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Behavioral HealthPublicationsSubstance Abuse

Collaborative behavioral management among parolees: Effects on substance use, crime and re-arrest in the Step’N Out Experiment

Based on a recent study, our team has published an article in “Addiction” titled, “Collaborative behavioral management among parolees: Effects on substance use, crime and re-arrest in the Step’N Out Experiment.” To access the full text, click here.

Abstract

Aims

To determine whether collaborative behavioral management (CBM) reduces substance use, crime and re-arrest among drug-involved parolees.

Design

Step’n Out was a randomized behavioral trial of CBM versus standard parole (SP) during 2004-2008. CBM adapted evidence-based role induction, behavioral contracting, and contingent reinforcement to provide parole officer/treatment counselor dyads with positive tools in addition to sanctions to manage parolees’ behavior over 12 weeks.

Setting

Six parole offices in five states in the U.S.A.

Participants

Parolee volunteers with a mandate for addiction treatment and a minimum of three months of parole (N=476). Follow-up was 94% at 3- and 86% at 9-months.

Measurements

Drug use and crime in a given month from calendar interviews 3- and 9-months after parole initiation, and re-arrests from criminal justice administrative data.

Findings

The CBM group had fewer months in which they used their primary drug (adjusted risk ratio (ARR) 0.20, 95% CI: 0.05, 0.78, p = .02) and alcohol (ARR 0.38, 95% CI: 0.22, 0.66, p=.006) over follow-up. CBM had its greatest effects among parolees who reported marijuana or another “non-hard” drug as their primary drug; parolees who preferred stimulants or opiates did not benefit. No differences were seen in total crime, re-arrests or parole revocations.

Conclusions

Collaborative behavioral management may reduce substance use among primary marijuana or other “non-hard” drug-using parolees without increasing revocations. Since the majority of drug violation arrests in the U.S. are for marijuana, these findings have important implications for the management of a substantial proportion of the U.S. community correctional population.

To obtain the full text, click here.