J Drug Information

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Health Services Criminal Abusers

One of the goals of treatment planning is to match interventions to individual needs at each stage of drug treatment. Over time, individuals may need various combinations of treatment services. Evidence-based interventions include: cognitive behavioral therapy to help participants learn positive social and coping skills; contingency management approaches to reinforce positive behavioral change; and motivational enhancement to increase treatment engagement and retention. In those addicted to opioid drugs, agonist or partial agonist medications can also help normalize brain function and antagonist medications can facilitate abstinence. For juvenile offenders, treatments that involve the family and other aspects of the drug abuser environment show efficacy.
Drug abuse treatment plans for incarcerated offenders can anticipate the eventual return of the individual to the community by incorporating relevant transition plans and services. Drug abuser treatment often includes mental and physical health services; family counseling; parenting, educational and vocational services, and is crucial components of successful treatment. Case management approaches provide assistance in obtaining drug abuse treatment and community services.

Offender Treatment Duration

While individuals progress through drug abuse treatment at different rates, one of the most reliable findings in treatment research is that length of treatment relates directly to lasting reductions in criminal activity and drug abuse. Generally, better outcomes occur from treatment lasting longer than 90 days, with the greatest reductions in drug abuse and criminal behavior accruing to those who complete treatment. Again, legal pressure can improve retention rates.
A longer continuum of treatment is best for individuals with severe or multiple problems. Research shows that participation in a therapeutic community in prison followed by treatment in the community after prison release can reduce the risk of recidivism to criminal behavior as well as relapse to drug use.

Childhood Weight-Control Program

Think about a treatment program if: A change in eating and physical activity habits has not impacted the health of the child or if a health care provider advised that the health or emotional well being of the child is at risk because of his or her weight.
The overall goal of a treatment program should be to help the whole family adopt healthy eating and physical activity habits that will last a lifetime. A weight-control program should also: include a variety of health care professionals on staff, including doctors, registered dietitians, psychiatrists or psychologists and exercise physiologists. Staff should evaluate the weight, growth and health of the child before enrolling him or her in the program. The program should also monitor these factors while the child participates in the program. The program should adapt to the specific age and abilities of the child. Programs for 4-year-olds should be different from those for 12-year-olds.