Drug Abuse Treatment for Criminal Justice Populations刑事司法群体的药物滥用治疗.pptVIP

Nora D. Volkow, M.D. Director National Institute on Drug Abuse What Do We Know? Drug Abuse Treatment for Healthy Heart Diseased Heart Decreased Heart Metabolism in Heart Disease Patient Control Cocaine Abuser Decreased Brain Metabolism in Drug Abuse Patient Sources: From the laboratories of Drs. N. Volkow and H. Schelbert High Low Drug addiction is a brain disease that affects behavior In 2005 An Estimated 23.2 Million Americans Were Dependent On or Abused Any Illicit Drugs or Alcohol But…Only 3.9 Million (17%) of These Individuals Had Received Some Type of Treatment In the Past Year Although Treatments For Addiction Are Available, They Are Not Being Widely Used By Those Who Need Them Source: 2005 NSDUH, National Findings, SAMHSA, OAS, 2006. Self Help Group Outpatient Rehab Inpatient Rehab Outpatient Mental Health Center Hospital Inpatient Private Doctor’s Office Emergency Room Prison or Jail Numbers in Millions 0 .5 1.0 1.5 2.0 2.5 2.1 1.5 1.1 1.0 0.8 0.5 0.4 0.3 Location TX Received U.S. Adult Offender Population Drug use involved in 50% of violent crimes and 60-80% of child abuse/neglect cases (NIJ, 1999) Corrections officials estimate 70-85% of inmates need drug treatment (GAO, 1991) 68% of jail inmates report regular drug use (BJS, 2005) Substance Dependence Or Abuse Among Jail Inmates by Age ALL DEPENDENCE ABUSE 0 10 20 30 40 50 60 70 80 24 or younger 25-34 35-44 45-54 55 or older Source: Substance Dependence, Abuse and Treatment of Jail Inmates, 2002, DOJ, BJS, 2005. * p .05 from Comparison Delaware Work Release TC (Crest) + Aftercare Drug-Free an Arrest-Free 3 Years After Release (N=448) No Treatment CREST Dropouts CREST Completers CREST Completers + Aftercare * * * * * Drug-Free Arrest-Free No Treatment CREST Dropouts CREST Completers CREST Completers + Aftercare Martin, Butzin, Saum, Inciardi (1999), The Prison Journal Continuity of care is essential for drug abusers re-