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The Influence of Client Risks and Treatment Engagement on Recidivism
Yang Yang1, Kevin Knight1, George W Joe1
1Institute of Behavioral Research, Texas Christian University, Fort Worth, Texas, USA.
This study found that treatment engagement mediates the link between criminal history, criminal thinking, and recidivism (re-arrest). Improving engagement is key for reducing re-arrest rates in substance abuse programs.
Area of Science:
- Criminology
- Psychology
- Public Health
Background:
- Recidivism remains a significant challenge following substance abuse treatment.
- Understanding the interplay between pretreatment risk factors and treatment engagement is crucial for effective interventions.
Purpose of the Study:
- To model the relationship between pretreatment risk factors (criminal history, criminal thinking) and 12-month post-release re-arrest.
- To examine the mediating role of during-treatment engagement in this relationship.
Main Methods:
- Structural Equation Modeling (SEM) was employed.
- Data from 653 subjects in prison-based substance treatment programs were analyzed.
Main Results:
- Criminal history correlated with criminal thinking, negatively impacting treatment engagement.
- Criminal involvement predicted re-arrest, but criminal thinking did not directly.
- Treatment engagement partially mediated the criminal history-recidivism link and fully mediated the criminal thinking-recidivism link.
Conclusions:
- Interventions should target criminal thinking and monitor treatment engagement.
- Facilitating treatment engagement is vital for improving treatment performance and reducing recidivism.
- Prognostic assessment can inform treatment planning and enhance outcomes.
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