Spirituality and desistance from substance use among reentering offenders

Predictors of substance use disorder treatment and mutual support group participation among Black women across the criminal legal spectrum: A latent class approach

BACKGROUND

The purpose of this study includes: 1) identifying classes of substance-related needs among Black women, and 2) examining the effect of substance-related need classes and culturally-relevant factors on Black women's use of substance use disorder (SUD) treatment and mutual support groups.

METHODS

As part of a longitudinal cohort study, Black women were recruited in prison nearing release, on probation, and in the community without involvement in the criminal legal system (CLS, n=565) and followed-up at 18-months. We conducted a baseline latent class analysis of substance-related needs among Black women. Logistic regression models adjusted for culturally-relevant factors to predict the use of treatment and frequency of mutual support group participation over 18-months among Black women who use drugs.

RESULTS

Four classes by level of needs were found: low, daily marijuana use, high mental health, and high comorbidity. During the 18-month follow-up, women characterized by the high comorbidity need class and with higher scores of religious well-being were more likely to frequently participate in mutual support groups. Non-CLS-involved women were less likely to engage with both treatment and mutual support groups than women from the prison sample at 18-months.

CONCLUSIONS

This study highlights four distinct classes of substance-related needs among Black women, highlighting the complex patterns of behavior and within-racial group differences among Black women. Black women with high comorbidity needs were more likely to participate in mutual support groups, but the latent classes did not predict SUD treatment indicating other non-medical and social contextual need factors may be at play.

Factors associated with risk related to the use of psychoactive substances by men deprived of their liberty

Objective:

to evaluate the factors associated with risk related to the use of psychoactive substances in male inmates of a prison in a city in the South of Brazil.

Method:

a cross-sectional data from 220 men deprived of liberty, inmates of a provisional custody institution in the State of Paraná, collected with a screening instrument and questionnaire. Binary logistic regression and odds ratio analysis were used to verify associations between risk related to substance use and socio-demographic characteristics of living conditions before incarceration and current incarceration.

Results:

the adjusted model revealed association of consumption with skin color brown/black and yellow, those who had only one parent responsible until age 15, age at first arrest 18 or older, professing religion, working before arrest, owning their own house, living alone, receiving visitors in prison.

Conclusion:

the identified factors are useful to insert effective treatment proposals and reduce the gaps and social vulnerability existing in prison.

The Facilitators and Barriers Faced When Transitioning Back into the Community Following a Prison Sentence

This qualitative study explored ex-offender's community reintegration experiences following a prison sentence. Fourteen ex-offenders from the Offender Alumni Association participated in an in-person in-depth individual interview regarding their current roles, daily routines, living situation, activity participation, and current and future plans. A phenomenological approach using thematic analysis was employed for data collection and interpretation. The emerged themes were categorized under facilitators and barriers that influence healthy community reintegration. The facilitators included visualizing and committing to an ideal future, establishing a daily routine, upholding life balance, and discovering and connecting to external supports. The barriers included impediments to employment opportunities, lack of financial resources, social stigma, regulations imposed by the judicial system, disconnection from social advancements, and addiction to drugs and alcohol. The themes identified from the interviews suggest that current reintegration strategies and programs need to be improved in order to benefit ex-offenders seeking these services.

Factores asociados al riesgo relacionado con el uso de sustancias psicoactivas por hombres privados de libertad

Resumen Objetivo: evaluar los factores asociados al riesgo relacionado con el uso de sustancias psicoactivas en hombres internados en una prisión, en un municipio en el Sur de Brasil. Método: datos transversales de 220 hombres privados de libertad, internados en una institución de custodia provisional, en el estado de Paraná, recolectados con instrumento de rastreo y cuestionario. Se utilizó el análisis de regresión logística binaria y la razón de chances para verificar asociaciones entre el riesgo relacionado con el uso de sustancias psicoactivas y las características sociodemográficas, de las condiciones de vida antes del encarcelamiento y del encarcelamiento actual. Resultados: el modelo ajustado reveló asociación del consumo con: el color de la piel marrón/negra y amarilla; aquellos que tuvieron apenas uno de los padres responsables hasta los 15 años de edad; edad de la primera prisión con 18 años o más; profesar religión; trabajar antes de la prisión; residencia propia; vivir solo; y, recibir visitas en la prisión. Conclusión: los factores identificados son útiles para introducir propuestas de tratamientos eficaces y reducir los vacíos y la vulnerabilidad social existentes en la prisión.

An Integrated Model of Nature and Nurture Factors that Contribute to Addiction and Recovery

BACKGROUND

In the context of the opioid epidemic and growing awareness of addiction as a public health concern, there are efforts to inform the public, patients, families, and policy makers about the factors that contribute to addiction and facilitate recovery. Several theoretical models provide useful frameworks for this discussion, but each of them has limitations.

OBJECTIVES

This paper presents an accessible yet comprehensive theoretical model that integrates empirical evidence about addiction etiology and recovery using the nature-nurture paradigm.

RESULTS

The model presents substance use along a continuum, and identifies risk and protective factors in multiple domains that have been identified by research. The domains on the nature side of the model include genetic and biological factors, comorbid psychiatric and medical disorders, physiological reinforcement of substance use, and changes to neural mechanisms. The domains on the nurture side of the model include sociocultural factors, environmental factors, personality, emotions, cognitions, psychological reinforcement of substance use, and cognitive and behavioral changes. The progression from increased or decreased substance use to addiction or recovery is mediated by changes in neural mechanisms and cognitive and behavioral changes, which have feedback loops with the physiological and psychological reinforcement.Conclusions/Importance: This model is a useful heuristic, consistent with a public health framework, for discussing addiction and recovery with patients, their families, and the public. This integrated model of nature and nurture factors has the potential to inform clinical practice, consultation, research, prevention programs, educational programs, and public policy.

“Create in Me a Clean Heart”: The Role of Spirituality in Desistance From Substance Use

Although the impact of religion on behavior is robust and well-examined in many areas, the role spirituality plays in changes in drug use over time has received relatively little attention. Using a life-course theoretical framework, this relationship is examined through growth curve modeling techniques. Specifically, multilevel analyses are estimated testing within-person relationships between substance use desistance and spirituality. The Pathways to Desistance longitudinal data are analyzed and leading criminological predictors are included, to determine if spirituality has a unique impact on substance use net of these criminological factors, and if these impacts vary across gender. Results from these analyses suggest that the impact of spirituality on desistance varies by gender, with spirituality significantly increasing the odds of desistance from marijuana use for females, but not males.

The Association Between Religiosity and Substance Use Patterns Among Women Involved in the Criminal Justice System

A growing body of research is exploring the association between religiosity and drug use. Thus, this analysis examines the association between religiosity and substance use patterns among females in the criminal justice system. Data derived from 318 women recruited from a Municipal Drug Court System in St. Louis, Missouri, were used to determine the association between religiosity and substance use patterns. Results indicate that religiosity decreased the odds of cocaine use, observed for both crack/cocaine (CC) use alone (adjusted odds ratio [AOR] = 0.41) and crack/cocaine + marijuana (CC + MJ) (AOR = 0.32). Interestingly, this association was not found for MJ use alone. Other variables that were significantly associated with CC + MJ use included being non-Black (CC + MJ: AOR = 0.46; MJ: AOR = 0.28), 4+ arrests (CC + MJ: AOR = 4.66; CC: AOR = 2.64), and <30 years of age (CC + MJ: AOR = 0.37; CC: AOR = 0.16; MJ: AOR = 2.84). Future drug prevention and interventions should consider the potential protective effects of religiosity on substance use.

Pedophiles in the Ultra-Orthodox Haredi Sector in Israel: Thought Processes Regarding their Actions

This study explores thought patterns of Jewish Ashkenazi Ultra-Orthodox pedophiles in Israel and how they resolve the contradiction between their commitment to Jewish Law and having committed sexual offenses against minors. Ten adult men participated in this study. Using open semistructured interviews, their cognitive distortions before, during, and after the abuse were examined. Content analysis revealed that participants used cognitive distortions based on their own world of Jewish Law and social-cultural values. The insular nature of Ultra-Orthodox society and its many prohibitions, especially regarding sexuality, tempted offenders to test boundaries. When sexual drive was high, internal control mechanisms were ineffective even in presence of external control mechanisms. Some participants recognized the contradiction between their behaviors and being Ultra-Orthodox Jews, and others did not. Based on the findings, a flow chart was devised describing the cognitive processes of Jewish Ultra-Orthodox pedophiles. Theoretical and practical implications of the results were examined.

Religiously Motivated Desistance: An Exploratory Study

This article examines the life-history narratives of 25 successful ex-offenders professing Christianity as the source of their desistance. Unstructured in-depth life-history interviews from adult male desisters affirm use of a "feared self" and "cognitive shifts" regarding perceptions of illegal behavior. "Condemnation scripts" and "redemption narratives," however, differ radically from those uncovered in previous research. Stories of behavior change and identity transformation achieved through private religious practice and energetic church membership dominate the narratives. Findings suggest there are diverse phenomenologies of desistance and that by more narrowly tailoring research to explore subjectivities in the desistance process, important discrepancies in perceptions of agency and structure are revealed. Three prominent desistance paradigms--Making Good, Cognitive Transformation, and Identity Theory--are used to examine the narratives.