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审视社区监管下成年人物质使用治疗需求的相关因素。

Examining Correlates of Substance Use Treatment Needs for Adults Under Community Supervision.

作者信息

Graves Brian D, Mowbray Orion, Aletraris Lydia, Paseda Oluwayomi, Dias Clarissa

机构信息

University of Georgia School of Social Work, Athens, USA.

State of Georgia Department of Community Supervision, Atlanta, USA.

出版信息

Int J Offender Ther Comp Criminol. 2025 Jul;69(9):1265-1278. doi: 10.1177/0306624X231198804. Epub 2023 Sep 27.

Abstract

Substance use among criminal justice-involved adults is a significant concern for the rehabilitation and reintegration into their communities. Few have examined broader associations with substance use among those in probation or parole (community supervision) using an assessment of risks and needs with a representative sample. Using an assessment based on risk-need-responsivity principles, this research applies negative binomial analyses to examine sociodemographic, criminal, and other problem-area correlates of substance use risks and needs among a statewide dataset of adults in community supervision. Results indicated that mental health risk/need was the strongest predictor of substance use risk/need. Other risk areas, including criminal thinking, employment/education, and the presence of delinquent associates (peers/family) were associated with substance use. Implications highlight the ongoing call to develop integrated models of care that treat co-occurring disorders among adults in supervision. Additionally, diversion-oriented efforts that prevent adults with complex treatment needs from reentering the justice system are discussed.

摘要

涉及刑事司法的成年人中的物质使用问题,是他们康复及重新融入社区的一个重大关切点。很少有人使用具有代表性的样本,通过风险与需求评估来研究缓刑或假释(社区监管)人员中与物质使用的更广泛关联。本研究基于风险-需求-反应性原则进行评估,运用负二项式分析,在一个全州范围的社区监管成年人群数据集中,考察物质使用风险和需求的社会人口统计学、犯罪及其他问题领域的相关因素。结果表明,心理健康风险/需求是物质使用风险/需求的最强预测因素。其他风险领域,包括犯罪思维、就业/教育以及不良同伴(同龄人/家人)的存在,都与物质使用有关。研究结果强调了持续呼吁开发综合护理模式,以治疗监管中的成年人的共病。此外,还讨论了旨在防止有复杂治疗需求的成年人重新进入司法系统的以分流为导向的努力。

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