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Published on: January 5, 2018
Hazardously drinking women leaving jail: time to first drink
Jennifer G Clarke1, Bradley J Anderson, Michael D Stein
1Memorial Hospital of Rhode Island, Pawtucket, RI, USA. Jennifer_Clarke@Brown.edu
Summary
Women recently released from jail with hazardous drinking behaviors often relapse quickly. Early interventions are crucial to prevent alcohol relapse in this vulnerable population.
Area of Science:
- Public Health
- Addiction Medicine
- Criminology
Background:
- Women recently released from correctional facilities face significant risks for alcohol relapse.
- Hazardous drinking and HIV risk behaviors are prevalent among this demographic.
- Understanding predictors of early relapse is critical for effective intervention.
Purpose of the Study:
- To evaluate the time to first drink after release from jail among women.
- To identify predictors of early alcohol relapse in this population.
- To assess the efficacy of a motivational intervention on reducing alcohol use.
Main Methods:
- A randomized controlled trial involving 245 women recruited from the Rhode Island Department of Corrections.
- Participants were assigned to either a motivational intervention or a control group.
- Follow-up assessments were conducted at 1, 3, and 6 months post-release.
Main Results:
- 86.7% of participants consumed alcohol post-release, with 42.4% initiating drinking on Day 1.
- Favorable alcohol norms and having a partner with an alcohol problem predicted higher rates of initiation.
- Increased length of incarceration was associated with a decreased rate of drink initiation.
- The motivational intervention did not significantly reduce drinking.
Conclusions:
- Early post-release interventions are essential to prevent alcohol relapse in women leaving jail.
- Interventions should focus on the critical first days after release to maintain abstinence.
- Current motivational interventions may not be sufficient for this population.
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