.. t if they live with the general population, it is much harder to break away from old habits. The primary clinical staff is usually made up of former substance abusers that at one time were rehabilitated in therapeutic communities. The perspective of the treatment is that the problem is with the whole person and not the drug. The addiction is a symptom and not the core of the disorder.
The primary goal is to change patterns of behavior, thinking, and feeling that predispose drug use (Inciardi et al. 1997, pp. 261-278). This returns to the general theory of crime and the argument that it is the opportunity that creates the problem. If you take away the opportunity to commit crimes by changing ones behavior and thinking then the opportunity will not arise for the person to commit these crimes that were readily available in the past.
The most effective form of therapeutic community intervention involves three stages: incarceration, work release, and parole or other form of supervision (Inciardi et al. 1997, pp.261-278). The primary stage needs to consist of a prison-based therapeutic community. Pro-social values should be taught in an environment that is separate from the normal prison population. This should be an on-going and evolving process that lasts at least twelve months, with the ability to stay longer if it is deemed necessary.
The prisoners need to grasp the concept of the addiction cycle and interact with other recovering addicts. The second stage should include a transitional work release program. This is a form of partial incarceration in which inmates that are approaching release dates can work for pay in the free community, but they must spend their non-working hours in either the institution or a work release facility (Inciardi et al. 1997, pp. 261-278).
The only problem here is that during their stay at this facility, they are reintroduced to groups and behaviors that put them there in the first place. If it is possible, these recovering addicts should stay together and live in a separate environment than the general population. Once the inmate is released into the free community, he or she will remain under the supervision of a parole officer or some other type of supervisory program. Treatment should continue through either outpatient counseling or group therapy. In addition, they should also be encouraged to return to the work release therapeutic community for refresher sessions, attend weekly groups, call their counselors on a regular basis and spend one day a month at the facility (Inciardi et al. 1997, pp. 261-278).
Since the early 1990s, the Delaware correctional system has been operating this three-stage model. It is based around three therapeutic communities: the KEY, a prison-based therapeutic community for men; WCI Village, a prison-based therapeutic community for women; and CREST Outreach Center, a residential work release center for men and women. According to Inciardi et al. (1997, pp.261-278), the continuing of therapeutic community treatment and sufficient length of follow up time, a consistent pattern of reduction of drug use and recidivism exists. Their study shows the effectiveness of the program extending beyond the in-prison program.
New Yorks model for rehabilitation is called the Stayn Out Program. This is a therapeutic community program that was established in 1977 by a group of recovered addicts (Wexler et al. 1992, pp. 156-175). The program was evaluated in 1984 and it was reported that the program reduced recidivism for both males and females. Also, from this study, the “time-in-program” hypothesis was formed.
This came from the finding that successful outcomes were directly related to the amount of time that was spent in treatment. Another study, by Toumbourou et al. (1998, pp. 1051-1064), tested the time-in-program hypothesis. In this study, they found a linear relationship between reduced recidivism rates and time spent in the program as well as the level of treatment attained.
This study found that it was the attainment of level progress rather than time in the treatment that was most important. The studies done on New Yorks Stayn Out program and Delawares Key-Crest program are some of the first large-scale evidence that prison-based therapeutic communities actually produce a significant reduction in recidivism rates and show a consistency over time. The programs of the past did work, but before most of the programs were privately funded, and when the funds ran out in seven or eight years, so did the programs. Now with the government backing these types of programs, they should continue to show a decrease in recidivism. It is much more cost effective to treat these inmates.
A program like Stayn Out cost about $3,000 to $4,000 more than the standard correctional costs per inmate per year (Lipton 1998, pp. 106-109). In a program in Texas, it was figured that with the money spent on 672 offenders that entered the program, 74 recidivists would have to be prevented from returning to break even. It was estimated that 376 recidivists would be kept from returning using the therapeutic community program (Eisenberg and Fabelo 1996, pp. 296-318).
The savings produced in crime-related and drug use-associated costs pay for the cost of treatment in about two to three years. The main question that arises when dealing with this subject is whether or not people change. According to Gottfredson and Hirschi, the person does not change, only the opportunity changes. By separating themselves from people that commit crimes and commonly do drugs, they are actually avoiding the opportunity to commit these crimes. They do not put themselves in the situation that would allow their low self-control to take over. Starting relationships with people who exhibit self-control and ending relationships with those who do not is a major factor in the frequency of committing crimes. Addiction treatment is very important to this countrys war on drugs. While these abusers are incarcerated it provides us with an excellent opportunity to give them treatment. The will not seek treatment on their own.
Without treatment, the chances of them continuing on with their past behavior are very high. But with the treatment programs we have today, things might be looking up. The studies done on the various programs, such as New Yorks Stayn Out and Delawares Key-Crest program, prove that there are cost effective ways available to treat these prisoners. Not only are they cost effective, but they are also proven to reduce recidivism rates significantly. These findings are very consistent throughout all of the research, there are not opposing views.
I believe that we can effectively treat these prisoners while they are incarcerated and they can be released into society and be productive, not destructive. Nothing else has worked to this point, we owe it to them, and more importantly, we owe it to ourselves. We can again feel safe on the streets after dark, and we do not have to spend so much of our money to do it. Bibliography Ball, J.C., J.W. Shaffer, and D.N. Nurco. 1983.
“Day-to-day criminality of heroin addicts in Baltimore: a study in the continuity of offense rates.” Drug and Alcohol Dependence. 12: 119-142. Beckett, K. 1994. “Setting the Public Agenda: “Street Crime” and Drug Use in American Politics.” Social Problems.
41(3): 425-447. Chaiken, M.R. 1989. “In-Prison Programs for Drug-Involved Offenders.” Research in Brief. Washington, DC: National Institute of Justice. Eisenberg, M., and Tony Fabelo. 1996. “Evaluation of the Texas Correctional Substance Abuse Treatment Initiative: The impact of policy research.” Crime and Delinquency.
42(2): 296-318. Evans, T.D., F.T. Cullen, V.S. Burton, R.G. Dunaway, and M.L. Benson. 1997.
“The social consequences of self-control: Testing the general theory of crime.” Criminology. 35: 475-504. Frohling, R. 1989. “Promising Approaches to Drug Treatment in Correctional Settings.” Criminal Justice Paper No. 7.
National Conference of State Legislatures, Washington, DC. Inciardi, J.A., S.S. Martin, C.A. Butzin, R.M. Hooper, and L.D. Harrison. 1997.
“An effective model of prison-based treatment for drug-involved offenders.” Journal of Drug Issues. 27(2): 261-278. Longshore, D. 1998. “Self-Control and Criminal Opportuinty: A Prospective Test of the General Theory of Crime.” Social Problems.
45(1): 102-113. Lipton, D.S. 1998. “Therapeutic communities: History, effectiveness, and prospects.” Corrections Today. 60(6): 106-109. National Institute on Drug Abuse.
1981. “Drug Abuse Treatment in Prisons.” Treatment Research Report Series. Washington, DC: U.S. GPO. Phipps, B.
1998. “Criminology class lecture notes.” Reuter, P. 1992. “Community Crime Prevention: a review and synthesis of the literature.” Justice Quarterly. 5(3): 323-395.
Siegel, L.J. 1998. Criminology. Belmont: Wadsworth Publishing Co. Toumbourou, J.W., M. Hamilton, B. Fallon.
1998. “Treatment level progress and time spent in treatment in the prediction of outcomes following drug-free therapeutic community treatment.” Addiction. 93(7): 1051-1064. Wexler, H.K., D. Lipton, G.P. Falkin, and A.B. Rosenbaum.
1992. “Outcome evaluation of a prison therapeutic community for substance abuse treatment.” In C.G. Leukkfeld and F.M. Tims (eds.), Drug Abuse Treatment in Prisons and Jails. pp. 156-175. Washington, DC: U.S. GPO.