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Interventions for female drug-using offenders.

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This review found that most interventions for female drug-using offenders did not significantly reduce drug use or criminal activity. Cognitive behavioural therapy showed a potential reduction in arrests, but more research is needed.

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Area of Science:

  • Criminology
  • Psychology
  • Public Health

Background:

  • This review is part of a series examining interventions for offenders.
  • Focuses on strategies to reduce drug use and criminal activity among female offenders.

Purpose of the Study:

  • To assess the effectiveness of interventions in reducing criminal activity and/or drug use in female drug-using offenders.
  • To synthesize evidence from randomized controlled trials (RCTs).

Main Methods:

  • Systematic search of 12 electronic databases up to February 2019.
  • Inclusion of 13 randomized controlled trials (RCTs) involving 2560 participants.
  • Data collection and analysis followed Cochrane methodological standards.

Main Results:

  • Most interventions, including collaborative case management, buprenorphine, interpersonal psychotherapy, acceptance and commitment therapy (ACT), and computerised interventions, showed no significant reduction in drug use or criminal activity.
  • Cognitive behavioural skills (CBS) demonstrated a significant reduction in non-parole violations in one study.
  • Intensive discharge planning and case management showed a significant reduction in arrests but not drug charges or incarceration.

Conclusions:

  • The majority of interventions reviewed were not effective in reducing drug use or criminal activity among female offenders.
  • Cognitive behavioural therapy (CBT) showed a significant reduction in arrests for non-parole violations.
  • High heterogeneity, small sample sizes, and unclear reporting limit the certainty of evidence, necessitating larger, well-designed trials.