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This is a blog about the scientific basis of medicine. A judo therapist reads research papers for study and writes about them.

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The treatment of offenders for drug use.

Wednesday, April 28, 2021

treatment

In this issue, we will be discussing the treatment of offenders for drug use. 

I would like to share with you a review of interventions for drug addiction and use among female offenders who end up being taken care of by the criminal justice system.In general, I feel that this content is only useful for the people around the offender, such as for medical professionals, the offender herself, and her family and friends, rather than being useful for someone else to do something about it.However, as long as we are engaged in some social activities, there will be people who are under the care of these people, and I thought it would be useful to know the results of these treatments and how hard they are to treat.

The Study

This is a review of 13 studies that included 2560 participants.

The 13 studies included participants who were randomly assigned to one of two interventions that were conducted primarily in the United States.The studies will have been conducted in prisons and in the community.The study will have examined a variety of different interventions, compared to a variety of interventions or treatments.If participants use a joint case-management intervention, there may be little or no difference in reducing drug use and reincarceration compared to treatment as usual.If participants are taking buprenorphine, it will be unclear whether there will be a reduction in drug use compared to placebo.If participants take pre-release buprenorphine from prison, there may be little difference in reduction of drug use or criminal activity compared to not taking the drug.


There may be little difference in reducing relapse to drug use if participants use an interpersonal therapy intervention compared to a psychoeducational intervention.If participants engage in acceptance and commitment therapy, there may be little difference in reducing substance use/desire for substance use compared to waiting list management.If participants are engaged in a cognitive skills intervention as compared to a therapeutic community intervention, it becomes unclear whether it will result in subsequent reductions in drug use, rearrest, criminal activity or drug-related offenses.However, there is some indication that it may reduce rearrest.If participants engage in cognitive skills compared to standard treatment, it is unclear whether it will reduce subsequent drug use.


If participants are engaged in a single session of PC intervention, there may be little difference in reducing substance use compared to face-to-face case management.If participants engage in dialectical behavioral therapy and case management, it will be unclear if there is a subsequent reduction in substance use compared to a health promotion plan.

It is not known if participants in therapeutic community program interventions reduce subsequent drug use and criminal activity compared to work release programs.If participants have an intensive discharge planning intervention at the time of release, it is likely that it will not reduce subsequent drug use and criminal activity as compared to prison alone.Funding sources were reported by all studies and included government and research/charitable organizations.

Reviewer's Conclusions

The study showed a high degree of heterogeneity with respect to the type of comparison, measurement of results, and small sample size. A description of the treatment is needed. One outcome of arrest (no parole violation) showed a significant reduction when cognitive behavioral therapy (CBT) was compared to a therapeutic community program. However, for all other outcomes, none of the interventions were effective. Larger trials are needed to increase the accuracy of our confidence in the certainty of the evidence.


Perry  AE, Martyn‐St James  M, Burns  L, Hewitt  C, Glanville  JM, Aboaja  A, Thakkar  P, Santosh Kumar  KM, Pearson  C, Wright  K. Interventions for female drug‐using offenders. Cochrane Database of Systematic Reviews 2019, Issue 12. Art. No.: CD010910. DOI: 10.1002/14651858.CD010910.pub3. 

Conclusion 

The results of interventions with programs other than cognitive behavioral therapy were mixed.Again, this suggests that there may be benefits to cognitive behavioral therapy. What is cognitive behavioral therapy?To put it simply, it is a method of changing the way you relate to your thoughts.There are many types of methods, but to put it simply, it's about changing the way you relate to your thoughts.Therefore, it is not something that can be solved by just spending time naturally, but with the understanding and necessary cooperation of the people around you, it is possible to finally treat dependence on drugs.Do not use! There is a lot of education on how not to use drugs, but there is no concrete explanation on what will happen if you do. However, there are few textbooks that provide concrete explanations.

What will happen? If you know the details of the process and the results, it may not be so interesting.

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