Home > Pharmacological interventions for drug-using offenders.

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) Pharmacological interventions for drug-using offenders. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews, 6 DOI: 10.1002/14651858.CD010862.pub2

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


Drug-using offenders by their nature represent a socially excluded group in which drug use is more prevalent than in the rest of the population. Pharmacological interventions play an important role in the rehabilitation of drug-using offenders. For this reason, it is important to investigate what we know works when pharmacological interventions are provided for offenders.


Author’s conclusions

When compared to non-pharmacological treatment, agonist treatments did not seem effective in reducing drug use or criminal activity. Antagonist treatments were not effective in reducing drug use but significantly reduced criminal activity. When comparing the drugs to one another we found no significant differences between the drug comparisons (methadone versus buprenorphine, diamorphine and naltrexone) on any of the outcome measures. Caution should be taken when interpreting these findings, as the conclusions are based on a small number of trials, and generalisation of these study findings should be limited mainly to male adult offenders. Additionally, many studies were rated at high risk of bias.

Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol or other drugs in general, Opioid
Intervention Type:AOD disorder drug therapy, AOD disorder treatment method
Source:The Cochrane Library
Date:June 2015
Publisher:John Wiley & Sons, Ltd
Place of Publication:London
Subjects:B Substances > Opioids (opiates) > Opioid product > Naltrexone
HJ Treatment method > Substance disorder treatment method > Substance disorder drug therapy
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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