The effect of pre-release treatment with injectable naltrexone on criminal justice and substance use outcomes: Results from a randomized controlled trial

IF 2 2区社会学 Q2 CRIMINOLOGY & PENOLOGY

Journal of Experimental Criminology Pub Date : 2025-01-30 DOI:10.1007/s11292-025-09661-0

C. Clare Strange, Jordan M. Hyatt, Chase Montagnet, Kathleen Powell, Daniel D. Langleben

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引用次数: 0

Abstract

Objectives

Evaluate the impact of extended-release naltrexone (XR-NTX) on postrelease criminal justice contact and substance use among individuals with opioid use disorder in correctional settings.

Methods

A randomized waitlist-controlled trial was conducted. The treatment group (n = 47) received XR-NTX shortly before release, and the comparison group (n = 47) was put on a waitlist for treatment at six months post-release. Outcomes were measured at 3 and 6 months post-release and included new arrests, parole revocations, reincarceration, and positive drug tests. Data were analyzed using t-tests and Kaplan–Meier survival estimates.

Results

At 3 months post-release, the treatment group had marginally fewer parole revocations. At 6 months, there were no significant differences in criminal justice or substance use outcomes, though the treatment group had fewer positive drug tests and a longer time to first positive drug test.

Conclusions

There is limited evidence that XR-NTX reduces poor criminal justice and substance use outcomes.

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注射纳曲酮预释放治疗对刑事司法和物质使用结果的影响：来自一项随机对照试验的结果

目的评价缓释纳曲酮（XR-NTX）对惩教机构中阿片类药物使用障碍个体释放后刑事司法接触和物质使用的影响。方法采用随机等待对照试验。治疗组（n = 47）在释放前不久接受XR-NTX治疗，对照组（n = 47）在释放后6个月等待治疗。在释放后3个月和6个月测量结果，包括新的逮捕、假释撤销、再监禁和药物测试阳性。数据分析采用t检验和Kaplan-Meier生存估计。结果释放3个月后，治疗组的假释撤销率略低于对照组。6个月时，在刑事司法或药物使用结果方面没有显着差异，尽管治疗组的药物检测阳性较少，并且首次药物检测阳性的时间较长。结论：有限的证据表明XR-NTX可以减少不良的刑事司法和药物使用结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Experimental Criminology CRIMINOLOGY & PENOLOGY-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： The Journal of Experimental Criminology focuses on high quality experimental and quasi-experimental research in the advancement of criminological theory and/or the development of evidence based crime and justice policy. The journal is also committed to the advancement of the science of systematic reviews and experimental methods in criminology and criminal justice. The journal seeks empirical papers on experimental and quasi-experimental studies, systematic reviews on substantive criminological and criminal justice issues, and methodological papers on experimentation and systematic review. The journal encourages submissions from scholars in the broad array of scientific disciplines that are concerned with criminology as well as crime and justice problems.