Treatment Retention Satisfaction, and Therapeutic Progress for Justice-Involved Individuals Referred to...

Area of Science:

• Addiction Medicine
• Psychiatry
• Criminology

Background:

• Limited research exists on factors influencing medication-assisted treatment (MAT) for justice-involved populations.
• Justice-involved individuals often face unique challenges impacting treatment engagement and outcomes.

Purpose of the Study:

• To investigate client- and counselor-level factors affecting 90-day MAT retention, satisfaction, and progress in justice-involved individuals.
• To explore the mediating role of treatment satisfaction on client factors and treatment progress.

Main Methods:

• Mixed-method design utilizing multilevel modeling to analyze quantitative data.
• Assessed influence of co-occurring disorders, social functioning, substance use severity, and motivation.
• Incorporated qualitative data from counselors' perceptions of recovery success factors.

Main Results:

• Fewer co-occurring disorders and greater social support correlated with higher treatment satisfaction and progress.
• Increased treatment motivation was linked to better treatment progress.
• Depression negatively impacted satisfaction and progress; social support positively influenced both.

Conclusions:

• Integrated treatment services, community corrections collaboration, and peer support strategies are crucial for recovery.
• Addressing co-occurring disorders and enhancing social support are key for improving MAT outcomes in justice-involved populations.
• Counselor-level factors and therapeutic alliance significantly influence treatment success.