Wichita State University, Department of Psychology, United States.
Wichita State University, Department of Psychology, United States.
Addict Behav. 2018 Jun;81:55-59. doi: 10.1016/j.addbeh.2018.02.003. Epub 2018 Feb 16.
Historically, research has demonstrated that multiple substance use, compared to single substance use, poses additional challenges for treatment throughout the continuum of care including referrals, interventions, and relapse prevention. However, it appears that this pattern cannot be easily generalized to all criminal justice settings as evidenced by mixed findings across criminal justice samples. The purpose of the current study is to investigate possible differences in legal and substance-related outcomes between multiple substance users and single substance users within a community corrections sample. Structured clinical interviews were conducted to divide 531 individuals under community corrections supervision into three groups including multiple substance users, single substance users, and non-substance users. Results indicated that while multiple substance users were arrested more frequently and had more problems with family members, there were no differences compared to their single substance using counterparts in terms of depressive disorders, anxiety disorders, or types of offense. These findings contrast with previous research on samples outside of community corrections suggesting that multiple substance use requires tailored interventions with consideration to context of their use. Discussion includes limitations to generalizability and assessment of substance use as well as implications for treatment and future research.
从历史上看，研究表明，与单一物质使用相比，多种物质使用在整个护理连续体中，包括转介、干预和防止复发，都给治疗带来了额外的挑战。然而，这一模式似乎不能轻易推广到所有刑事司法环境中，因为在不同的刑事司法样本中发现的结果存在差异。本研究的目的是调查在社区惩教样本中，多种物质使用者和单一物质使用者之间在法律和物质相关结果方面可能存在的差异。通过结构化临床访谈，将 531 名处于社区惩教监督下的个人分为三组，包括多种物质使用者、单一物质使用者和非物质使用者。结果表明，虽然多种物质使用者被捕的频率更高，与家庭成员的问题更多，但与单一物质使用者相比，他们在抑郁障碍、焦虑障碍或犯罪类型方面没有差异。这些发现与之前在社区惩教之外的样本中的研究结果形成对比，表明多种物质使用需要根据其使用背景进行有针对性的干预。讨论包括对普遍性的限制以及对物质使用的评估，以及对治疗和未来研究的影响。
