Who receives substance abuse treatment in the ‘real world’ of the prison? A register-based study of Finnish inmates

Bidragets titel på inmatningsspråk: Who receives substance abuse treatment in the ‘real world’ of the prison? A register-based study of Finnish inmates

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Sammanfattning

Assessing and targeting substance abuse-related treatment needs according to evidence-based practice has become the norm in most prison administrations. Not everyone with a need will, however, receive support in practical settings. Drawing on Finnish prison registers, we show that of all prisoners released in 2011, 60% were assessed as having a need for substance abuse-related support. Of these, 22% received an intervention in prison. Two multivariate models were used to examine the factors related to selection into interventions. The main factors associated with receiving an intervention with evidence-based programmes were a longer sentence, Finnish nationality, younger age and treatment motivation. The predictors for any substance abuse interventions (including non-evidence-based) were the same, with the exception that motivation was no longer a significant predictor, and female gender remained significant. The selective use of motivation as an entrance criterion for interventions can be a means of systemic adaptation to a combination of a high prevalence of substance abuse problems and a lower prevalence of treatment motivation in the prison population. We discuss how our results might reflect a Scandinavian way of doing evidence-based, prison-based drug treatment—one that stresses rehabilitation as a goal in itself in addition to reducing recidivism. Most prisoners, however, do not receive any intervention at all.
Bidragets titel på inmatningsspråkWho receives substance abuse treatment in the ‘real world’ of the prison? A register-based study of Finnish inmates
Originalspråkengelska
TidskriftJournal of Scandinavian Studies in Criminology and Crime Prevention
Volym16
Utgåva1
Sidor (från-till)76–96
Antal sidor21
ISSN1404-3858
DOI
StatusPublicerad - 2015
MoE-publikationstypA1 Tidskriftsartikel-refererad

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