Treatment retention of dually diagnosed offenders in an institutional therapeutic community

Authors

  • Kit R. Van Stelle M.A.,

    Corresponding author
    1. University of Wisconsin—Madison, Center for Health Policy and Program Evaluation, 502 North Walnut Street, Madison, WI 53726, U.S.A.
    • University of Wisconsin—Madison, Center for Health Policy and Program Evaluation, 502 North Walnut Street, Madison, WI 53726, U.S.A.
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    • Ms. Van Stelle has been conducting evaluation research in the criminal justice field since 1985, focusing on the development and evaluation of correctional programs.

  • Craig Blumer Ph.D.,

    1. University of Wisconsin—Madison, Center for Health Policy and Program Evaluation, 502 North Walnut Street, Madison, WI 53726, U.S.A.
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    • Dr. Blumer is the psychologist for the Mental Illness Chemical Abuse (MICA) Treatment Program at Oshkosh Correctional Institution. He has been involved in the creation, implementation, and development of the program. Since 1984 Dr. Blumer has been working with patients diagnosed with severe mental illnesses, first in community and inpatient mental health settings and, since 1986, in correctional mental health settings.

  • D. Paul Moberg Ph.D.

    1. University of Wisconsin—Madison, Center for Health Policy and Program Evaluation, 502 North Walnut Street, Madison, WI 53726, U.S.A.
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    • Dr. Moberg is Director of CHPPE and a Senior Scientist in the Department of Population Health Sciences. His current research covers the areas of substance abuse prevention and treatment, tobacco control, and geriatric health services.


  • Points of view in this document are those of the authors and do not necessarily represent the official position of the funding agencies. We would like to express our sincere gratitude to the Wisconsin Department of Corrections for facilitating this research study. Particular thanks to the past and current staff of the MICA Treatment Program, who invested a great deal of time and energy in the study.

Abstract

This study investigated treatment retention in an institutional therapeutic community (ITC) for dually diagnosed male inmates. Twenty-five percent of admissions successfully completed the residential substance abuse treatment program. Graduates participated for an average of 9 months, while terminations participated for nearly 4 months. One-third of the terminations participated for at least 3 months and 15% participated for 6 months or more. A striking result was the relationship between retention and risk ratings and psychopathy scores. Both measures assess behavior and interaction styles over a range of situations. The presence of a single type of negative behavior (i.e. the nature of the committing offense) did not predict completion, but a rating based on multiple samples of behavior was a significant predictor of retention. Copyright © 2004 John Wiley & Sons, Ltd.

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