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Predictors of Therapeutic Engagement in Prison-Based Drug Treatment

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Abstract:

Therapeutic engagement (TE) refers to a person’s active involvement in and commitment to treatment. Although TE is hypothesized to be an important mediator of treatment completion, relapse, and recidivism, few studies have examined the predictors of TE or other individual changes in response to prison drug treatment. Subjects were 347 inmates participating in a 12-month modified therapeutic community (TC) drug treatment program at a 1200-bed specialized treatment prison for convicted, drug-involved offenders. Quantitative data were obtained through DOC databases and the administration of the TCU Drug Screen II, the Resident Evaluation of Self and Treatment (REST), and the Counselor Rating of Client (CRC) form. Qualitative included interviews conducted with 30 inmates at three time periods, structured observations, and examination of treatment files. Support for three main hypotheses was found: (1) baseline motivation predicted therapeutic engagement after controlling for other inmate characteristics; (2) critical dimensions of the treatment experience (e.g., peer support, counselor rapport) also predicted therapeutic engagement, and (3) the magnitude of different types of predictors changed over time (e.g., static predictors and baseline motivation became less important over time, while dynamic predictors and programmatic characteristics became more important over time). Implications for research, theory and policy are discussed.

Most Common Document Word Stems:

time (64), treatment (60), engag (42), therapeut (39), motiv (26), chang (23), 1 (22), inmat (22), counselor (20), score (20), tc (19), factor (18), prison (17), 3 (16), influenc (16), predictor (16), program (15), peer (13), drug (13), month (13), 2 (12),
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Name: AMERICAN SOCIETY OF CRIMINOLOGY
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http://www.asc41.com


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URL: http://citation.allacademic.com/meta/p201060_index.html
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MLA Citation:

Welsh, Wayne. and McGrain, Patrick. "Predictors of Therapeutic Engagement in Prison-Based Drug Treatment" Paper presented at the annual meeting of the AMERICAN SOCIETY OF CRIMINOLOGY, Atlanta Marriott Marquis, Atlanta, Georgia, Nov 14, 2007 <Not Available>. 2013-12-15 <http://citation.allacademic.com/meta/p201060_index.html>

APA Citation:

Welsh, W. and McGrain, P. N. , 2007-11-14 "Predictors of Therapeutic Engagement in Prison-Based Drug Treatment" Paper presented at the annual meeting of the AMERICAN SOCIETY OF CRIMINOLOGY, Atlanta Marriott Marquis, Atlanta, Georgia Online <PDF>. 2013-12-15 from http://citation.allacademic.com/meta/p201060_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Abstract: Therapeutic engagement (TE) refers to a person’s active involvement in and commitment to treatment. Although TE is hypothesized to be an important mediator of treatment completion, relapse, and recidivism, few studies have examined the predictors of TE or other individual changes in response to prison drug treatment. Subjects were 347 inmates participating in a 12-month modified therapeutic community (TC) drug treatment program at a 1200-bed specialized treatment prison for convicted, drug-involved offenders. Quantitative data were obtained through DOC databases and the administration of the TCU Drug Screen II, the Resident Evaluation of Self and Treatment (REST), and the Counselor Rating of Client (CRC) form. Qualitative included interviews conducted with 30 inmates at three time periods, structured observations, and examination of treatment files. Support for three main hypotheses was found: (1) baseline motivation predicted therapeutic engagement after controlling for other inmate characteristics; (2) critical dimensions of the treatment experience (e.g., peer support, counselor rapport) also predicted therapeutic engagement, and (3) the magnitude of different types of predictors changed over time (e.g., static predictors and baseline motivation became less important over time, while dynamic predictors and programmatic characteristics became more important over time). Implications for research, theory and policy are discussed.

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Similar Titles:
Therapeutic Engagement in a Prison-Based Drug Treatment Therapeutic Community: The Effects of Inmate Characteristics

Predicting Retention for Clients in Prison-based Therapeutic Communities across Three Time-in-treatment Thresholds

Relating Counselor Rapport to Therapeutic Engagement in a Prison-Based Drug Treatment Program

Relating Motivational Characteristics to Therapeutic Engagement in Prison-Based Drug Treatment


 
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