Study considered the differential effectiveness of standard substance abuse treatment for persons with actual histories of drug use vs. those who have been arrested for drug trafficking, possession, dealing, delivery, manufacture, or sale. Dataset contained 1,348 subjects who had completed drug and alcohol treatment. Mean age was 33; 2/3 of subjects were male, 1/3 female; ethnic mix was well rounded. The researcher identified 77 outcome variables within 12 outcome categories. Of the 77, 64 trended as predicted, suggesting poorer outcomes for drug traffickers vs. substance users. A Chi Square was computed on trend data and was highly statistically significant. A MANOVA was then computed, considering each of the 64 outcome variables, with two covariates: 1) number of days during the three months post treatment that the individual was in a controlled environment; and 2) severity of alcohol and drug abuse at time of treatment commencement. The overall MANOVA was highly statistically significant, indicating that drug trafficking has a pure effect on poorer treatment outcomes. ANOVAs were computer to contrast drug traffickers vs. substance users on each of the 64 individual outcome variables, using a Bonferroni corrected alpha level. In five of 12 outcome categories, one or more outcome measures differed significantly between traffickers and users. The five categories with significantly different outcomes were Continued Alcohol/Drug Use, Reinstitutionalization, Environmental Issues, High Risk Sexual Behaviors, and Relationship Issues. Why drug traffickers are receiving treatment designed for substance users, and treatment alternatives for drug traffickers along with costs and policy implications are considered. Keywords: substance use, drug trafficking, treatment, outcomes, substance abuse
|Advisor:||Cumella, Edward J.|
|Commitee:||Burke, John, Gilston, Alyssa|
|Department:||School of Arts and Sciences|
|School Location:||United States -- North Carolina|
|Source:||MAI 52/03M(E), Masters Abstracts International|
|Subjects:||Criminology, Cognitive psychology|
|Keywords:||Dealers, Drug trafficking, Outcomes, Substance abuse, Substance use, Treatment|
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