Prison based therapeutic community substance abuse programs




















Print Copy. The Texas Department of Criminal Justice utilizes many programs to enhance offenders' abilities to remain crime free, thereby reducing recidivism. In facilitating effective treatment delivery, the RPD coordinates with the Parole Division, the Community Justice Assistance Division and the Correctional Institutions Division to provide substance abuse treatment services for individual offenders throughout their entire incarceration and supervision period.

All programs utilize a behavioral, cognitive approach based on evidence-based practices that includes gender specific substance abuse treatment, relationships and trauma counseling, parenting and post-traumatic stress disorder.

The Substance Abuse Felony Punishment program and the In-Prison Therapeutic Community are both intensive six-month programs nine months for offenders with special needs that include pregnant offenders. Offenders participating in the Substance Abuse Felony Punishment program may be placed there by a judge as a condition or modification of community supervision, or be required to participate by the Board of Pardons and Paroles as a modification of parole.

Offenders placed in the In-Prison Therapeutic Community program are within six months of release and are identified as needing substance abuse treatment. The Board of Pardons and Paroles votes to place qualified offenders in this program.

Both programs consist of three phases that include learning basic language and rules, exposing addiction, offender thinking errors and drug seeking behaviors, and practicing relapse prevention and pro-social problem solving techniques.

A Continuum of Care Aftercare component is required that may include a transitional treatment center for up to 90 days, then six to nine months of supportive outpatient and up to 12 months of support groups and follow-up. In a Colorado study, male inmates randomly assigned to a month TC designed for inmates with co-occurring disorders some of whom chose to continue community-based TC treatment upon release had lower rates of re-incarceration 9 percent compared with those who received mental health treatment while in prison 33 percent , as well as greater declines in alcohol and drug use Sacks et al.

Offenders who participated in both in-prison TC and aftercare demonstrated lower rates of re-incarceration, any criminal activity, and substance-related criminal activity than those who received mental health treatment. Men who relapsed during the year after prison release were four times more likely to re-offend compared with those who maintained abstinence from alcohol and drugs, 49 percent versus 19 percent, respectively Sullivan et al. Compared with ex-offenders who received standard supervision during work-release, those who participated in a transitional TC for 3 months prior to 3 months in the work-release program showed higher rates of abstinence from drugs and employment Butzin et al.

During the 5-year period after prison release, offenders who participated in the transitional TC relapsed in an average of The Delaware study has now extended the follow-up to 18 years after prison release, finding a persistent and strong reduction in new arrests among TC participants Martin et al. Research indicates that TC-based aftercare can improve the outcomes of offenders who have re-entered the community Burdon et al.

TCs can provide aftercare for ex-offenders in residential or outpatient modalities, and both have been shown to be equally beneficial Burdon et al. Lower rates of re-incarceration are linked with longer duration more than 90 days of TC treatment Sacks et al. Bar graph showing crime-related outcomes 12 months after prison release in those in a TC in prison plus aftercare compared with just mental health treatment.

Participants work closely with treatment staff to develop individual treatment goals and strategies. Each program develops and maintains a philosophy of treatment and therapeutic goals for their respective programs that is approved by the Director of Behavior Health Services. A variety of treatment options are available to offenders based upon their assessed level of treatment needs. For offenders with severe substance use disorders, intensive nine-to-twelve month residential programs are available in which participants progress through multiple treatment phases.

Based on the modified therapeutic community model, this highly-structured community setting is used to provide a peer based support system for program participants.

Program responsibilities are distributed through a structure board and participants are taught to take responsibility for their actions. For offenders with moderate substance use disorders, less intensive group therapy services are available.



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