UCLA Drug Abuse Research CenterForever Free Evaluation Forever Free Substance Abuse Treatment Program Outcomes Study Michael Prendergast, Ph.D., Principal.

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UCLA Drug Abuse Research CenterForever Free Evaluation Forever Free Substance Abuse Treatment Program Outcomes Study Michael Prendergast, Ph.D., Principal Investigator Elizabeth A. Hall, Ph.D., Project Director Drug Abuse Research Center Integrated Substance Abuse Programs Neuropsychiatric Institute University of California, Los Angeles

UCLA Drug Abuse Research CenterForever Free Evaluation Background: What are the characteristics of national and state populations of women in prison and on parole?  Growing population increased by over 500% between 1980 and 1998  Mostly due to drug offenses 11% in 1979, by 1997 nearly 35%  Underclass population 70 to 90% were unemployed, 50% were functionally illiterate, 18% had psychiatric problems, and 10% were homeless

UCLA Drug Abuse Research CenterForever Free Evaluation Background: Forever Free Substance Abuse Treatment Program Started in 1991 Designed specifically for women Cognitive-behavioral model (Gorski) Participants housed separately, but mix with other inmates during meals and work assignments Intensive six-month program provided to volunteering women inmates during the end of their imprisonment Upon release, women may also volunteer for an additional six months of residential treatment in the community

UCLA Drug Abuse Research CenterForever Free Evaluation Aims Compare the 12-month outcomes of Forever Free participants with similar inmates from the general prison population on:  parole performance  drug use  employment  psychological functioning Determine what in-treatment variables predict outcome for Forever Free participants

UCLA Drug Abuse Research CenterForever Free Evaluation Subjects 215 inmates (119 enrolled in Forever Free; 96 in drug education) Housed at California Institution for Women near Chino Female Low educational attainment 66% have children under 18 Offenses were primarily drug or drug-related During the 30 days before incarceration, the treatment group reported spending an average of $125 on alcohol and $1,976 on illegal drugs

UCLA Drug Abuse Research CenterForever Free Evaluation Age and Ethnicity Treatment Comparison (N=119) (N=95) Age 1 Age in years (mean)3534 Ethnicity (percent) 2 White3631 African American3138 Latina2419 Other912 1 Independent sample t-test, differences were non-significant at p =.05 level. 2 Fishers Exact Test (2-Tail), differences were non-significant at p =.05 level.

UCLA Drug Abuse Research CenterForever Free Evaluation Drug Use History Treatment Comparison Primary Drug of Abuse (percent) 1 Cocaine/crack3654 Amphetamine/methamphetamine2816 Heroin and other opiates2521 Alcohol 6 6 Other drugs 4 3 Ever injected in lifetime (% yes)64*50 Received drug education or treatment during past incarcerations (% yes)25*39 1 Fishers Exact Test (2-Tail), differences were non-significant at p =.05 level. * Fishers Exact Test (2-Tail), p <.05.

UCLA Drug Abuse Research CenterForever Free Evaluation Arrest and Incarceration History Treatment Comparison Lifetime arrests (mean) Age first arrested (mean) Lifetime incarcerations (mean) Age first incarcerated (mean) 21N.A. Controlling case (percent) 2 Drug offenses6264 Robbery, burglary, forgery2726 Assault 44 Other 76 1 Independent sample t-test, differences were non-significant at p =.05 level. 2 Fisher’s Exact Test (2-tail), differences were non-significant at p =.05 level.

UCLA Drug Abuse Research CenterForever Free Evaluation Methods In-prison assessment:  Twice for the treatment group  Once for the comparison group (abbreviated form) One-year post-release interviews:  Telephone and face-to-face  Urine samples

UCLA Drug Abuse Research CenterForever Free Evaluation Methods: Status on 9/30/00

UCLA Drug Abuse Research CenterForever Free Evaluation Findings: Parole performance (percent) *** 1 *** p< p=.07

UCLA Drug Abuse Research CenterForever Free Evaluation Findings: Drug and alcohol use (percent) *** * *** p<.001 * p<.05

UCLA Drug Abuse Research CenterForever Free Evaluation Findings: Employment (percent) * 1 * p<.05 1 p=.08

UCLA Drug Abuse Research CenterForever Free Evaluation Findings: Psychological functioning (mean score) *** *** p<.001 ***

UCLA Drug Abuse Research CenterForever Free Evaluation Correlations

UCLA Drug Abuse Research CenterForever Free Evaluation Correlations

UCLA Drug Abuse Research CenterForever Free Evaluation Outcomes * Independent samples t-test, p <.05 1 p <.10

UCLA Drug Abuse Research CenterForever Free Evaluation Conclusions Women who received 6 months of prison-based treatment performed significantly better on parole on:  CJS variables  Drug use  Employment  Psychological functioning For the treatment group, some during-treatment psychological functioning and treatment motivation variables correlated with CJS and drug use outcomes