Marinelli-Casey Patricia, Gonzales Rachel, Hillhouse Maureen, Ang Alfonso, Zweben Joan, Cohen Judith, Hora Peggy Fulton, Rawson Richard A
Integrated Substance Abuse Programs, University of California, Los Angeles, CA 90025, USA.
J Subst Abuse Treat. 2008 Mar;34(2):242-8. doi: 10.1016/j.jsat.2007.04.005. Epub 2007 Jun 27.
Relatively little is known about the impact of drug court treatment programs for methamphetamine (MA) dependence. This article examines treatment performance among a subsample of 287 MA-dependent adults who participated in the Methamphetamine Treatment Project from 1999 to 2001. To gain a preliminary indication of MA users' response to drug court intervention, we compared a group of 57 MA-dependent participants treated in outpatient treatment within the context of a drug court to a group of comparable MA-dependent individuals treated in outpatient treatment but not supervised by a drug court (n = 230). Analyses reveal that drug court participation was associated with better rates of engagement, retention, completion, and abstinence, compared to outpatient treatment without drug court supervision. Six- and 12-month outcome analyses indicated that participants who were enrolled in drug court intervention used MA significantly less frequently. These findings suggest that drug court supervision coupled with treatment may improve the outcomes of MA-dependent offenders beyond that seen from treatment alone.
关于药物法庭治疗项目对甲基苯丙胺(MA)依赖的影响,人们所知相对较少。本文考察了1999年至2001年参与甲基苯丙胺治疗项目的287名MA依赖成年人子样本的治疗效果。为了初步了解MA使用者对药物法庭干预的反应,我们将一组在药物法庭背景下接受门诊治疗的57名MA依赖参与者与一组在门诊治疗但未受药物法庭监督的类似MA依赖个体(n = 230)进行了比较。分析表明,与没有药物法庭监督的门诊治疗相比,参与药物法庭与更高的参与率、留存率、完成率和戒断率相关。6个月和12个月的结果分析表明,参加药物法庭干预的参与者使用MA的频率显著降低。这些发现表明,药物法庭监督与治疗相结合可能会改善MA依赖罪犯的治疗效果,使其超出单纯治疗的效果。