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 (Aftercare) provides counseling for offenders, generally in a group setting, who have completed a secure, or nonsecure residential treatment program, probation and restitution center Phase I 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 is 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 a 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 provides therapeutic treatment activities for offenders in a nonresidential setting with a minimum of one 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) is an integral part of intervention programs. TASC agencies primarily serve substance abusers involved in the criminal justice system. TASC services include screening, case identification, court liaison, offender referral and tracking.
   
   

Workload

Table 5A: Outpatient Enrollment Data by Fiscal Year

• Outpatient enrollments have increased from 23,274 in FY 1999-00 to 24,856 in FY 2008-09.  Enrollments have been relatively stable since FY 1999-00 after larger increases in prior years.
• The number of offenders participating on June 30, 2008 was 10,960.

Table 5B: FY 2008-09 Outpatient Enrollment Data by Facility Type

• In FY 2008-09, of the various outpatient programs, the largest number of offenders was enrolled in outpatient substance abuse programs.
• On June 30, 2009, 10,195 offenders were enrolled in outpatient substance abuse programs, 336 in Day/Night programs, 107 in TASC, and 352 in Transition/Re-Entry (Aftercare).

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 (63.4%) success rate (successful exits divided by successful and unsuccessful exits) over ten (10) years.
• Success rates were highest for offenders entering in FY 2004-05 (69.0%).

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 2006-07,) the outpatient programs had a (68.9%) success rate (successful exits divided by successful and unsuccessful exits).

Table 5D: FY 2008-09 Outpatient Exit Data (Event-Based) by Facility Type

• Reviewing the outcome of the offender’s experience in each program type from which they exited, the success rate varies from (78.8%) for Day/Night Substance Abuse to (70.1%) for Outpatient Substance Abuse.
• On average, these programs had a 70.4% success rate with offenders exiting their program during this fiscal year. Administrative exits averaged 14.6% for the year.

Recommitments

Table 5E: FY 2006-07 (2-Year Follow-up), Outpatient Recommitment Data by Level of Participation

• Program completers averaged a (13.5%) recommitment rate, compared to (36.5%) for non-completers.
• Program completers had consistently lower recommitment rates for all four (4) types of recommitment categories.
• Only (8.2%) of completers had returned to prison for a new offense at two (2) years after program entrance.

Table 5F: FY 2005-06 (3-Year Follow-up), Outpatient Recommitment Data by Level of Participation

• Program completers averaged (20.4%) recommitments, compared to (46.1%) for non-completers.
• Program completers were consistently lower, in all types of recommitment. Returns to prison (new offense or technical) were (12.0%) for completers compared to (33.8%) for non-completers.