includes questions about alcohol and other drug (AOD) abuse and dependence. Despite high levels of drug use among national arrestee populations, no studies have examined need for AOD treatment among ADAM arrestees. To address this limitation, a secondary analysis was undertaken with New York City ADAM data collected in 2000. Thirty-seven percent of the arrestees were diagnosed in need of drug treatment, while 19% were diagnosed in need of alcohol treatment. Compared to those arrestees who were diagnosed as not needing AOD treatment, arrestees who met the criteria for ADAM abuse/dependence were more likely to be male, older, and to have tested positive by urinalysis for at least one illicit drug. Because "need for treatment" was operationalized as a diagnosis of abuse or dependence, the current results should be viewed as liberal estimates of treatment need. Implications for the delivery of drug treatment to criminal populations are discussed.
被捕者药物滥用监测（ADAM）项目从全国35个城市的成年被捕者那里收集自我报告调查信息和尿液样本。2000年，采用了一种新的调查工具，其中包括有关酒精和其他药物（AOD）滥用及依赖情况的问题。尽管全国被捕者群体中的吸毒率很高，但尚无研究调查ADAM项目中被捕者对AOD治疗的需求。为解决这一局限性，对2000年收集的纽约市ADAM数据进行了二次分析。37%的被捕者被诊断需要药物治疗，而19%被诊断需要酒精治疗。与那些被诊断为不需要AOD治疗的被捕者相比，符合ADAM滥用/依赖标准的被捕者更有可能是男性、年龄较大，并且尿液分析至少有一种非法药物检测呈阳性。由于“治疗需求”被定义为滥用或依赖的诊断，当前结果应被视为对治疗需求的宽松估计。文中讨论了对犯罪人群提供药物治疗的意义。
