Home > Interventions for drug-using offenders with co-occurring mental illness.

Perry, Amanda E and Neilson, Matthew and Martyn-St James, Marrissa and Glanville, Julie M and Woodhouse, Rebecca and Godfrey, Christine and Hewitt, Catherine [The Cochrane Library] . (2015) Interventions for drug-using offenders with co-occurring mental illness. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews, 5 DOI: 10.1002/14651858.CD010901.pub2

URL: http://onlinelibrary.wiley.com/enhanced/doi/10.100...

Key results:
We identified eight trials evaluating treatments for drug-using offenders with co-occurring mental illness. The interventions included case management via a mental health court: a therapeutic community; an evaluation of motivational interviewing techniques and cognitive skills (a person's ability to process thoughts) in comparison to relaxation training; and an evaluation of interpersonal psychotherapy in comparison to a psycho-educational intervention.

Overall, the interventions reported limited success with reducing self report drug use, but did report some success with reducing re-incarceration rates, but not re-arrest. The therapeutic community studies reported a reduction in re-incarceration but were shown to be less effective for re-arrest and self report drug use. Three single studies evaluating case management via a mental health drug court, motivational interviewing and cognitive skills, and interpersonal psychotherapy did not report significant reductions in criminal activity and self report drug use respectively. Some information is provided on the costs and cost-effectiveness of such interventions and trial evaluations focusing specifically on the needs of drug-using offenders with co-occurring mental illness are required.


Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder drug therapy, AOD disorder treatment method, AOD disorder harm reduction, Psychosocial treatment method, Rehabilitation/Recovery
Source:The Cochrane Library
Date:May 2015
Publisher:John Wiley & Sons, Ltd
Place of Publication:London
Volume:5
EndNote:View
Subjects:G Health and disease > Substance related disorder > Dual diagnosis (comorbidity)
G Health and disease > Substance related disorder > Substance related mental disorder
HJ Treatment method > Substance disorder treatment method
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Care by type of problem > Mental health care
J Health care, prevention and rehabilitation > Health care programme or facility > Prison-based health service
T Demographic characteristics > Prison Inmate (prisoner)
T Demographic characteristics > Offender

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