Unravelling the “Black Box”: Treatment-Staff Perceptions of Hermon Prison’s Drug-Rehabilitation Program
DOI:
https://doi.org/10.6000/1929-4409.2020.09.12Keywords:
Prisoners, drug users, offenders, treatment staff, substance abuse disorder, drug addiction, Israel, Hermon Prison,, substance-abuse treatment programAbstract
This current qualitative study analyzed treatment-staff perceptions of the advantages and weaknesses of Israeli’s primary prison-based drug rehabilitation program, as implemented in Hermon Prison in Israel. Semi-structured interviews were conducted with 12 social workers and recovery mentors who worked as therapists in Hermon Prison during the research period. The analysis showed that the main advantages described were that the program was varied (included psychotherapy, education, vocational training, and work) and required a 1-year stay in a therapeutic community setting, with intensive exposure to eclectic psychotherapy methods and was delivered in a prison that is organizationally and architecturally designed to serve treatment goals. The primary weaknesses that the therapists perceived were shortages of treatment staff (staff turnover was high), individual psychological therapy and of follow-up treatment in the community. The research suggests that reducing these deficiencies may improve the program’s effectiveness, and it offers an initial theoretical model for creating an effective drug rehabilitation program.
References
Amato, L., Davoli, M., Perucci, C. A., Ferri, M., Faggiano, F., & Mattick, R. P. (2005). An overview of systematic reviews of the effectiveness of opiate maintenance therapies: Available evidence to inform clinical practice and research. Journal of Substance Abuse Treatment, 28, 321–329. https://doi.org/10.1016/j.jsat.2005.02.007 DOI: https://doi.org/10.1016/j.jsat.2005.02.007
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. https://doi.org/10.1176/appi.books.9780890425596 DOI: https://doi.org/10.1176/appi.books.9780890425596
Appel, P. W., Ellison, A. A., Jansky, H. K., & Oldak, R. (2004). Barriers to enrollment in drug abuse treatment and suggestions for reducing them: Opinions of drug injecting street outreach clients and other system stakeholders. The American Journal of Drug and Alcohol Abuse, 30, 129–153. https://doi.org/10.1081/ADA-120029870 DOI: https://doi.org/10.1081/ADA-120029870
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. https://doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa
Carroll, K. M., & Onken, L. S. (2013). Behavioral therapies for drug abuse. American Journal of Psychiatry, 162, 1452–1460. https://doi.org/10.1176/appi.ajp.162.8.1452 DOI: https://doi.org/10.1176/appi.ajp.162.8.1452
Chandler, R. K., Fletcher, B. W., & Volkow, N. D. (2009). Treating drug abuse and addiction in the criminal justice system: Improving public health and safety. JAMA, 301, 183–190. https://doi.org/10.1001/jama.2008.976 DOI: https://doi.org/10.1001/jama.2008.976
De Leon, G. (2000). The therapeutic Community: Theory, model, and method. New York: Springer Publishing. https://doi.org/10.1891/9780826116673 DOI: https://doi.org/10.1891/9780826116673
Donovan, D. M., Ingalsbe, M.H., Benbow, J., & Daley, D. C. (2013). 12-step interventions and mutual support programs for substance use disorders: An overview. Social Work Public Health, 28, 313–332. https://doi.org/10.1080/19371918.2013.774663 DOI: https://doi.org/10.1080/19371918.2013.774663
Dye, M. H., Ducharme, L. J., Johnson, J. A., Knudsen, H. K., & Roman, P. M. (2009). Modified therapeutic communities and adherence to traditional elements. Journal of Psychoactive Drugs, 4, 275–283. https://doi.org/10.1080/02791072.2009.10400538 DOI: https://doi.org/10.1080/02791072.2009.10400538
Evans, E., Li, L., & Hser, Y. I. (2009). Client and program factors associated with dropout from court mandated drug treatment. Evaluation and Program Planning, 32, 204–212. https://doi.org/10.1016/j.evalprogplan.2008.12.003 DOI: https://doi.org/10.1016/j.evalprogplan.2008.12.003
Farabee, D., Prendergast, M., Cartier, J., Wexler, H., Knight, K., & Anglin, M. D. (1999). Barriers to implementing effective correctional drug treatment programs. The Prison Journal, 79, 150–162. https://doi.org/10.1177/0032885599079002002 DOI: https://doi.org/10.1177/0032885599079002002
Frank, V. A., Dahl, H. V., Holm, K. E., & Torsten, K. (2015). Inmates’ perspectives on prison drug treatment: A qualitative study from three prisons in Denmark. Probation Journal, 62, 156–171. https://doi.org/10.1177/0264550515571394 DOI: https://doi.org/10.1177/0264550515571394
Friedmann, P. D., Taxman, F. S., & Henderson, C. E. (2007). Evidence-based treatment practices for drug-involved adults in the criminal justice system. Journal of Substance Abuse Treatment, 32, 267–277. https://doi.org/10.1016/j.jsat.2006.12.020 DOI: https://doi.org/10.1016/j.jsat.2006.12.020
Gates P. J., Sabioni, P., Copeland, J., Le Foll, B., & Gowing, L. (2017). Psychosocial interventions for cannabis use disorder. Cochrane Database of Systematic Reviews 2016, no. 5. Art. No.: CD005336. https://doi.org/10.1002/14651858.CD005336.pub4 DOI: https://doi.org/10.1002/14651858.CD005336.pub4
Goethals, I., Soyez, V., Melnick, G., Leon, G. D., & Broekaert, E. (2011). Essential elements of treatment: A comparative study between European and American therapeutic communities for addiction. Substance Use & Misuse, 46, 1023–1031. https://doi.org/10.3109/10826084.2010.544358 DOI: https://doi.org/10.3109/10826084.2010.544358
Gordon, M. S., Kinlock, T. W., Schwartz, R. P., & O’Grady, K. E. (2008). A randomized clinical trial of methadone maintenance for prisoners: Findings at 6 months post release. Addiction, 103, 1333–1342. https://doi.org/10.3109/10826084.2010.544358 DOI: https://doi.org/10.1111/j.1360-0443.2008.002238.x
Greeson, J. K. P., Guo, S., Barth, R. P., Hurley, S., & Sisson J. (2009). Contributions of therapist characteristics and stability to intensive in-home therapy youth outcomes. Research on Social Work Practice, 2, 239–250. https://doi.org/10.1177/1049731508329422 DOI: https://doi.org/10.1177/1049731508329422
Hasisi, B., Weisburd, D., Shoham, E., Haviv, N., & Zelig, A. (2016). Assessment of drug and alcohol rehabilitation programs. Ramla, Israel: The Israeli Prison Services.
Halstead, I., & Poynton, S. (2016). The NSW Intensive Drug and Alcohol Treatment Program (IDATP) and recidivism: An early look at outcomes for referrals. Crime & Justice Bulletin, 192, 1–20.
Horigian, V. E., Espinal, P. S., Alonso, E., Verdeja, R. E., Duan, R., Usaga, I. M., … & Feaster, D. J. (2016). Readiness and barriers to adopt evidence-based practices for substance abuse treatment in Mexico. Salud Mental, 39, 77–84. https://doi.org/10.17711/SM.0185-3325.2016.004 DOI: https://doi.org/10.17711/SM.0185-3325.2016.004
Hughes, C., Payne, J., Macgregor, S., & Pockley, K. (2014). A beginner’s guide to drugs and crime: Does one always lead to the other? The National Magazine on Alcohol, Tobacco and Other Drugs, 12, 26–29.
Inciardi, J. A., Martin, S. S., & Butzin, C. A. (2004). Five-year outcomes of therapeutic community treatment of drug-involved offenders after release from prison. Crime and Delinquency, 50, 88–107. https://doi.org/10.1177/0011128703258874 DOI: https://doi.org/10.1177/0011128703258874
Jhanjee, S. (2014). Evidence based psychosocial interventions in substance use. Indian Journal of Psychological Medicine, 36, 112-118. https://doi.org/10.4103/0253-7176.130960 DOI: https://doi.org/10.4103/0253-7176.130960
Johnson, L. N., Ketring, S. A., Rohacs, J., & Brewer, A. L. (2006). Attachment and the therapeutic alliance in family therapy. American Journal of Family Therapy, 34, 205–218. https://doi.org/10.1080/01926180500358022 DOI: https://doi.org/10.1080/01926180500358022
Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment literature. Clinical Psychology Review, 26, 50–65. https://doi.org/10.1016/j.cpr.2005.09.001 DOI: https://doi.org/10.1016/j.cpr.2005.09.001
Kolind, T., Frank, V.A., & Dahl, H. V. (2010). Drug treatment or alleviating the negative consequences of imprisonment? A critical view of prison-based drug treatment in Denmark. International Journal of Drug Policy, 21, 43–48. https://doi.org/10.1016/j.drugpo.2009.03.002 DOI: https://doi.org/10.1016/j.drugpo.2009.03.002
Kolind, T., Frank, V. A., Lindberg, O., & Tourunen, J. (2015). Officers and drug counsellors: New occupational identities in Nordic Prisons. British Journal of Criminology, 55, 303–320. https://doi.org/10.1093/bjc/azu088 DOI: https://doi.org/10.1093/bjc/azu088
Leukefeld, C. G., & Tims, F. M. (1993). Drug abuse treatment in prisons and jails. Journal of substance abuse treatment, 10, 77–84. https://doi.org/10.1016/0740-5472(93)90103-9 DOI: https://doi.org/10.1016/0740-5472(93)90103-9
McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA, 284, 1689–1695. https://doi.org/10.1001/jama.284.13.1689 DOI: https://doi.org/10.1001/jama.284.13.1689
Martin, S. S., Butzin, C. A., Saum, C. A., & Inciardi, J. A. (1999). Three-year outcomes of therapeutic community treatment for drug-involved offenders in Delaware: From prison to work release to aftercare. The Prison Journal, 79, 294–320. https://doi.org/10.1177/0032885599079003002 DOI: https://doi.org/10.1177/0032885599079003002
Mattick, R. P., Breen, C., Kimber, J., & Davoli, M. (2014). Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence. Version of Record online: 6 FEB 2014. https://doi.org/10.1002/14651858.CD002207.pub4 DOI: https://doi.org/10.1002/14651858.CD002207.pub4
Melnick, G., Hawke, J., & Wexler, H. K. (2004). Client perceptions of prison-based therapeutic community drug treatment programs. The Prison Journal, 84, 121–138. https://doi.org/10.1177/0032885503262459 DOI: https://doi.org/10.1177/0032885503262459
Miller, J. C. (2008). 12-Step treatment for alcohol and substance abuse revisited: Best available evidence suggests lack of effectiveness or harm. International Journal of Mental Health and Addiction 6, 568–576. https://doi.org/10.1007/s11469-008-9146-4 DOI: https://doi.org/10.1007/s11469-008-9146-4
Mitchell, O., Wilson, D. B., & MacKenzie, D. L. (2007). Does incarceration-based drug treatment reduce recidivism? A meta-analytic synthesis of the research. Journal of Experimental Criminology, 3, 353–375. https://doi.org/10.1007/s11292-007-9040-2 DOI: https://doi.org/10.1007/s11292-007-9040-2
Mitchell, O., Wilson, D. B., & MacKenzie, D. L. (2012). The effectiveness of incarceration-based drug treatment on criminal behavior: A systematic review. Campbell Systematic Reviews 2012:18. https://doi.org/10.4073/csr.2012.18 DOI: https://doi.org/10.4073/csr.2012.18
Najavits, L. M., Kivlahan, D., Kosten, T. (2011). A national survey of clinicians’ views of evidence-based therapies for PTSD and substance abuse. Addiction Research and Therapy,19, 138–147. https://doi.org/10.3109/16066350903560176 DOI: https://doi.org/10.3109/16066350903560176
National Institute on Drug Abuse (2018). Principles of drug addiction treatment: A research-based guide. 3rd ed. Retrieved [January 2018] from https://www.drugabuse.gov/publications/ principles-drug-addiction-treatment-research-based-guide-third-edition/acknowledgments.
National Institute on Drug abuse (2019). Treatment approaches for drug addiction. Retrieved [January 2019] from https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction
Pearson, F. S., & Lipton, D. S. (1999). A meta-analytic review of the effectiveness of corrections-based treatments for drug abuse. The Prison Journal, 79, 384–410. https://doi.org/10.1177/0032885599079004003 DOI: https://doi.org/10.1177/0032885599079004003
Polcin, D. L. (2001). Drug and alcohol offenders coerced into treatment: A review of modalities and suggestions for research on social model programs. Substance Use & Misuse, 36, 589–608. https://doi.org/10.1081/JA-100103562 DOI: https://doi.org/10.1081/JA-100103562
Prendergast, M. L., & Wexler, H. K. (2004). Correctional substance abuse treatment programs in California: A historical perspective. The Prison Journal, 84, 8–35. https://doi.org/10.1177/0032885503262453 DOI: https://doi.org/10.1177/0032885503262453
Prangley, T., Pit, S. W., Rees, T., & Nealon, J. (2018). Factors influencing early withdrawal from a drug and alcohol treatment program and client perceptions of successful recovery and employment: A qualitative study. BMC Psychiatry, 18, 301. https://doi.org/10.1186/s12888-018-1864-y DOI: https://doi.org/10.1186/s12888-018-1864-y
Rapp, R. C., Xu, J., Carr, C. A., Lane, D. T., Wang, J., & Carlson, R. (2006). Treatment barriers identified by substance abusers assessed at a centralized intake unit. Journal of substance abuse treatment, 30, 227–235. https://doi.org/10.1016/j.jsat.2006.01.002 DOI: https://doi.org/10.1016/j.jsat.2006.01.002
Rotgers, F., & Nguyen, T. A. (2006). Substance abuse. In P. J. Bieling, U. McMaster, O.T. Hamilton, R. E. McCabe, & M. M. Antony (eds.), Cognitive-behavioural therapy in groups. New York: Guilford.
SAMHSA [Substance Abuse and Mental Health Services Administration] (2018). Key substance use and mental health indicators in the United States: Results from the 2017 National Survey on Drug Use and Health. Retrieved [September 2018] from https://www.samhsa.gov/data/ report/2017-nsduh-annual-national-report
Shoham, E. (2012). Gazing beyond the walls: Violence towards domestic partners in closed communities. Be’er-Sheva, Israel: Ben-Gurion University in the Negev.
Tai, B., Straus, M. M., Liu, D., Sparenborg, S., Jackson, R., & McCarty, D. (2010). The first decade of the national drug abuse treatment clinical trials network: Bridging the gap between research and practice to improve drug abuse treatment. Journal of Substance Abuse Treatment, 38, 4–13. https://doi.org/10.1016/j.jsat.2010.01.011 DOI: https://doi.org/10.1016/j.jsat.2010.01.011
Taxman, F. S., & Bouffard, J. A. (2000). The importance of systems in improving offender outcomes: New frontiers in treatment integrity. Justice Research and Policy, 2, 37–58. https://doi.org/10.3818/JRP.2.2.2000.37 DOI: https://doi.org/10.3818/JRP.2.2.2000.37
Taxman, F. S., Perdoni, M. L., & Harrison, L. D. (2007). Drug treatment services for adult offenders: The state of the state. Journal of Substance Abuse Treatment, 32, 239–254. https://doi.org/10.1016/j.jsat.2006.12.019 DOI: https://doi.org/10.1016/j.jsat.2006.12.019
Turley, A., Thornton, T., Johnson, C., & Azzolino, S. (2004). Jail drug and alcohol treatment program reduces recidivism in nonviolent offenders: A longitudinal study of Monroe County, New York’s jail treatment drug and alcohol program. International Journal of Offender Therapy and Comparative Criminology, 48, 721–728. https://doi.org/10.1177/0306624X04265088 DOI: https://doi.org/10.1177/0306624X04265088
Visher, C., LaVigne, N. & Travis, J. (2004). Returning home: Understanding the challenges of prisoner reentry. Maryland pilot study: Findings from Baltimore. Washington, DC: Urban Institute. https://doi.org/10.1037/e720382011-001 DOI: https://doi.org/10.1037/e720382011-001
Walther, L., Gantner, A., Heinz, A., & Majić, T. (2016). Evidence-based treatment options in cannabis dependency. Deutsches Aerzteblatt International, 113, 653–659. https://doi.org/10.3238/arztebl.2016.0653 DOI: https://doi.org/10.3238/arztebl.2016.0653
Welsh, W. N., Zajac, G., & Bucklen, K. B. (2014). For whom does prison-based drug treatment work? Results from a randomized experiment. Journal of Experimental Criminology, 10, 151–177. https://doi.org/10.1007/s11292-013-9194-z DOI: https://doi.org/10.1007/s11292-013-9194-z
Wener, R. E. (2000). Design and the likelihood of prison assaults. In L. Fairweather & S. McConville (Eds.), Prison architecture: Policy, design, and experience (pp. 49–54). Boston: Architectural Press.
Wener, R. E. (2012). The environmental psychology of prisons and jails: Creating humane spaces in secure settings (environment and behavior). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511979682 DOI: https://doi.org/10.1017/CBO9780511979682
Wexler, H. K., Melnick, G. L., Lowe, L., & Peters, L. (1999). Three year re-incarceration outcomes for Amity in prison therapeutic community and aftercare in California. Prison Journal, 79, 321–336. https://doi.org/10.1177/0032885599079003003 DOI: https://doi.org/10.1177/0032885599079003003
Wong-Link, N., & Hamilton, L. K. (2017). The reciprocal lagged effects of substance use and recidivism in a prisoner reentry context. Health & Justice, 5, 1–14. https://doi.org/10.1186/s40352-017-0053-2 DOI: https://doi.org/10.1186/s40352-017-0053-2
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