Opioids

This intervention was designed to increase the level of judicial oversight on participants convicted of misdemeanor crimes in the Parramatta Drug Court program. The program was rated Promising. Results indicated that participants under intensive judicial supervision had lower rates of positive drug tests, compared with the comparison group. This difference was statistically significant. However, there were no statistically significant differences in sanctions, program progression or termination.

This program involves social support integrated with regular drug testing for recently paroled individuals who have a history of heroin and cocaine abuse. The program is rated Promising. Program participants had a statistically significant lower rate of reconviction, arrest, and incarceration, compared with the comparison group; however, there were no statistically significant effects on employment. Program participants also had a statistically significant higher positive drug-testing rate.

This is an HIV risk-reduction intervention targeting opioid-dependent individuals in drug treatment, with the objective of reducing drug- and sex-related HIV risks. The program is rated Promising. Individuals in the CHRP intervention showed statistically significant improvement on drug and sex risk-reduction skills over time; however, there was no effect on their knowledge of safer drug use, social motivation, and self-efficacy.

This program was an experiment that was conducted to examine the efficacy of alternative methods of instant drug testing, and to determine how the different methods affected rates of relapse and recidivism of parolees with substance abuse issues. The program is rated Promising. The treatment group experienced a statistically significant decrease in rates of relapse, but no statistically significant difference in recidivism, compared with the control group.

An intensive community-based partnership between police and treatment providers in West Midlands that provided enhanced delivery and coordinated efforts and resources to high-risk individuals to reduce their offending behavior. The program is rated Promising. The program was shown to significantly reduce the average number of arrests for participants.

These court supervised, post-plea (but pre-final disposition) drug diversion programs provide comprehensive community-based treatment services to juveniles convicted of an offense and their families. The program is rated Promising. The program had a statistically significant impact on recidivism.

This program is designed to deter students from substance use and to identify and refer those with substance use problems to counseling or treatment services. Students and their parents sign consent forms, agreeing to the students’ random drug testing as a condition of participation in athletics and other school-sponsored extracurricular activities. The program is rated No Effects. There were no statistically significant effects on overall substance use or intentions to use substances.

This is an intensive family program combining relapse prevention and parenting skills training. This program is rated No Effects. Treatment group parents demonstrated statistically significantly less heroin use, fewer domestic conflicts, and higher refusal skills than control parents did. There were no statistically significant differences in other drug use by parents, child drug and alcohol use, child delinquency, child-reported negative peers, or child school attachment.

This is a prison-based, methadone maintenance program in Australia, which is designed to reduce recidivism, prevent the spread of blood-borne viral infections (HIV and hepatitis) in prison, and encourage continuation of treatment in the community following release. The program is rated No Effects. There were no statistically significant effects on rates of mortality, recidivism, or hepatitis C infections.

This is a methadone maintenance treatment designed for currently incarcerated individuals with a heroin addiction. The program is rated Promising. Treatment group participants spent a greater number of days in community-based drug treatment following release and improved opioid drug test results, compared with control group participants. These differences were statistically significant. However, there were mixed results regarding cocaine use, criminal activity, and frequency of heroin use.

This is a program that uses medication in the treatment of opioid addiction. The medication works by antagonizing opioid receptors and blocking the effects of opiates, usually heroin, which are consumed by addicts. The program is rated Promising. There were statistically significant reductions in opioid use and reincarceration among the treatment group, compared with the control group.

This is a daily treatment program for opiate-addicted adults on waiting lists for comprehensive treatment who receive doses of methadone and emergency counseling. The program is rated Promising. Participants reported a statistically significant decrease in heroin use and had lower crime rates, compared with the waitlist control group. However, there was no statistically significant effect on cocaine use.

This program is an alternative to incarceration for drug-abusing defendants, which provides substance abuse treatment and education, case management, and intensive supervision. The program is rated Effective. Treatment group participants had a statistically significant lower likelihood of recidivating and experienced a greater length of time between initial arrest and first rearrest, compared with the comparison group.

This program consists of a cognitive technique for incorporating graphic visualization tools into the counseling process for substance users. The program is rated Promising. The mapping-enhanced counseling group showed a statistically significant reduction in positive drug tests for opiates and cocaine at the 6-month posttest, compared with the control group.