Drug and Alcohol Dependence
Volume 88, Supplement 2 , Pages S4-S13, May 2007

Adapting judicial supervision to the risk level of drug offenders: Discharge and 6-month outcomes from a prospective matching study

Treatment Research Institute at the University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106-3475, USA

Received 11 April 2006; received in revised form 6 September 2006; accepted 2 October 2006.

Abstract 

This article reports recent findings from a program of experimental research examining the effects of adapting judicial supervision to the risk level of drug-abusing offenders. Prior studies revealed that high-risk participants with (1) antisocial personality disorder or (2) a history of drug abuse treatment performed significantly better in drug court when they were scheduled to attend frequent, bi-weekly judicial status hearings in court. Low-risk participants performed equivalently regardless of the schedule of court hearings. The current study prospectively matched misdemeanor drug court clients to the optimal schedule of court hearings based upon an assessment of their risk status, and compared outcomes to those of clients randomly assigned to the standard schedule of court hearings. Results confirmed that high-risk participants graduated at a higher rate, provided more drug-negative urine specimens at 6 months post-admission, and reported significantly less drug use and alcohol intoxication at 6 months post-admission when they were matched to bi-weekly hearings as compared to the usual schedule of hearings. These findings yield practical information for enhancing the efficacy and cost-efficiency of drug court services. Directions for future research on adaptive programming for drug offenders are discussed.

Keywords: Adaptive intervention, Drug court, Crime, Criminal justice, Antisocial personality disorder

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PII: S0376-8716(06)00366-8

doi:10.1016/j.drugalcdep.2006.10.001

Drug and Alcohol Dependence
Volume 88, Supplement 2 , Pages S4-S13, May 2007