Motivations for non-medical prescription drug use: a mixed methods analysis.

The effects of perceived coercion and motivation on treatment completion and subsequent re-arrest were examined in a sample of substance-abusing offenders assessed for California’s Substance Abuse and Crime Prevention Act (SACPA) program. Perceived coercion was measured with the McArthur Perceived Coercion Scale; motivation was measured with the subscales of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). At treatment entry, clients were more likely to believe that they had exercised their choice in entering treatment than that they had been coerced into treatment. SACPA clients scored relatively low on Recognition and Ambivalence regarding their drug use but relatively high on Taking Steps to address their drug problem. Correlations between perceived coercion and motivation measures at treatment entry indicated that these are separate constructs. In logistic regression models, the Recognition subscale of the SOCRATES significantly predicted “any re-arrest,” and Ambivalence and Taking Steps predicted “any drug arrest.”

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Influence of Perceived Coercion and Motivation on Treatment Completion and Re-Arrest among Substance-Abusing Offenders

Developing community-based options for drug abusing women is important for a variety of reasons. One option that shows promise is the treatment-oriented drug court. Although drug courts enjoy considerable empirical support, relatively few studies have examined the efficacy of this model for women. The current study uses a quasi-experimental design to compare outcomes between a sample of moderate to high-risk drug court participants (n=91) and probationers (n=80). Over the course of an average two year follow-up period, female drug court participants were found to have significantly lower rates of recidivism than their probation counterparts. The results of an event history analysis confirmed that drug court participants were significantly less likely to recidivate even after controlling for differences in length of follow-up. These findings provide support for the ability of drug court programs to successfully treat drug-involved women.

Drug Abusing Women in the Community: The Impact of Drug Court Involvement on Recidivism:

The treatment and supervision of drug-dependent offenders: a review of the literature prepared for the UK Drug Policy Commission

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Opioid and stimulant use among a sample of corrections-involved drug users : seeking an understanding of high-risk drug decisions within a system of constraint.

This study addresses the effects of motivation and problem severity on outcomes in two court-baseddrug treatment programs. Data were examined for 578 offenders served by a drug court and223served by a drug treatment court mandated through California's Substance Abuse Crime Prevention Act (SACPA). It was hypothesized that client-reported motivation would be associated with severity of drug problems and that motivation would be positively associated, and severity negatively associated, with program completion and 12-month, postdischarge recidivism. The first hypothesis was supported— motivation for treatment, measured by client-reported need for treatment and acknowledgementof problemseverity, was associatedwith severity of druguse. Program completion in drug court was predicted by client motivation and prior jail time, whereas SACPA completion was predicted by severity of drug problems and prior employment. Recidivism was associated with program completion and problem severity but not treatment motivation ...

Janice E. Basch

Papers

Effects of Motivation and Problem Severity on Court-Based Drug Treatment