Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL 35294-0017, USA.
J Subst Abuse Treat. 2013 Oct;45(4):376-80. doi: 10.1016/j.jsat.2013.05.007. Epub 2013 Jun 28.
Identify factors associated with early treatment failure in a Treatment Alternatives for Safer Communities (TASC) program, a case management criminal justice diversion program for individuals under community corrections supervision.
Demographics, medication history, substance dependence, and criminal history variables for 21,419 individuals were used as predictor variables for successful treatment outcome in a Cox Proportional Hazards Survival analysis which was used to assess the relationship between predictor variables and the length of time before treatment failure.
Early treatment failure was associated with a number of factors linked to social stability, including: being divorced separated or widowed, being less educated, being without insurance or on government insurance, and being unemployed. Regarding addiction and criminal history, being dependent on cocaine or opioids and being under supervision for person, property, or court offenses were risk factors. Being male and being a member of a racial minority were also risk factors for early treatment failure. Meeting criteria for sedative/hypnotic dependence and being under legal supervision for a substance offense were associated with a longer duration of time to treatment failure.
Social stability, addiction history, and current criminal charges all appear to influence performance in TASC. Individuals with multiple risk factors may benefit from referral to a higher level of care upon admittance to TASC.
确定治疗替代安全社区（TASC）计划中早期治疗失败的相关因素，该计划是一个针对社区监督下个人的案件管理刑事司法转移方案。
对 21419 名个体的人口统计学、药物史、物质依赖和犯罪史变量进行了分析，将其作为成功治疗结果的预测变量，采用 Cox 比例风险生存分析评估预测变量与治疗失败前时间长度之间的关系。
早期治疗失败与一些与社会稳定相关的因素有关，包括：离婚、分居或丧偶、受教育程度较低、没有保险或政府保险、失业。关于成瘾和犯罪史，依赖可卡因或阿片类药物以及因个人、财产或法庭犯罪而受到监督是风险因素。男性和少数族裔成员也是早期治疗失败的风险因素。符合镇静/催眠药物依赖标准以及因物质犯罪而受到法律监督与治疗失败时间的延长有关。
社会稳定性、成瘾史和当前的刑事指控似乎都对 TASC 的表现有影响。在 TASC 入院时具有多种风险因素的个体可能受益于转介到更高水平的护理。
