Summary: Current Treatment Approaches

The sixth key component requires that sanctions and rewards be coordinated into the programs to govern responses to participant’s compliance and non-compliance (NADCP, 1997). Some rewards could be praise from the judge, reduced supervision, reduced fines and etc. while some sanctions could be fines, community service, or even jail confinement. The seventh key component focuses on the importance of judicial interaction throughout the program, which can sometimes occur on a weekly basis. Key component number eight explains how imperative monitoring and evaluation is to measure the achievement of program goals and measure effectiveness. It is imperative for drug courts to display some sort of positive outcome by “gathering and managing information due to them monitoring daily activities, evaluating the quality of services provided, and producing longitudinal evaluations” (Mackin et al., 2012). The ninth and tenth components promote the importance of interdisciplinary education and forging partnerships with other agencies and community-based organizations. Education and training are important to maintain a specific level of professionalism and expanding collaborations would be helpful to provide a continuum of services for drug court participants.

Although these clients will still be abusing illegal substances, Sheon (2004) indicated that any reduction of harm is a step in the right direction, and the amount of success is measured by the client’s quality of life and well-being (as cited in Brown et al., 2005). “Harm reduction is about being respectful in somebody else’s world” (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). By not respecting somebody else’s choices, the clients feel they must lie about their unhealthy lifestyles, which prevents the clients from getting assistance because they were trying to protect themselves from the real situation (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). A way to reduce the harm from illegal substance abuse is clean needle exchange, and teaching clients how to properly inject themselves (Brown et al., 2005). The needle exchange is a program where clients exchange their used needles for clean ones, which helps reduce the spread of diseases such as HIV/AIDS (Brown et al., 2005). With continuation of these programs the harm from abusing illegal substances is reduced and the spread of life threatening diseases, such as HIV,

Vancouver Injection Drug User Study (VIDUS) is a project that gives a prospective study and has over 1500 IDU 's enlisted to assist since 1996 and gathers data on drug use, health, sexual activity, etc. Some of the topics discussed included: prison culture, availability and price of drugs and equipment, drug use, VIDUS shows that the risk of HIV infection indicated that incarcerated injection drug users were associated with a greater risk of 2.7 times (Small, Kain, Laliberte, Schechter, O 'Shaughnessy & Spittal, 2005).

Dependent Variable. The effectiveness and the impact of the drug court will be assessed by analyzing the recidivism rates between the treatment group and the comparison group of probationers. Recidivism will be measured by examining both felony and misdemeanor charges and arrests, and drug related arrests will further be examined. Outcome data pertaining to arrests will be collected from the months of June, July, and August of 2016, allowing for an average follow-up time of 517 days. The data to be collected will include official rearrest results upon the completion of the drug treatment program and upon the completion of a probation sentence for the comparison group. Through the arrest results, further examination will be conducted on the severity of the crimes committed and whether they involved drug offenses.

Shrum uses analysis of previous studies to suggest a series of correctional practices that have been shown to be effective in reducing rates of recidivism. Harvey Shrum has a Doctorate of Education and has worked as a Re-Entry Teacher at Folsom State Prison. He has written a book, Search for Meaning at the Broken Places, on Logotherapy, Intensive Journal and the stages of grief. Shrum focuses on three significant factors to address criminal behavior: addiction, “will to meaning” and education. Shrum recommends a variety of intensive, 18-24 month long rehabilitative programs that have been shown to dramatically reduce recidivism rates, including substance abuse programs as a part of parole, the use of Intensive Journal as a part of re-entry

Harm reduction can be defined as an approach that aims to reduce the consequences of high risk behaviours such as injection drug use on the individual and on society as a whole. Harm reduction programs provide injection drug users with access to a clean injection environment, sterile injections, drug-preparation equipment and safe disposal of contaminated material at the time of injection. Staff members in harm reduction facilities provide health teaching, anonymous HIV testing, information on addiction treatment, condoms and assist in connecting clients to social and health services (Semaan et al., 2011; Ball, 2007). Although, the benefits of harm reduction are evident through reduction of accidental drug overdose and prevention of

Generalized Anxiety Disorder (GAD) is a very common anxiety disorder; symptoms include nervousness, worrying and tension. The anxiety is not linked to one thing and patients can be overwhelmed by a general feeling of dread. A patient with GAD will worry about the same things as any unaffected person, for example, their health, personal relationships or work. What sets them apart is that the degree of worry or tension is higher than normal levels. The worrying can be both persistent and debilitating. Symptoms are moderate but long lasting persisting for longer than one month. Possible treatment methods for GAD include Cognitive Behavioural Therapy, Psychopharmacological Therapy, and Acceptance Based Behaviour Therapy. It will be argued that CBT is overall a better treatment for GAD and has been found to be effective and tolerable in the treatment of GAD.

Since the tough-on-crime era began in the 1980s, the California prison system and parolee population have grown tenfold. This is in great part due to the three strikes law that passed in 1994. This law made it a requirement for any offender convicted of a felony with two previous felonies to go to prison for a minimum of twenty five years. This law sent many people to prison for longer sentences due to non-violent drug offenses, when in actuality they should have been sentenced to rehab. Prison overcrowding is an important topic that all Americans should care about, since according to The Bureau of Justice Statistics, over ninety-five percent of all prison inmates will be released at some point, with over eighty-five percent of them being placed under parolee supervision. Of this population, sixty-five percent suffer from substance abuse issues and meet the need for treatment for their addiction. Drug and alcohol abuse, specifically drug abuse, and crime are inextricably related. Unfortunately, the majority of those released from prison who suffer from addiction issues are not treated while incarcerated, and as a result end up back in prison.

The US Correctional System gives a lot of offenders the chance to change their ways, by helping the rehabilitate them self’s. Rehabilitation is the attempt to reform an offender or also used a rehabilitated meaning the reform of an offender (Schmalleger). Forms of rehabilitation in the correctional system would be court ordered by a judge for an offender that is addicted to drugs or alcohol to be sentence to rehab to kick there addiction. This can be very helpful for repeat offenders that crimes they commit are due to their addiction to drugs/alcohol. There are different kinds of programs to help with the rehabilitation of an offender, programs such as “Office of Program Accountability and Support: This office supports the division by providing support services, and overseeing data collection and analysis of participation within programs offered to inmates and parolees. Office of Offender Services: This office is broken into two separate units. One supports the In-Prison Programs, and the other supports Community and Reentry

In 2005, there were 23.2 million Americans who needed treatment for drug/alcohol abuse problems, yet only about 10 percent received the treatment. In fact, the National Institute of Justice reported that more than 60 percent of former inmates are jobless after one year of release. These statistics show that offenders should be treated or taught appropriate lifestyles before they are released from prison. The process of rehabilitation would help to keep the world a safer place.

In assignment one, I stated that substance abuse disorders can cause barriers for ex-prisoners reentering back into the community because research shows that “individuals who are released from prison are more likely to encounter difficulties with substance abuse, as 73.6% individuals in the criminal justice system have drug and alcohol involved with their criminal behavior. “Researchers found that 80% of individuals incarcerated in state prison have serious substance abuse problems. Substance abuse has a significant role in recidivism upon release from prison and desire to use substances or craving of substance was the most common barrier to reentry” (Phillips and Spencer 127-128). In order to decrease substance abuse in prison reentry and create defensible solutions for ex-offenders, the criminal justice must create incarceration-based therapeutic programs for adults that will use an in-depth drug treatment program model for treating ex-offenders who are addicted to drugs, and change the ex-offender’s attitude, perception, and behavior linked to substance abuse. The program will aim to stop the ex-offender from using drugs and create will power inside the ex-offender not to back track into a life of drug

We have recently seen a change in the way that drug abuse and addiction are viewed. Considering addiction to be a chronic and relapsing disease is a new concept for the public, policymakers, and even health care professionals (Leshner 46). With this in mind, we can recognize that corrections without the benefit of treatment will fall short in correcting drug-seeking and addictive behaviors (Leshner 46). These, of course, are also the behaviors that most often cause an individual to return to crimes that promote their drug use upon leaving jail or prison (Leshner

Scientific research shows that treatment can help many drug using offenders change their attitudes, beliefs, and behaviors; avoid relapse; and successfully remove themselves from a life of substance use and crime. Treatment can cut drug use in half, decrease criminal activity, and reduce arrests. It is true that legal pressure might be needed to get a person into treatment and help them stay there. Once in a treatment program, however, even those who are not initially motivated to change can become engaged in a continuing treatment process. In fact, research suggests that mandated treatment can be just as effective as voluntary admission to rehab centers.

The purpose of this study was to show that an effective drug treatment program in the criminal justice system is a necessity and to show that treatment will reduce recidivism thus reducing crime in society as a whole.

It is common knowledge that America has the world’s largest population of prisoners, and in 2008, a study was completed by the Pew Charitable Trusts which indicated that half of the inmates in jail and prison are serving time for nonviolent drug charges (http://www.pewstates.org/news-room/press-releases/new-pew-study-finds-36-percent-increase-in-prison-time-served-85899394970). Since the “War on Drugs” approach about forty years ago, the criminalization of the addict has done very little to address the problem of substance abuse in society. While there is no one clear cause of substance abuse, there have been patterns identified in substance abusers, that may be the underlying factors that lead to the addiction. Some of these factors include mental health and biology.