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Amity Prison-Based Therapeutic Community: 5-Year Outcomes

Michael L. Prendergast

UCLA Integrated Substance Abuse Programs

Elizabeth A. Hall

UCLA Integrated Substance Abuse Programs

Harry K. Wexler

National Development and Research Institutes, Inc.

Gerald Melnick

National Development and Research Institutes, Inc.

Yan Cao

UCLA Integrated Substance Abuse Programs

Few studies have examined outcomes of prison-based treatment programs over a 5-year observation period. The present analysis was based on a sample of 715 prisoners randomly assigned either to the Amity therapeutic community program or to a notreatment group. At 5-years postrelease, 90% of the original participants were located and 81% were interviewed. The main findings were based on a conservative intent-to-treat approach. On measures of recidivism, the Amity treatment group had significantly lower rates of reincarceration than the control group, but in multivariate analysis of time to first reincarceration, this main treatment effect disappeared and other factors (age and postrelease treatment) became significant predictors of delayed time to reincarceration. As in previous reports on this cohort, those who attended aftercare had lower levels of reincarceration, longer time to reincarceration, and higher levels of employment.

Key Words: drug abuse • offenders • longitudinal study • treatment outcomes • recidivism • incarceration • retention • attrition • treatment effectiveness evaluation

The Prison Journal, Vol. 84, No. 1, 36-60 (2004)
DOI: 10.1177/0032885503262454


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