Taxman Faye S, Cropsey Karen L, Melnick Gerald, Perdoni Matthew L
George Mason University, Administration of Justice, Manassas, VA 20110, USA.
Behav Sci Law. 2008;26(4):435-55. doi: 10.1002/bsl.830.
Little is known about service delivery for those in the correctional system with co-occurring mental health and substance abuse disorders (COD). Using data from the National Criminal Justice Treatment Practices survey (NCJTP) on community corrections and jail agencies, this study found that correctional organizations that offer COD services differ from agencies that do not. Organizations that respond to the needs of COD offenders tend to be more "service friendly," rank higher on measures of various dimensions of organizational climate that embrace learning and goal achievement, and tend to adopt more innovations, particularly those classified as evidence-based practices. These survey findings indicate that correctional agencies who serve COD offenders are in a better position to be responsive to the changing service needs of the populations, and are more likely to be able to balance public safety and treatment goals. Future steps to develop support environments for COD assessment and treatment services are discussed in light of these findings.
对于惩教系统中同时患有精神健康和药物滥用障碍（COD）的人所接受的服务，我们了解甚少。利用来自全国刑事司法治疗实践调查（NCJTP）中关于社区矫正和监狱机构的数据，本研究发现，提供COD服务的惩教组织与不提供此类服务的机构有所不同。满足COD罪犯需求的组织往往更“服务友好”，在包含学习和目标达成的组织氛围的各个维度衡量指标上排名更高，并且倾向于采用更多创新举措，尤其是那些被归类为循证实践的举措。这些调查结果表明，为COD罪犯提供服务的惩教机构更有能力应对人群不断变化的服务需求，并且更有可能平衡公共安全和治疗目标。鉴于这些发现，文中讨论了为COD评估和治疗服务发展支持环境的未来步骤。
