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Violent Offenses Associated With Co-Occurring Substance Use And Mental Health Problems: Evidence From Cjdats., Stanley Sacks, Charles Cleland, Gerald Melnick, Patrick Flynn, Kevin Knight, Peter Friedmann, Michael Prendergast, Carrie Coen
Violent Offenses Associated With Co-Occurring Substance Use And Mental Health Problems: Evidence From Cjdats., Stanley Sacks, Charles Cleland, Gerald Melnick, Patrick Flynn, Kevin Knight, Peter Friedmann, Michael Prendergast, Carrie Coen
Peter D. Friedmann MD
The present study examines the relationship between substance use, mental health problems, and violence in a sample of offenders released from prison and referred to substance abuse treatment programs. Data from 34 sites (n = 1,349) in a federally funded cooperative, the Criminal Justice Drug Abuse Treatment Studies (CJDATS), were analyzed. Among parolees referred to substance abuse treatment, self-reports for the six-month period before the arrest resulting in their incarceration revealed frequent problems with both substance use and mental health. For most offenders with substance use problems, the quantity of alcohol consumed and the frequency of drug use were associated …
Medication-Assisted Treatment In Criminal Justice Agencies Affiliated With The Criminal Justice-Drug Abuse Treatment Studies (Cj-Dats): Availability, Barriers, And Intentions., Peter Friedmann, Randall Hoskinson, Michael Gordon, Robert Schwartz, Timothy Kinlock, Kevin Knight, Patrick Flynn, Wayne Welsh, Lynda Stein, Stanley Sacks, Daniel O'Connell, Hannah Knudsen, Michael Shafer, Elizabeth Hall, Linda Frisman
Medication-Assisted Treatment In Criminal Justice Agencies Affiliated With The Criminal Justice-Drug Abuse Treatment Studies (Cj-Dats): Availability, Barriers, And Intentions., Peter Friedmann, Randall Hoskinson, Michael Gordon, Robert Schwartz, Timothy Kinlock, Kevin Knight, Patrick Flynn, Wayne Welsh, Lynda Stein, Stanley Sacks, Daniel O'Connell, Hannah Knudsen, Michael Shafer, Elizabeth Hall, Linda Frisman
Peter D. Friedmann MD
Medication-assisted treatment (MAT) is underutilized in the treatment of drug-dependent, criminal justice populations. This study surveyed criminal justice agencies affiliated with the Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) to assess use of MAT and factors influencing use of MAT. A convenience sample (N = 50) of criminal justice agency respondents (e.g., jails, prisons, parole/probation, and drug courts) completed a survey on MAT practices and attitudes. Pregnant women and individuals experiencing withdrawal were most likely to receive MAT for opiate dependence in jail or prison, whereas those reentering the community from jail or prison were the least likely to receive …
Limiting Options: Sex Ratios, Incarceration Rates, And Sexual Risk Behavior Among People On Probation And Parole., Traci Green, Enrique Pouget, Magdalena Harrington, Faye Taxman, Anne Rhodes, Daniel O'Connell, Steven Martin, Michael Prendergast, Peter Friedmann
Limiting Options: Sex Ratios, Incarceration Rates, And Sexual Risk Behavior Among People On Probation And Parole., Traci Green, Enrique Pouget, Magdalena Harrington, Faye Taxman, Anne Rhodes, Daniel O'Connell, Steven Martin, Michael Prendergast, Peter Friedmann
Peter D. Friedmann MD
BACKGROUND: To investigate how incarceration may affect risk of acquiring HIV and other sexually transmitted infections, we tested associations of ex-offenders' sexual risk behavior with the male-female sex ratio and the male incarceration rate. METHODS: Longitudinal data from 1287 drug-involved persons on probation and parole as part of the Criminal Justice Drug Abuse Treatment Studies were matched by county of residence with population factors, and stratified by race/ethnicity and gender. Generalized estimating equations assessed associations of having unprotected sex with a partner who had HIV risk factors, and having >1 sex partner in the past month. RESULTS: Among non-Hispanic black …
Evidence-Based Treatment Practices For Drug-Involved Adults In The Criminal Justice System., Peter Friedmann, Faye Taxman, Craig Henderson
Evidence-Based Treatment Practices For Drug-Involved Adults In The Criminal Justice System., Peter Friedmann, Faye Taxman, Craig Henderson
Peter D. Friedmann MD
OBJECTIVE: The aim of this study was to estimate the extent and organizational correlates of evidence-based practices (EBPs) in correctional facilities and community-based substance abuse treatment programs that manage drug-involved adult offenders. METHODS: Correctional administrators and treatment program directors affiliated with a national sample of 384 criminal justice and community-based programs providing substance abuse treatment to adult offenders in the United States were surveyed in 2004. Correctional administrators reported the availability of up to 13 specified EBPs, and treatment directors up to 15. The sum total of EBPs indicates their extent. Linear models regress the extent of EBPs on variables …
Effect Of An Organizational Linkage Intervention On Staff Perceptions Of Medication-Assisted Treatment And Referral Intentions In Community Corrections., Peter Friedmann, Donna Wilson, Hannah Knudsen, Lori Ducharme, Wayne Welsh, Linda Frisman, Kevin Knight, Hsiu-Ju Lin, Amy James, Carmen Albizu-Garcia, Jennifer Pankow, Elizabeth Hall, Terry Urbine, Sami Abdel-Salam, Jamieson Duvall, Frank Vocci
Effect Of An Organizational Linkage Intervention On Staff Perceptions Of Medication-Assisted Treatment And Referral Intentions In Community Corrections., Peter Friedmann, Donna Wilson, Hannah Knudsen, Lori Ducharme, Wayne Welsh, Linda Frisman, Kevin Knight, Hsiu-Ju Lin, Amy James, Carmen Albizu-Garcia, Jennifer Pankow, Elizabeth Hall, Terry Urbine, Sami Abdel-Salam, Jamieson Duvall, Frank Vocci
Peter D. Friedmann MD
INTRODUCTION: Medication-assisted treatment (MAT) is effective for alcohol and opioid use disorders but it is stigmatized and underutilized in criminal justice settings. METHODS: This study cluster-randomized 20 community corrections sites to determine whether an experimental implementation strategy of training and an organizational linkage intervention improved staff perceptions of MAT and referral intentions more than training alone. The 3-hour training was designed to address deficits in knowledge, perceptions and referral information, and the organizational linkage intervention brought together community corrections and addiction treatment agencies in an interagency strategic planning and implementation process over 12 months. RESULTS: Although training alone was associated …
Collaborative Behavioral Management: Integration And Intensification Of Parole And Outpatient Addiction Treatment Services In The Step'n Out Study., Peter Friedmann, Anne Rhodes, Faye Taxman
Collaborative Behavioral Management: Integration And Intensification Of Parole And Outpatient Addiction Treatment Services In The Step'n Out Study., Peter Friedmann, Anne Rhodes, Faye Taxman
Peter D. Friedmann MD
Integration of community parole and addiction treatment holds promise for optimizing the participation of drug-involved parolees in re-entry services, but intensification of services might yield greater rates of technical violations. Collaborative behavioral management (CBM) integrates the roles of parole officers and treatment counselors to provide role induction counseling, contract for pro-social behavior, and to deliver contingent reinforcement of behaviors consistent with contracted objectives. Attendance at both parole and addiction treatment are specifically reinforced. The Step'n Out study of the Criminal Justice-Drug Abuse Treatment Studies (CJ-DATS) randomly allocated 486 drug-involved parolees to either collaborative behavioral management or traditional parole with 3-month …
Collaborative Behavioral Management For Drug-Involved Parolees: Rationale And Design Of The Step'n Out Study., Peter Friedmann, Elizabeth Katz, Anne Rhodes, Faye Taxman, Daniel O'Connell, Linda Frisman, William Burdon, Bennett Fletcher, Mark Litt, Jennifer Clarke, Steven Martin
Collaborative Behavioral Management For Drug-Involved Parolees: Rationale And Design Of The Step'n Out Study., Peter Friedmann, Elizabeth Katz, Anne Rhodes, Faye Taxman, Daniel O'Connell, Linda Frisman, William Burdon, Bennett Fletcher, Mark Litt, Jennifer Clarke, Steven Martin
Peter D. Friedmann MD
This article describes the rationale, study design, and implementation for the Step'n Out study of the Criminal Justice Drug Abuse Treatment Studies. Step'n Out tests the relative effectiveness of collaborative behavioral management of drug-involved parolees. Collaborative behavioral management integrates the roles of parole officers and treatment counselors to provide role induction counseling, contract for pro-social behavior, and deliver contingent reinforcement of behaviors consistent with treatment objectives. The Step'n Out study will randomize 450 drug-involved parolees to collaborative behavioral management or usual parole. Follow-up at 3-and 9-months will assess primary outcomes of rearrest, crime and drug use. If collaborative behavioral management …
Collaborative Behavioral Management Among Parolees: Drug Use, Crime And Re-Arrest In The Step'n Out Randomized Trial., Peter Friedmann, Traci Green, Faye Taxman, Magdalena Harrington, Anne Rhodes, Elizabeth Katz, Daniel O'Connell, Steven Martin, Linda Frisman, Mark Litt, William Burdon, Jennifer Clarke, Bennett Fletcher
Collaborative Behavioral Management Among Parolees: Drug Use, Crime And Re-Arrest In The Step'n Out Randomized Trial., Peter Friedmann, Traci Green, Faye Taxman, Magdalena Harrington, Anne Rhodes, Elizabeth Katz, Daniel O'Connell, Steven Martin, Linda Frisman, Mark Litt, William Burdon, Jennifer Clarke, Bennett Fletcher
Peter D. Friedmann MD
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 2004-08. 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 USA. PARTICIPANTS: Parolee volunteers with a mandate for addiction treatment and a minimum of 3 months of parole (n = 476). Follow-up was 94% at 3 months and …
Cjdats Co-Occurring Disorders Screening Instrument For Mental Disorders (Codsi-Md): A Pilot Study., Stanley Sacks, Gerald Melnick, Carrie Coen, Steven Banks, Peter Friedmann, Christine Grella, Kevin Knight
Cjdats Co-Occurring Disorders Screening Instrument For Mental Disorders (Codsi-Md): A Pilot Study., Stanley Sacks, Gerald Melnick, Carrie Coen, Steven Banks, Peter Friedmann, Christine Grella, Kevin Knight
Peter D. Friedmann MD
This article describes the development of an instrument to screen male and female offenders for co-occurring substance use and mental disorders. This phase developed and pilot tested (N = 100) the Criminal Justice Drug Abuse Treatment Studies (CJDATS) Co-occurring Disorders Screening Instrument for Mental Disorders (CODSI-MD), a 6-item instrument derived from three standard mental health screeners. The overall accuracy of the CODSI-MD (81%) compared favorably with the three standard instruments. A second 3-item instrument, developed to screen for severe mental disorders (the CODSI-SMD), had an overall accuracy of 82%. The results of this pilot study must be viewed cautiously, pending …
Cjdats Co-Occurring Disorders Screening Instrument (Codsi) For Mental Disorders (Md): A Validation Study., Stanley Sacks, Gerald Melnick, Carrie Coen, Steve Banks, Peter Friedmann, Christine Grella, Kevin Knight, Caron Zlotnick
Cjdats Co-Occurring Disorders Screening Instrument (Codsi) For Mental Disorders (Md): A Validation Study., Stanley Sacks, Gerald Melnick, Carrie Coen, Steve Banks, Peter Friedmann, Christine Grella, Kevin Knight, Caron Zlotnick
Peter D. Friedmann MD
Three standardized screening instruments-the Global Appraisal of Individual Needs Short Screener (GSS), the Mini-International Neuropsychiatric Interview-Modified (MINI-M), and the Mental Health Screening Form (MHSF)-were compared to two shorter instruments, the 6-item Co-Occurring Disorders Screening Instrument for Mental Disorders (CODSI-MD) and the 3-item CODSI for Severe Mental Disorders (CODSI-SMD) for use with offenders in prison substance-abuse treatment programs. Results showed that the CODSI screening instruments were comparable to the longer instruments in overall accuracy and that all of the instruments performed reasonably well. The CODSI instruments showed sufficient value to justify their use in prison substance-abuse treatment programs and to warrant …
Adding Positive Reinforcement In Justice Settings: Acceptability And Feasibility., Danielle Rudes, Faye Taxman, Shannon Portillo, Amy Murphy, Anne Rhodes, Maxine Stitzer, Peter Luongo, Peter Friedmann
Adding Positive Reinforcement In Justice Settings: Acceptability And Feasibility., Danielle Rudes, Faye Taxman, Shannon Portillo, Amy Murphy, Anne Rhodes, Maxine Stitzer, Peter Luongo, Peter Friedmann
Peter D. Friedmann MD
Although contingency management (CM) approaches are among the most promising methods for initiating drug abstinence (S. T. Higgins, S. M. Alessi, & R. L. Dantona, 2002; S. T. Higgins, S. H. Heil, & J. P. Lussier, 2004), adoption and implementation of CM protocols into treatment programs are both challenging and infrequent. In criminal justice agencies, where roughly 70% of clients report substance abuse issues (F. S. Taxman, K. L. Cropsey, D. W. Young, & H. Wexler, 2007), CM interventions are virtually nonexistent. The Justice Steps (JSTEPS) study uses a longitudinal, mixed-method design to examine the implementation of a CM-based protocol …