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预测药物法庭毕业情况:审视个人及项目特征的作用。

Predicting drug court graduation: Examining the role of individual and programmatic characteristics.

作者信息

Randall-Kosich Olivia, Whitaker Daniel J, Guastaferro Wendy P, Rivers Danielle

机构信息

School of Public Health, Georgia State University, Atlanta, GA, United States of America.

School of Criminology & Criminal Justice, Florida Atlantic University, Boca Raton, FL, United States of America.

出版信息

J Subst Abuse Treat. 2022 Apr;135:108654. doi: 10.1016/j.jsat.2021.108654. Epub 2021 Oct 29.

Abstract

INTRODUCTION

Although existing research suggests drug courts reduce recidivism and substance use, a large portion of drug court participants do not graduate. According to a conceptual framework, severity of need and program intensity may help to explain variation in drug court effectiveness. Understanding variation in drug court graduation can help to identify high risk participants and effective programmatic elements.

METHODS

Our sample included 247 drug court participants from an adult felony-level drug court located in a large metropolitan area of the southeastern United States that either graduated (n = 113) or were terminated (n = 134) from the program. We used participant and program characteristics from drug court program records to predict drug court graduation.

RESULTS

In bivariate analyses, several participant and program characteristics were significantly associated with drug court graduation. In the final multivariate model, only one participant-level characteristic was significantly related to graduation: emotional/personal risk and needs (aOR: 0.56, 95% CI: 0.33, 0.93). Alternatively, three program characteristics remained statistically significant predictors of drug court graduation in the final multivariate model. Receiving more individual counseling sessions was positively associated with drug court graduation (aOR: 1.27, 95% CI: 1.14, 1.41), while jail and monetary fine sanctions were negatively associated with drug court graduation (aOR jail: 0.45, 95% CI: 0.30, 0.68; aOR fine: 0.28, 95% CI: 0.10, 0.78).

CONCLUSIONS

Our findings suggest that drug court programs may benefit by tailoring services for individuals with high emotional/personal risk and participants who receive certain types of sanctions. More rigorous research should explore the causal relationship between individual counseling and drug court graduation to determine if wide-scale programmatic changes are warranted.

摘要

引言

尽管现有研究表明毒品法庭可减少累犯和药物使用,但很大一部分毒品法庭参与者未能毕业。根据一个概念框架,需求的严重程度和项目强度可能有助于解释毒品法庭有效性的差异。了解毒品法庭毕业率的差异有助于识别高风险参与者和有效的项目要素。

方法

我们的样本包括来自美国东南部一个大都市地区成人重罪级毒品法庭的247名毒品法庭参与者,他们要么从该项目毕业(n = 113),要么被终止参与(n = 134)。我们使用毒品法庭项目记录中的参与者和项目特征来预测毒品法庭毕业情况。

结果

在双变量分析中,几个参与者和项目特征与毒品法庭毕业显著相关。在最终的多变量模型中,只有一个参与者层面的特征与毕业显著相关:情绪/个人风险和需求(调整后比值比:0.56,95%置信区间:0.33,0.93)。另外,在最终的多变量模型中,三个项目特征仍然是毒品法庭毕业的统计学显著预测因素。接受更多的个人咨询与毒品法庭毕业呈正相关(调整后比值比:1.27,95%置信区间:1.14,1.41),而监禁和罚款制裁与毒品法庭毕业呈负相关(调整后比值比监禁:0.45,95%置信区间:0.30,0.68;调整后比值比罚款:0.28,95%置信区间:0.10,0.78)。

结论

我们的研究结果表明,毒品法庭项目可以通过为情绪/个人风险高的个体和受到某些类型制裁的参与者量身定制服务而受益。更严谨的研究应探索个人咨询与毒品法庭毕业之间的因果关系,以确定是否有必要进行大规模的项目变革。

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