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Are Non-Pharmacological Interventions Effective in Reducing Drug Use and Criminality? A Systematic and Meta-Analytical Review with an Economic Appraisal of These Interventions

Author

Listed:
  • Amanda E. Perry

    (Department of Health Sciences, Mental Health and Addictions Research Group, ARRC Building, 2nd Floor, University of York, Heslington, York YO10 5DD, UK)

  • Rebecca Woodhouse

    (Department of Health Sciences, Mental Health and Addictions Research Group, ARRC Building, 2nd Floor, University of York, Heslington, York YO10 5DD, UK)

  • Matthew Neilson

    (Department of Health Sciences, Mental Health and Addictions Research Group, ARRC Building, 2nd Floor, University of York, Heslington, York YO10 5DD, UK)

  • Marrissa Martyn St James

    (Health Economics and Decision Science, School for Health and Related Research (ScHARR), University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK)

  • Julie Glanville

    (York Health Economics Consortium Ltd., Enterprise House, Innovation Way, University of York, York YO10 5NQ, UK)

  • Catherine Hewitt

    (York Trials Unit and NIHR RDS YH, Department of Health Sciences, Faculty of Science, ARRC Building, University of York, Heslington, York YO10 5DD, UK)

  • Dominic Trépel

    (Department of Health Sciences, Mental Health and Addictions Research Group, ARRC Building, 2nd Floor, University of York, Heslington, York YO10 5DD, UK)

Abstract

Background: The numbers of incarcerated people suffering from drug dependence has steadily risen since the 1980s and only a small proportion of these receive appropriate treatment. A systematic review to evaluate the effectiveness and economic evidence of non-pharmacological interventions for drug using offenders was conducted. Methods: Cochrane Collaboration criteria were used to identify trials across 14 databases between 2004 and 2014. A series of meta-analyses and an economic appraisal were conducted. Results : 43 trials were identified showing to have limited effect in reducing re-arrests RR 0.97 (95% CI 0.89–1.07) and drug use RR 0.90 (95% CI 0.80–1.00) but were found to significantly reduce re-incarceration RR 0.70 (95% CI 0.57–0.85). Therapeutic community programs were found to significantly reduce the number of re-arrests RR 0.70 (95% CI 0.56–0.87). 10 papers contained economic information. One paper presented a cost-benefit analysis and two reported on the cost and cost effectiveness of the intervention. Conclusions: We suggest that therapeutic community interventions have some benefit in reducing subsequent re-arrest. We recommend that economic evaluations should form part of standard trial protocols.

Suggested Citation

  • Amanda E. Perry & Rebecca Woodhouse & Matthew Neilson & Marrissa Martyn St James & Julie Glanville & Catherine Hewitt & Dominic Trépel, 2016. "Are Non-Pharmacological Interventions Effective in Reducing Drug Use and Criminality? A Systematic and Meta-Analytical Review with an Economic Appraisal of These Interventions," IJERPH, MDPI, vol. 13(10), pages 1-20, September.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:10:p:966-:d:79515
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    References listed on IDEAS

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    1. Camp, Scott D. & Daggett, Dawn M. & Kwon, Okyun & Klein-Saffran, Jody, 2008. "The effect of faith program participation on prison misconduct: The Life Connections Program," Journal of Criminal Justice, Elsevier, vol. 36(5), pages 389-395, September.
    2. Marian Shanahan & Emily Lancsar & Marion Haas & Bronwyn Lind & Don Weatherburn & Shuling Chen, 2004. "Cost-Effectiveness Analysis of the New South Wales Adult Drug Court Program," Evaluation Review, , vol. 28(1), pages 3-27, February.
    3. Ojmarrh Mitchell & David B. Wilson & Amy Eggers & Doris L. MacKenzie, 2012. "Drug Courts' Effects on Criminal Offending for Juveniles and Adults," Campbell Systematic Reviews, John Wiley & Sons, vol. 8(1), pages -87.
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