Perry, Amanda E orcid.org/0000-0002-0279-1884, Woodhouse, Rebecca orcid.org/0000-0001-8374-8994, Neilson, Matthew et al. (4 more authors) (2016) Are Non-Pharmacological Interventions Effective in Reducing Drug Use and Criminality?:A Systematic and Meta-Analytical Review with an Economic Appraisal of These Interventions. International Journal of Environmental Research and Public Health. pp. 1-20. ISSN 1660-4601
Abstract
Background: The numbers of incarcerated people suffering from drug dependence has steadily risen since the 1980s and only a small proportion of these receive appropriate treatment. A systematic review to evaluate the effectiveness and economic evidence of non-pharmacological interventions for drug using offenders was conducted. Methods: Cochrane Collaboration criteria were used to identify trials across 14 databases between 2004 and 2014. A series of meta-analyses and an economic appraisal were conducted. Results: 43 trials were identified showing to have limited effect in reducing re-arrests RR 0.97 (95% CI 0.89-1.07) and drug use RR 0.90 (95% CI 0.80-1.00) but were found to significantly reduce re-incarceration RR 0.70 (95% CI 0.57-0.85). Therapeutic community programs were found to significantly reduce the number of re-arrests RR 0.70 (95% CI 0.56-0.87). 10 papers contained economic information. One paper presented a cost-benefit analysis and two reported on the cost and cost effectiveness of the intervention. Conclusions: We suggest that therapeutic community interventions have some benefit in reducing subsequent re-arrest. We recommend that economic evaluations should form part of standard trial protocols.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016, by the authors. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 05 Oct 2016 15:35 |
Last Modified: | 05 Jan 2025 00:12 |
Published Version: | https://doi.org/10.3390/ijerph13100966 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.3390/ijerph13100966 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:105629 |