Drug-abusing Offenders with Co-morbid Mental Disorders:Gender Differences in Problem Severity,Treatment Participation,and Recidivism

作     者：DU Jiang HUANG David ZHAO Min HSER Yih Ing 

作者机构：Shanghai Mental Health CenterShanghai Jiao Tong University School of Medicine University of CaliforniaLos AngelesIntegrated Substance Abuse Program(ISAP)1640 Sepulveda Blvd.Suite 200Los Angeles90025CAUSA 

出 版 物：《Biomedical and Environmental Sciences》 (生物医学与环境科学（英文版）)

年 卷 期：2013年第26卷第1期

页      面：32-39页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：supported by the NIDA(Grants R01DA15431and P30DA016383) National Key Clinical Disciplines at Shanghai Mental Health Center(Office of Medical Affairs,Ministry of Health,2011-873) 

主　　题：Drug abuse Offender Mental disorder Gender difference 

摘      要：Objective This study examined the gender differences in drug‐related problems and predictors of recidivism among a sample of 1444 offenders with co‐morbid drug abuse and mental disorders participating in California＇s Proposition 36 *** Background characteristics and problem severity in multiple key life areas were assessed at intake by using Addiction Severity Index,and drug treatment participation,mental health diagnoses and arrests were based on official *** Women demonstrated greater problem severity than men in family relationships,health,psychological health,and sexual and physical abuse *** on the other hand had greater criminal history,high rates of attention disorder,and psychotic *** men than women were rearrested during the year after treatment *** regression analyses showed that for the combined sample,male,young age,cocaine use（relative to methamphetamine）,drug abuse severity,methadone treatment,arrest history and fewer prior treatment history were associated with higher recidivism at 12‐month follow‐up;lower education,cocaine use,and arrest history were related to women＇s recidivism,while young age,outpatient treatment,and arrest history were predictors of men＇s *** Although the specific type of mental disorder did not seem to be predictive of recidivism,the high rates of mental health disorder and arrest of this population is *** strategies taking into consideration gender‐specific problems and needs can improve outcomes for both.