Breaking the Cycle: Findings on Implementation and Impact

Adele V. Harrell, The Urban Institute
Ojmarrh Mitchell, The Urban Institute
Alexa Hirst, The Urban Institute
Jeffrey Merrill, Univ.of Medicine/Denistry of New Jersey
Douglas B. Marlowe, The Treatment Research Institute

ABSTRACT
Breaking the Cycle (BTC) is a multi-site demonstration project designed to reduce substance abuse and criminal activity amongst drug-involved offenders. BTC is being demonstrated in three jurisdictions with support from the National Institute of Justice and the Office of National Drug Control Policy. BTC is designed to increase the early identification of drug-involved arrestees, place defendants in treatment shortly after entering the justice system, treat clients throughout their period of supervision, monitor clients progress, and sanction non-compliant defendants using structured sanctions. This paper will compare the implementation of BTC in Birmingham, Jacksonville, and Tacoma, presenting data on service delivery and lessons on collaboration among justice system agencies and treatment providers. The impact of BTC on multiple outcomes, including drug use, crime, health, employment, and family problems, will be compared using Addiction Severity Index measures from 9-month follow-up interviews with treatment and comparison samples in each site.

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Updated 05/20/2006