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Rick Scott, Governor
Florida Department of Corrections, Secretary Michael D. Crews

Florida Department of Corrections
Michael D. Crews, Secretary

Executive Summary: Outpatient Substance Abuse Programs

Outpatient Treatment Programs provide therapeutic activities and interventions for offenders to assist them in their recovery from substance abuse while they maintain residence and employment in the community. The focus of the programs is on treatment and the provision of ancillary services. Outpatient services are provided to offenders on a variety of intensity levels statewide (i.e., education classes, outpatient treatment, intensive outpatient treatment, and day or night treatment).

  1. Transitional/Re-Entry Program - Counseling for offenders, generally provided in a group setting, who have completed a secure or nonsecure residential treatment program or an outpatient program. This type of program usually lasts from three (3) to six (6) months and focuses on relapse prevention.

  2. Day/Night Treatment - An intensive nonresidential program offering treatment activities during the day or night, which allows offenders to reside at home, maintain full time employment or attend an educational program. The program provides for consecutive hours of treatment activities at minimum frequency of four (4) days per week for a period of four (4) weeks. Each offender has a minimum of six (6) hours per week of individual, group or family counseling. The Day/Night treatment program may also include four (4) weeks of re-entry treatment where the required treatment activities are gradually decreased. This program is appropriate for those offenders not adapting well in less restrictive treatment and requiring a greater intensity of services.

  3. Outpatient Treatment - Therapeutic treatment activities for offenders in a nonresidential setting with a minimum of one (1) individual, group or family session every two (2) weeks. The program generally consists of sixteen (16) weeks of weekly group sessions. Outpatient services allow offenders to receive drug treatment with minimal disruption to daily life activities.

  4. Treatment Alternative to Street Crime (TASC): TASC - An integral part of intervention programs is Treatment Alternative to Street Crime (TASC). TASC agencies primarily service substance abusers involved in the criminal justice system. TASC services include screening, case identification, court liaison, offender referral and tracking.
PRC Tier IV: Probation Restitution Centers have a substance abuse treatment program "overlay" for offenders requiring this service. All offenders in the PRC receive a substance abuse evaluation. If treatment is needed it is provided at the PRC facility.

Workload

Table 5A: Outpatient Enrollment Data by Fiscal Year
  • Outpatient enrollments have increased from 10,282 in FY 1991-92 to 23,005 in FY 2000-01. This is a slight decline from FY1999-00, however, enrollments have been relatively stable since FY 1996-97, after larger increases in prior years.
  • On any given day, as seen in the June 30th offender counts for each year, the number of offenders participating now totals 7,829.
  • Since 1991, the providers have served 209,156 different offenders.

Table 5B: FY 2000-01 Outpatient Enrollment Data by Facility Type

  • In FY 2000-01, the largest number of offenders participated in outpatient substance abuse programs.
  • On June 30, 2001, 6,729 offenders were enrolled in outpatient substance abuse programs, 263 in Day/Night programs, 352 in TASC, 466 in Transition/Re-Entry, and 29 on PRC Tier IV programs.

Outcomes

Table 5C(a): Outpatient Program Outcomes for Offenders by Fiscal Year
  • This table shows outcomes based on a three (3)-year follow-up after the offender first entered outpatient treatment of any kind. On average, the outpatient programs had a 57.7% success rate (successful exits divided by successful and unsuccessful exits).
  • Success rates were higher for offenders entering in 1991-92 through 1993-94, dropped significantly for one (1) year, and then have increased back to 58.2% for those entering in FY 1997-98.
  • The proportion of offenders whose final program outcome is an administrative exit averaged 6.9%, and for the most recent follow-up cohort (FY 1997-98), they averaged only 6.2%.
Table 5C(b): Outpatient Program Outcomes for Offenders by Fiscal Year
  • This table shows outcomes based on a two (2)-year follow-up after the offender first entered outpatient treatment of any kind. For FY 1998-99, the outpatient programs had a 60.1% success rate (successful exits divided by successful and unsuccessful exits).

Table 5D: FY 1999-00 Outpatient Exit Data (Event-Based) by Facility

  • Reviewing the outcome of the offender's experience in each program type from which they exited, the success rate varies from 50.4% for Day/Night Substance Abuse programs, to 66.6% in Transition/Re-Entry.
  • On average, these programs had a 55.6% success rate with offenders exiting their program during this fiscal year. Administrative exits averaged 9.1% for the year.

Recommitments

Table 5E: FY 1998-99 (2-Year Follow-up), Outpatient Recommitment Data by Level of Participation
  • Program completers averaged 13.7%, compared to 36.2% for non-completers.
  • Program completers were consistently lower, in all types of recommitment. Only 2.4% of completers had returned to prison for a new offense at two (2) years after program entrance.

Table 5F: FY 1997-98 (3-Year Follow-up), Outpatient Recommitment Data by Level of Participation

  • Program completers averaged 19.6% recommitments, compared to 43.0% for non-completers.
  • Program completers were consistently lower, in all types of recommitment. Returns to prison (new offense or technical) were 7.7% for completers compared to 24.4% for non-completers.

Table 5G: FY 1996-97 (4-Year Follow-up), Outpatient Recommitment Data by Level of Participation

  • Program completers averaged 24.1% recommitments, compared to 46.3% for non-completers.
  • Program completers were lower in returns to prison and to supervision, but particularly low in admissions to prison for either a new offense or technical violation.

Table 5H: FY 1995-96 (5-Year Follow-up), Outpatient Recommitment Data by Level of Participation

  • For this cohort, at five (5) years past program completion, recommitments average 27.6% for program completers and 51.7% for non-completers.
  • Completers are consistently lower in recommitments, especially for prison recommitments.

Table 5I: FY 1994-95 (6-Year Follow-up), Outpatient Recommitment Data by Level of Participation

  • As with other follow-up periods and cohorts, outpatient program completers were lower in recommitments than non-completers. Even after six (6) years, these offenders had only a 20.8% rate of recommitment for new offenses.