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Objectives <p>This study aimed to explore the outcomes for people convicted of violent and sex offences compared to non-offenders for people with a substance use disorder (SUD) residing in recovery residences (RR).</p> Methods <p>We employed marginal structural models (MSM) to estimate causal effects on program retention, completion, and changes in recovery capital in Virginia (<i>n</i> = 757) from April 2020 to April 2023.</p> Results <p>Violent offenders were significantly less likely to be retained than non-offenders. Sex offenders displayed unique outcome trajectories, including being more likely to be retained, more likely to complete their recovery programme, and less likely to have a negative discharge outcome. For sex offenders, recovery capital measures atrophied before discharge, although this did not affect the likelihood of future positive outcomes.</p> Conclusions <p>Recovery residences should consider addressing retention for violent offenders and develop strengths-based community assets such as dedicated housing provision and specialist programs designed explicitly for sex offenders at discharge.</p>

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Outcome trajectories for violent and sex offenders in recovery residences with a substance use disorder compared to non-offending residents

  • 期刊论文

  • 发表日期：

    2025年11月6日

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  • Arun Sondhi,
  • David Best,
  • Alessandro Leidi,
  • Sarah Scarbrough

摘要

Objectives

This study aimed to explore the outcomes for people convicted of violent and sex offences compared to non-offenders for people with a substance use disorder (SUD) residing in recovery residences (RR).

Methods

We employed marginal structural models (MSM) to estimate causal effects on program retention, completion, and changes in recovery capital in Virginia (n = 757) from April 2020 to April 2023.

Results

Violent offenders were significantly less likely to be retained than non-offenders. Sex offenders displayed unique outcome trajectories, including being more likely to be retained, more likely to complete their recovery programme, and less likely to have a negative discharge outcome. For sex offenders, recovery capital measures atrophied before discharge, although this did not affect the likelihood of future positive outcomes.

Conclusions

Recovery residences should consider addressing retention for violent offenders and develop strengths-based community assets such as dedicated housing provision and specialist programs designed explicitly for sex offenders at discharge.