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<p>Drug Treatment Courts (DTCs) serve as alternative to incarceration, addressing substance use and legal challenges of offenders. Many individuals enrolled in DTCs have co-occurring mental health and substance use disorders (CODs). Although multicomponent treatment like MISSION-CJ can improve outcomes for DTC clients with CODs, the impact of Adverse Childhood Experiences (ACEs) on outcomes remains unclear. This pilot study examined how criminal legal involvement, substance use and mental health functioning outcomes changed over time and differed based on ACEs levels. Sixty-two DTC clients with CODs received one-year of MISSION-CJ services. Generalized linear mixed models (GLMMs) assessed 6-month and 12-month outcomes, comparing low and high ACEs groups. Results showed significant overall improvement in outcomes, with greater mental health functioning improvements among clients with high ACEs. Although MISSION-CJ was not designed to address the needs of individuals with ACEs, these data suggest it might improve clinical outcomes for this vulnerable group.</p>

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Treatment Response in a Co-Occurring Disorders Intervention for Adult Drug Treatment Court: The Role of Adverse Childhood Experiences

  • 期刊论文

  • 发表日期：

    2025年10月13日

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  • Mariam Fatehi,
  • Paige M. Shaffer,
  • Michael A. Andre,
  • Abigail F. Helm,
  • Marinna Kaufman,
  • Sheila C. Casey,
  • David A. Smelson

摘要

Drug Treatment Courts (DTCs) serve as alternative to incarceration, addressing substance use and legal challenges of offenders. Many individuals enrolled in DTCs have co-occurring mental health and substance use disorders (CODs). Although multicomponent treatment like MISSION-CJ can improve outcomes for DTC clients with CODs, the impact of Adverse Childhood Experiences (ACEs) on outcomes remains unclear. This pilot study examined how criminal legal involvement, substance use and mental health functioning outcomes changed over time and differed based on ACEs levels. Sixty-two DTC clients with CODs received one-year of MISSION-CJ services. Generalized linear mixed models (GLMMs) assessed 6-month and 12-month outcomes, comparing low and high ACEs groups. Results showed significant overall improvement in outcomes, with greater mental health functioning improvements among clients with high ACEs. Although MISSION-CJ was not designed to address the needs of individuals with ACEs, these data suggest it might improve clinical outcomes for this vulnerable group.