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矫治场所药物滥用项目的供应和能力:分类回归树分析。

Availability and capacity of substance abuse programs in correctional settings: A classification and regression tree analysis.

机构信息

Administration of Justice Department, George Mason University, Manassas, VA 20110, United States.

出版信息

Drug Alcohol Depend. 2009 Aug 1;103 Suppl 1(Suppl 1):S43-53. doi: 10.1016/j.drugalcdep.2009.01.008. Epub 2009 Apr 22.

Abstract

UNLABELLED

OBJECTIVE TO BE ADDRESSED: The purpose of this study was to investigate the structural and organizational factors that contribute to the availability and increased capacity for substance abuse treatment programs in correctional settings. We used classification and regression tree statistical procedures to identify how multi-level data can explain the variability in availability and capacity of substance abuse treatment programs in jails and probation/parole offices.

METHODS

The data for this study combined the National Criminal Justice Treatment Practices (NCJTP) Survey and the 2000 Census. The NCJTP survey was a nationally representative sample of correctional administrators for jails and probation/parole agencies. The sample size included 295 substance abuse treatment programs that were classified according to the intensity of their services: high, medium, and low. The independent variables included jurisdictional-level structural variables, attributes of the correctional administrators, and program and service delivery characteristics of the correctional agency.

RESULTS

The two most important variables in predicting the availability of all three types of services were stronger working relationships with other organizations and the adoption of a standardized substance abuse screening tool by correctional agencies. For high and medium intensive programs, the capacity increased when an organizational learning strategy was used by administrators and the organization used a substance abuse screening tool. Implications on advancing treatment practices in correctional settings are discussed, including further work to test theories on how to better understand access to intensive treatment services. This study presents the first phase of understanding capacity-related issues regarding treatment programs offered in correctional settings.

摘要

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目标

本研究旨在探讨结构和组织因素,这些因素有助于在惩教环境中提供和增加药物滥用治疗计划的能力。我们使用分类和回归树统计程序来确定多层次数据如何解释监狱和缓刑/假释办公室中药物滥用治疗计划的可用性和能力的可变性。

方法

本研究的数据结合了国家刑事司法治疗实践(NCJTP)调查和 2000 年人口普查。NCJTP 调查是对监狱和缓刑/假释机构的惩教管理人员进行的全国代表性样本。样本量包括 295 个药物滥用治疗计划,根据其服务强度进行分类:高、中、低。自变量包括司法层面的结构变量、惩教管理人员的属性以及惩教机构的计划和服务提供特征。

结果

预测所有三种服务可用性的两个最重要变量是与其他组织建立更强的工作关系以及惩教机构采用标准化的药物滥用筛查工具。对于高和中强度的项目,当管理人员采用组织学习策略以及组织使用药物滥用筛查工具时,能力会增加。讨论了在惩教环境中推进治疗实践的意义,包括进一步开展测试关于如何更好地了解密集治疗服务的获取途径的理论。本研究展示了理解惩教环境中提供的治疗计划的相关能力问题的第一阶段。

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