This project proposes to examine how chronic drug abusers, previously incarcerated and returning to the community, utilize health services including drug abuse treatment, health care, and mental health care services as well as their costs. The goal of this study is to provide information that can be used to improve health services delivery for chronic drug abusers. These data will be important for planning, developing, and providing health services and interventions for chronic drug abusers, particularly in rural areas because the literature is largely focused on urban areas. Over the Project's five years, a sample of incarcerated male (n=250) and female (n=60) chronic drug abusers voluntarily entering treatment for their drug abuse and completing it, a sample of male (n=250) and female (n=60) chronic drug abusers not completing treatment, and a comparison group of male (n=250) and female (n=60) chronic drug abusers not receiving treatment will be recruited and followed.
The specific aims for this project are to (1) develop a health services use profile of chronic drug abusers with baseline and longitudinal data in a predominantly white, rural and urban sample to describe how drug abuse treatment, mental health care and other health care needs are met; (2) Describe drug abuse treatment, mental health care, and other health care service utilization experiences of chronic drug abusers using Life History Analysis of drug use, major illness, health service utilization, lifestyle characteristics, and criminal justice encounters; (3) Provide a description of relationships between drug abuse treatment, mental health treatment, and other health service utilization with subsequent community health services utilization, relapse-recidivism, criminal justice encounters, and other life changes; (4) Estimate drug abuse treatment costs and other mental and health care service costs and assess the relationship between the costs of these services and the cost (real and avoided) of subsequent health care, public assistance, and criminal justice interventions; and (5) Identify barriers and facilitating factors for chronic drug abusers in accessing treatment, mental health services and other health care services.
| Hiller, Matthew L; Narevic, Egle; Webster, J Matthew et al. (2009) Problem severity and motivation for treatment in incarcerated substance abusers. Subst Use Misuse 44:28-41 |
| Mooney, Jennifer Lynn; Minor, Kevin I; Wells, James B et al. (2008) The relationship of stress, impulsivity, and beliefs to drug use severity in a sample of women prison inmates. Int J Offender Ther Comp Criminol 52:686-97 |
| Staton-Tindall, Michele; Duvall, Jamieson L; Leukefeld, Carl et al. (2007) Health, mental health, substance use, and service utilization among rural and urban incarcerated women. Womens Health Issues 17:183-92 |
| Webster, J Matthew; Rosen, Paul J; McDonald, Hope Smiley et al. (2007) Mental health as a mediator of gender differences in employment barriers among drug abusers. Am J Drug Alcohol Abuse 33:259-65 |
| Webster, J Matthew; Mateyoke-Scrivner, Allison; Staton, Michele et al. (2007) Rurality and criminal history as predictors of HIV risk among drug-involved offenders. Subst Use Misuse 42:153-60 |
| Leukefeld, Carl G; Hiller, Matthew L; Webster, J Matthew et al. (2006) A prospective examination of high-cost health services utilization among drug using prisoners reentering the community. J Behav Health Serv Res 33:73-85 |
| Webster, J Matthew; Rosen, Paul J; Krietemeyer, Jennifer et al. (2006) Gender, mental health, and treatment motivation in a drug court setting. J Psychoactive Drugs 38:441-8 |
| Narevic, Egle; Garrity, Thomas F; Schoenberg, Nancy E et al. (2006) Factors predicting unmet health services needs among incarcerated substance users. Subst Use Misuse 41:1077-94 |
| Fernander, Anita; Wilson, John F; Staton, Michele et al. (2005) Exploring the type-of-crime hypothesis, religiosity, and spirituality in an adult male prison population. Int J Offender Ther Comp Criminol 49:682-95 |
| Hiller, Matthew L; Webster, J Matthew; Garrity, Thomas F et al. (2005) Prisoners with substance abuse and mental health problems: use of health and health services. Am J Drug Alcohol Abuse 31:1-20 |
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