Stephen J. Tripodi

Interventions for reducing adolescent alcohol abuse: a meta-analytic review.

OBJECTIVE To assess the effectiveness of substance abuse interventions for their ability to reduce adolescent alcohol use. DATA SOURCES MEDLINE; PsycINFO; ERIC; Wilson Social Science Abstracts; Criminal Justice Abstracts; Social Work Abstracts; Social Science Citation Index; Dissertations Abstracts International; National Criminal Justice Research Service; Social, Psychological, Criminological, Educational Trials Register; and the PsiTri databases from 1960 through 2008. STUDY SELECTION Of 64 titles and abstracts identified, 16 studies and 26 outcomes constituted the sample. The researchers calculated Hedges g effect sizes and used a random-effects model to calculate adjusted pooled effect sizes. Heterogeneity was explored using stratified analyses. Main Exposure Completion of a substance abuse intervention that aimed to reduce or eliminate alcohol consumption. MAIN OUTCOME MEASURES Abstinence, frequency of alcohol use, and quantity of alcohol use measured between 1 month and 1 year upon completion of treatment. RESULTS Pooled effects of standardized mean differences indicate that interventions significantly reduce adolescent alcohol use (Hedges g = -0.61; 95% confidence interval [CI], -0.83 to -0.40). Stratified analyses revealed larger effects for individual treatment (Hedges g = -0.75; 95% CI, -1.05 to -0.40) compared with family-based treatments (Hedges g = -0.46; 95% CI, -0.66 to -0.26). CONCLUSIONS Treatments for adolescent substance abuse appear to be effective in reducing alcohol use. Individual-only interventions had larger effect sizes than family-based interventions and effect sizes decreased as length of follow-up increased. Furthermore, behavior-oriented treatments demonstrated promise in attaining long-term effects.

Is Employment Associated With Reduced Recidivism

This article explores the association between employment and recidivism for parolees released from Texas prisons. Along with determining whether obtaining employment on release from prison is associated with decreased odds of reincarceration, this article analyzes whether obtaining employment is associated with increased time to reincarceration. Proportional hazard models were used to examine the effect of employment on reincarceration over time. This analysis allowed a unique view of desistance from crime as a process of behavioral change with multiple stages. Results generally support this perspective, finding that although obtaining employment is not associated with a significant decrease in likelihood of reincarceration, it is associated with significantly greater time to reincarceration. Thus, among parolees who are reincarcerated, those who obtain employment spend more time crime-free in the community before returning to prison. This article argues that increased time crime-free is an indicator of positive behavior change that should be supplemented with clinical interventions to help formerly incarcerated persons maintain the initial motivation associated with employment.

A Meta-Analysis of Published School Social Work Practice Studies 1980-2007

Objective: This systematic review examined the effectiveness of school social work practices using meta-analytic techniques. Method: Hierarchical linear modeling software was used to calculate overall effect size estimates as well as test for between-study variability. Results: A total of 21 studies were included in the final analysis. Unconditional random effects model shows an overall weighted mean effect size estimate of .23 for externalizing problem outcomes and .40 for internalizing problem outcomes; both categories were statistically significant at the p < .05 level. Subgroup analysis for academic outcomes showed mixed results for knowledge, attendance, and grade point average outcome measures. Conclusions: Results highlight the positive impact school social workers may have on student emotional, mental, behavioral, and academic outcomes.

Effects of Correctional-Based Programs for Female Inmates: A Systematic Review

Objective: To examine the effectiveness of interventions for incarcerated women. Method: The researchers use a two-model system: the risk-reduction model for studies analyzing interventions to reduce recidivism rates, and the enhancement model for studies that target psychological and physical well-being. Results: Incarcerated women who participate in substance abuse interventions appear less likely to reoffend than those who do not participate. Enhancement model studies report mixed results. Overall, psychological-oriented interventions and substance abuse programs improve mental health symptoms and substance use among participants as compared to control or comparison groups. Results for HIV prevention programs are ambiguous, and parenting skill programs show no significant effect. Conclusion: Results highlight interventions that appear useful with female inmates. More rigorous research is needed to address many of these evidence-based interventions.

A Meta-Analysis of Interventions to Reduce Adolescent Cannabis Use

Objective: This meta-analytic review assesses the effectiveness of substance abuse interventions to reduce adolescent cannabis use. Method: A systematic search identified 15 randomized controlled evaluations of interventions to reduce adolescent cannabis use published between 1960 and 2008. The primary outcome variables, frequency of cannabis use, and quantity of cannabis use, were measured between 1 month and 1 year posttreatment completion. Results: Analyses of random effects models revealed similarly moderate effects for individual (g = -.437; 95% CI = [-.671, -.203]) and family-based treatments (g = -.404; 95% CI = [-.613, -.195]). Substance abuse treatments are associated with moderate reductions in cannabis use although effect sizes tended to wane with greater length of time posttreatment. Discussion: Substance abuse treatment programs should consider implementing evidence-based interventions highlighted in this meta-analysis that fit the needs and characteristics of their client base and agency setting.

At-Risk Students’ Perceptions of Traditional Schools and a Solution-Focused Public Alternative School

Recent trends in education have drawn attention to students at risk of school failure and dropout in the United States. Alternative schools are one method for preventing the severe and long-lasting consequences of underachievement and dropout. Few research studies have sought the opinions and perceptions of the at-risk students who attend alternative schools through qualitative research methods. This study used qualitative interviews to explore at-risk students’ perspectives about their current alternative school and their former traditional schools. Results indicate that traditional schools are lacking the personal relationships with teachers, schoolwide focus on maturity and responsibility, understanding about social issues, and positive peer relationships that alternative schools often provide. This article offers guidelines to help schools and educators to better support at-risk students.

Does Parent-Child Interaction Therapy Reduce Future Physical Abuse? A Meta-Analysis.

Objective: To use meta-analytic techniques to evaluating the effectiveness of parent–child interaction therapy (PCIT) at reducing future physical abuse among physically abusive families. Methods: A systematic search identified six eligible studies. Outcomes of interest were physical abuse recurrence, child abuse potential, and parenting stress. Results: Parents receiving PCIT had significantly fewer physical abuse recurrences and significantly greater reductions on the Parenting Stress Index than parents in comparison groups. Reductions in child abuse potential were nonsignificant, although 95% confidence intervals suggest clinically meaningful treatment effects. The studies examining physical abuse recurrence had a medium treatment effect (g = 0.52), while results from pooled effect size estimates for child abuse potential (g = 0.31) and parenting stress (g = 0.35) were small. Conclusions: PCIT appears to be effective at reducing physical abuse recurrence and parenting stress for physically abusive families, with the largest treatment effects seen on long-term physical abuse recurrence. Applications to social work practice are discussed.

To What Extent Is Criminal Justice Content Specifically Addressed in MSW Programs

This study examined the extent to which criminal justice content is addressed in all CSWE-accredited MSW programs in the United States (N = 192). Criminal justice content was measured in three areas: (1) dual or joint degree programs, (2) concentrations or specializations, and (3) coursework. Excluding social work and law classes, 22% of all MSW programs offered a course specific to criminal justice. Nine programs (5%) offered a concentration or specialization in criminal justice. Only 1% of MSW programs offered all three areas of criminal justice content. These findings indicate that opportunities for MSW students to explore interests in criminal justice are quite limited. Implications for the influence of the social work profession on criminal justice policy and practice are discussed.

Examining the Dose-Response Relationships Between Childhood Victimization, Depression, Psychosis, and Substance Misuse for Women Prisoners

Research shows the experience of female police officers differ from their male coworkers as a result of factors related directly to gender. The current study explores the relationship between gender identity and job satisfaction among 100 female police officers using the Bem Sex Role Inventory and Job Descriptive Index scales. Correlations between demographics, gender, and job satisfaction were investigated. The results found that policewomen with masculine gender identity experienced less job satisfaction than those identifying as androgynous.

The Influence of Social Bonds on Recidivism: A Study of Texas Male Prisoners

Abstract The present study examines the influence of social bonds on recidivism for a random sample of 250 male offenders released from Texas prisons since 2001. Recidivism is a continuous variable, in which the researcher measured months between release from prison and reincarceration. Based on life-course theory, the researcher hypothesized that offenders released from prison who become employed or were married would have lower hazard ratios than offenders who were not employed or married. Results from survival analyses indicate recidivists who obtained employment upon release had longer crime-free periods before recidivating than recidivists who did not obtain employment. This is potentially important when considering desistance from crime as a process, since the offenders exhibited initial motivation, commitment, and behavioral change.