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Legally Mandated Treatment

Often the criminal justice system can apply legal pressure to encourage offenders to participate in drug abuse treatment; or judges can mandate treatment through a drug court or as a condition of pretrial release, probation or parole. A large percentage of individuals admitted to drug abuse treatment cite legal pressure as an important reason for seeking treatment. Most studies suggest that outcomes for those who are legally pressured to enter treatment are as good as or better than outcomes for those who entered treatment without legal pressure. Those under legal pressure also tend to have higher attendance rates and to remain in treatment for longer periods, which can also have a positive impact on treatment outcomes.

Offender Risk Factors

Often, drug abusing offenders have problems in other areas. Examples include family difficulties, limited social skills, educational and employment problems, mental health disorders, infectious diseases and other medical problems. Treatment should take these problems into account, because they can increase the risk of drug relapse and criminal recidivism if left unaddressed.
Stress is often a contributing factor to relapse and offenders who enter society after incarceration face many challenges and stressors, including reuniting with family members, securing housing and complying with criminal justice supervision requirements. The daily decisions that most people face can be stressful for those recently released from a prison environment.
Other threats to recovery include a loss of support from family or friends. Drug abusers returning to the community may also encounter family, friends or associates still involved in drugs or crime. These people may entice the individual to resume a criminal and drug using lifestyle. Returning to environments or activities associated with prior drug use may trigger strong cravings and cause a relapse. A coordinated approach by treatment and criminal justice staff provides the best way to detect and intervene with these and other threats to recovery. In any case, treatment provides the skills necessary to avoid or cope with situations that could lead to relapse.
Treatment staff should identify the unique relapse risk factors of every offender and periodically re-assess and modify treatment plans as needed. Generally, continuing or recurring drug use during treatment requires a clinical response by either increasing the dosage or level of treatment or changing the treatment intervention.