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included those clients who graduate before the CREST program was established. Once the<br />

CREST program was established, virtually all KEY graduates were assigned to it. Hence<br />

the KEY samples are nonrandom, and the KEY-only group serves as an historical<br />

comparison for the KEY-CREST group.<br />

Further, “Many of the so-called no treatment comparison group did get some treatment<br />

help” (Inciardi et al., 1997:266). Researchers attempted to statistically control for several<br />

extraneous factors including number of days in treatment, time since discharge, and number of<br />

times previously incarcerated. Like other evaluations of prison-based TC, the research design<br />

remains vulnerable to concerns over selection and attrition biases, as well as treatment migration<br />

a<br />

(Gartin, 1995)5.<br />

The major outcome variables examined were self-reported arrests and self-reported drug<br />

use. Drug testing was used to confirm selfreported drug use; unfortunately no criminal records<br />

were checked to confirm inmate self-reports of recidivism. Results showed that drug-involved<br />

offenders who participated in both the prison TC followed by treatment in the work-release center<br />

(i.e., the “Key-Crest” group) had lower rates of drug use (25%) and self-reported rearrest (28%)<br />

than drug-involved offenders who participated in shorter treatment programs. At 18 months after<br />

release, drug offenders who received 12-1 5 months of treatment in prison followed by an<br />

additional 6 months of drug treatment and job training were more than twice as likely to be drugfiee<br />

than offenders who received prison-based treatment (Key) alone. Offenders who received<br />

both forms of treatment (Key-Crest) were much more likely than offenders who received only<br />

29<br />

This document is a research report submitted to the U.S. Department of <strong>Justice</strong>. This report has not<br />

been published by the Department. Opinions or points of view expressed are those of the author(s)<br />

and do not necessarily reflect the official position or policies of the U.S. Department of <strong>Justice</strong>.

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