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RURAL-URBAN RESIDENCY, TREATMENT MOTIVATION, AND HEALTH STATUS AS F ACTORS RELATED TO DROPOUT FROM CORRECTIONAL SUBSTANCE ABUSE TREATMENT: A POLICY PERSPECTIVE Christopher G. Block May 10,2008 Drugs and crime are inextricably connected. Much of the growth in the prisoner population in America is attributable to the misuse and abuse of drugs and alcohol. Offenders who abuse or are dependent on drugs are at high risk for substantial health problems. Without substance abuse treatment, many offenders are destined to continue recycling through an overburdened criminal justice system, costing taxpayers billions of dollars each year in drug-related healthcare costs and lost productivity. A large body of empirical research demonstrates that treatment helps reduce criminal recidivism and relapse, and is cost-effective. Research also shows that one form of treatment is not appropriate for all types of drug problems or offenders. Appropriate treatment matching that takes into account the severity of an offender's drug problem and their motivation for treatment is necessary to maximize treatment effectiveness, reduce premature dropout, and make the most efficient use oflimited fiscal resources. Most of the research cited in the criminal

Rural-urban residency, treatment motivation, and health status as factors related to dropout from correctional substance abuse treatment : a policy perspective.