Andrews University Digital Commons @ Andrews University Dissertations Graduate Research 1994 Efficacy of Addictionr T eatment in a Correctional Setting for Female Offenders as Measured by the Addiction Severity Index Paul Robert Wiese Andrews University Follow this and additional works at: https://digitalcommons.andrews.edu/dissertations Part of the Substance Abuse and Addiction Commons Recommended Citation Wiese, Paul Robert, "Efficacy of Addictionr T eatment in a Correctional Setting for Female Offenders as Measured by the Addiction Severity Index" (1994). Dissertations. 1543. https://digitalcommons.andrews.edu/dissertations/1543 This Dissertation is brought to you for free and open access by the Graduate Research at Digital Commons @ Andrews University. It has been accepted for inclusion in Dissertations by an authorized administrator of Digital Commons @ Andrews University. For more information, please contact [email protected]. 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Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Order Number 9502656 Efficacy of addiction treatment in a correctional setting for female offenders as measured by the Addiction Severity Index Wiese, Paul Robert, Ph.D. Andrews University, 1994 UMI 300 N. Zeeb Rd. Ann Arbor. MI 48106 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Andrews University School of Education EFFICACY OF ADDICTION TREATMENT IN A CORRECTIONAL SETTING FOR FEMALE OFFENDERS AS MEASURED BY THE ADDICTION SEVERITY INDEX A Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy by Paul Robert Wiese August 1994 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. EFFICACY OF ADDICTION TREATMENT IN A CORRECTIONAL SETTING FOR FEMALE OFFENDERS AS MEASURED BY THE ADDICTION SEVERITY INDEX A dissertation presented in partial fulfillment of the requirements for the degree Doctor of Philosophy by Paul Robert Wiese APPROVAL BY THE COMMITTEE; Chair: Duane McBride Program Director Member: Donna Habenicht Dean, School of Education F- ^ \C- Member ; Frederick KosinsKi/ Jr. / _ ^ 0 - 9/ m a l : Bruce Wr^fit Date approved Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT EFFICACY OF ADDICTION TREATMENT IN A CORRECTIONAL SETTING FOR FEMALE OFFENDERS AS MEASURED BY THE ADDICTION SEVERITY INDEX by Paul Robert Wiese Chair : Duane McBride Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT OF GRADUATE STUDENT RESEARCH Dissertation Andrews University School of Education Title: EFFICACY OF ADDICTION TREATMENT IN A CORRECTIONAL SETTING FOR FEMALE OFFENDERS AS MEASURED BY THE ADDICTION SEVERITY INDEX Name of researcher : Paul R. Wiese Name and degree of faculty chair: Duane McBride, Ph.D. Date completed: August, 1994 Problem This study was designed to determine to what extent improvement following treatment for addiction was evident, and if treatment seemed causative in that outcome, for incarcerated female addicts. This study also explored the question of which treatment modality seemed most effective-- an education-only group, a comprehensive long-term treatment group, or a waiting-list control group. Method The Addiction Severity Index (ASI) furnished scores on seven psychosocial areas for subjects. Hypotheses were tested with paired t tests. The means of the pre- and post- Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. tests for the three groups were compared, as well as between group mean scores. Second, a correlation analysis was performed to determine the importance of subject characteristics hypothesized to predict treatment outcomes. Third, questions of validity of subjective versus objective data were addressed by correlation analysis, comparing the subject's self-reported severity of problems with the researcher's rating. Results In this study, there were statistically significant differences in treatment outcome on several psychosocial score areas in each group, and there was a difference between both treatment groups and the control group. These results suggest that education is better than nothing, and that a comprehensive treatment approach is more effective than an education-only treatment approach. In both pre- and post-test scores, for the Treatment group positive correlations were observed on all measures except Employment Status. There were : Medical Status, Alcohol Use Status, Drug Use Status, Legal Status, Family/Social Status, and Psychological Status. This shows that a positive change was experienced through treatment with subjects in many psychosocial areas. A correlation analysis was performed to attempt to isolate subject characteristics that might predict treatment outcomes. The results showed that no subject characteristic, except education and income levels, was Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. predictive of outcome. The concurrent and discriminant validity of self-report, as measured by the ASI, was questionable as represented by relatively low and variable correlations. Addicts scored better in many areas of psychosocial functioning following treatment than they did before treatment, suggesting a positive response to treatment. Conclusions The results of this study demonstrated that female incarcerated addicts responded to comprehensive Treatment. The data also indicated that the Education and the waiting- list Control group did not achieve significant improvement in the variables measured. The Education and Treatment groups did not reflect a pre-test difference in the majority of baseline variables measured. Addict self-report correlated positively with researcher rating, though this was variable and the correlations were low. It was not possible to establish long-term follow-up rates for these subjects. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. TABLE OF CONTENTS LIST OF TABLES Chapter I. INTRODUCTION Purpose of the S t u d y ...................... 6 Need for the S t u d y ........................ 7 Statement of the Problem ................. 8 Research Questions ........................ 9 Research Question 1 ................... 9 Research Question 2a................... 10 Research Question 2b................... 11 Research Question 2c................... 11 Research Question 3 ................... 12 Research Question 4 ................... 12 Delimitations .............................. 13 Limitations................................. 13 Assumptions................................. 15 Description of the Drug Education and Comprehensive Drug Abuse Treatment Programs at Federal Prison Camp......... A l d e r s o n ................................. 15 Definition of Terms ........................ 18 II. REVIEW OF THE LITERATURE...................... 20 Addiction in Society: A Historical Perspective ............................ 20 The History of Alcohol and Drug Use in the United States .......................... 21 The Prohibition E r a ........................ 25 The Volstead Act of 1 9 1 9 ................. 25 Historical Evolution of Addiction Treatment and Research in the United States. 27 The Prevalence of Addiction in Contemporary American Society ........................ 30 Consequences of Addiction ................. 33 Effectiveness of Addiction