Studied the effects of placement of a vocational rehabilitation counselor (VRC) in methadone maintenance clinics for 333 and 358 patients. Results suggest that placement of a VRC in clinic settings is a cost effective change to vocational and educational services. (SLD)

Studied the effects of program and patient characteristics on patient retention in residential, out-patient, and methadone maintenance drug treatment programs. Data for 26,047 patients in 87 programs show that threshold retention rates were generally low for all 3 program types, although program practice and service provision played important…

Relationships between risk factors and outcomes were examined for Drug Abuse Treatment Outcome Studies for Adolescents participants. For outpatient drug-free participants, drug use severity predicted less treatment retention; family drug involvement predicted more alcohol use after treatment. For residential participants, family drug involvement…

Examined criminal activity among 1,167 adolescents who participated in the Drug Abuse Treatment Outcome Studies for Adolescents (DATOS-A). Found that among adolescents who had engaged in criminal activity 12 months prior to treatment entry, reduced alcohol or marijuana use were independently associated with significant reductions in the likelihood…

Introduces a collection of articles by adolescent treatment experts and leading thinkers in the juvenile, restorative, and community justice movements. Articles offer broad overviews of the state of the art within these areas; commentary on challenges, opportunities, and changes such programming would entail; and case examples showing real-world…

Describes current approaches to adolescent substance abuse treatment, including the 12-step treatment approach, behavioral treatment approach, family-based treatment approach, and therapeutic community approach. Summarizes research that assesses the effectiveness of these models, offering findings from the Center for Substance Abuse Treatment's…

Explored the impact of caregiver alcohol and other drugs (AOD) use on child protective services (CPS) case substantiation: cases with indications of AOD use were more likely to be substantiated than those without. Compared CPS-involved and non- involved women in AOD treatment; increasing numbers of children and younger maternal ages are risk…

Analyzed data from a cross-site evaluation of 24 federally funded residential treatment projects for substance-abusing pregnant and postpartum women with children. Found benefits at 6 months of treatment included improvements in infant mortality and morbidity, treatment retention and completion rates, and behavioral changes in participating…

Criminologists and politicians have debated the effectiveness of correctional rehabilitation programs since the mid-1970s when criminal justice scholars and policy makers throughout the United States embraced Robert Martinson's credo of "nothing works." Programs based around punishment and surveillance grew. They are being embraced even stronger…

Because of increasing concern about drug use in the work place and its impact on public safety, an urban mass transit agency formed a collaborative treatment link with Daytop Village to provide treatment for "impaired" transportation workers. Effective counseling approaches in the residential setting were adapted for ambulatory use and…

This document contains 10 papers from the ninth World Conference of Therapeutic Communities (TC) that deal with a variety of health-related subjects. Papers include: (1) "AIDS among IV Drug Users: Epidemiology, Natural History & TC Experiences" (Don C. Des Jarlais, et al.); (2) "AIDS and Therapeutic Communities: Policy Implications" (Don C. Des…

This document contains 19 papers from the ninth World Conference of Therapeutic Communities (TCs) that deal with the interface between the mental health establishments and the TC. Papers include: (1) "Psychiatry and the TC" (Jerome Jaffe); (2) "The Chemical Brain" (Sidney Cohen); (3) "Where Does the TC Fail?" (Ab…

This document contains seven papers from the ninth World Conference of Therapeutic Communities (TCs) that deal with drug education and prevention. Papers include: (1) "State of the Art of Drug Prevention Programs: A Five Year Retrospective of School Curricula" (Natalie Silverstein, et al.); (2) "TCs: Education for Wholeness"…

In Maine a program was initiated to integrate substance abuse services in community health center settings in order that more individuals and their families who are affected by chemical dependency could be reached and treated effectively. Integration was defined as the degree to which substance abuse services addressed the perceived community need…

Previous studies have shown that the use of behavior modification techniques, specifically the use of token reinforcement systems, can produce positive changes in the behavior of heroin addicts within a hospital setting. A token economy program was assessed to determine the effectiveness of such a program with patients in an outpatient methadone…