Messina Nena, Calhoun Stacy, Warda Umme
University of California, Los Angeles.
Crim Justice Behav. 2012 Dec 1;39(12):1539-1558. doi: 10.1177/0093854812453913.
This pilot study compared outcomes for 94 women offenders in San Diego County, California, who participated in four drug court programs. Women were randomized to gender-responsive (GR) programs using Helping Women Recover and Beyond Trauma or standard mixed-gender treatment. Data were collected at program entry, during treatment, and approximately 22 months after treatment entry. Bivariate and multivariate analyses were conducted. Results showed that GR participants had better in-treatment performance, more positive perceptions related to their treatment experience, and trends indicating reductions in posttraumatic stress disorder (PTSD) symptomology. Both groups improved in their self-reported psychological well-being and reported reductions in drug use ( < .06) and arrest (a diagnosis of PTSD was the primary predictor of reductions in rearrest, < .04). Findings show some beneficial effects of adding treatment components oriented toward women's needs. Significant questions remain, particularly around PTSD and whether it should be targeted to improve substance use outcomes for women.
这项试点研究比较了加利福尼亚州圣地亚哥县参与四个毒品法庭项目的94名女性罪犯的结果。女性被随机分配到使用“帮助女性康复”和“超越创伤”的性别响应（GR）项目或标准的混合性别治疗项目中。在项目开始时、治疗期间以及治疗开始后约22个月收集数据。进行了双变量和多变量分析。结果显示，GR项目的参与者在治疗期间表现更好，对治疗经历有更积极的看法，并且有创伤后应激障碍（PTSD）症状减轻的趋势。两组在自我报告的心理健康方面都有所改善，并且报告称药物使用（<.06）和被捕情况有所减少（PTSD诊断是再次被捕减少的主要预测因素，<.04）。研究结果表明，增加针对女性需求的治疗成分有一些有益效果。重大问题仍然存在，特别是围绕PTSD以及是否应将其作为改善女性药物使用结果的目标。
