Introduction
Several problems are being faced by many societies nowadays, given by the fact that the society is continually changing. The changes the society encounter leads to the modification of the lifestyle of many individuals, most especially the younger generation, who become easily influenced and swayed by a number of factors that surround them. Changes in the society are evident in terms of economy, politics, education, industry, and in technology, which depends upon the use and the need of a particular society. Such changes can be perceived as advantages in terms of its use in globalization and internationalization, such that particular nations become associated with a number of countries worldwide to expand their businesses through different strategies and approaches. Such changes also enhance and develop the skills of many individuals to learn the universal language and become globally competitive in different aspects of learning and knowledge. The sciences also become much more developed and improved, thus, improving the lives of many through its various practical, advanced, and revolutionizing applications. In this regard, changes in the mentioned fields can be seen to bring success and prestige to individuals and societies. However, these changes not only bring about success, prestige, and development to the members of society, but disadvantages and problems as well. Unlike the previously mentioned advantages brought about by the changes in the society, problems and challenges effect chaos and discord among individuals and families. Along with the success and development of societies are the problems its face, including the upsurge cases of drug and alcohol addiction, crimes, graft and corruption, unsafe working and living conditions, poverty, unemployment, illnesses, and deaths. From this, it can be seen that along with the development of societies are its drawbacks that may become part of its consequences.
In relation to all these challenges in the society is one of the gravest problems, which is chemical dependency. The issue of chemical dependency is associated to certain concepts, including habit, disorder, disease, abuse, substance, effects, and criminality. Because it is associated with such concepts, it is generally thought of connoting negative impressions and impacts. Generally, the concept of chemical dependency is associated with terms such as alcoholism, drug addiction, and substance use and abuse. Nevertheless, this concept is defined as a disease, disorder or illness that is characterized by addiction to a mood-altering chemical, including drugs and alcohol, thus, transcending age, gender, race, religion, or economic status (“Chemical Dependence or Dependency”, 2004). It can become a progressive, chronic, and fatal disease if untreated, that is why treatments and preventions are given importance and emphasis, especially with the younger generation. In addition, the concept of chemical dependency is commonly associated with criminality and mental disorders, which are considered the effects of becoming chemically dependent individuals. In this sense, such individuals are termed as Chemically Dependent Criminal Offenders or CDCO, who commit grave violations against other individuals, the community, and the State due to the strong influence of alcohol or drugs. Nowadays, given the changes that take place in the society, most criminal offenders are comprised by adolescents or the younger generation, who become as such due to the influence of drugs or alcohol. According to the Juvenile Rehabilitation Association or JRA, 82% juvenile offenders use chemical substances. The most common major problems among the youth today include substance abuse and drug related crimes. In this regard, several governments come up with ways on reducing criminality and juvenile delinquency through different rehabilitation programs and treatments that would improve the situation of the chemical dependent adolescents in order to improve the society as a whole. However, despite the number of chemical dependence rehabilitation programs, not all are considered to be effective, as many criminal offenders presently convicted were influenced by drugs or alcohol during their crime. As reported, 1 in 4 violent offenders in prison committed their crime offenses under the influence of drugs, with a percentage of 72% (Mumola and Karberg, 2007). In addition, more than half of the prisoners in the United States indicated symptoms consistent with drug dependence or abuse, having a percentage of 53%, and such dependence was associated with a range of symptoms, including behavioral, cognitive, and physiological problems (Mumola and Karberg, 2007). These data indicate that despite the efforts of governments to help the society alleviate the impacts of drug and alcohol dependence, crimes attributed to chemical dependence continue to increase. With this problem at hand, this research study aims to examine the most effective rehabilitation method or technique for the chemical dependent offender population.
This research study will be divided into five chapters in order to provide ease and consistency on the discussion of the topic. The first part will be discussing the problem uncovered by the researcher and provide ample background on the topic. The chapter will constitute an introduction to the whole research study, the statement of the problem in order to present the basis of the study, a discussion on the scope of its study, as well as its effects to individuals and its significance to the society as a whole.
The second chapter will be discussing the relevance of the research study in the existing literature. It shall provide studies on the different drug and alcohol rehabilitation methods currently used, their process, duration and development, and the elements that foresee substance exploit problems. In addition, the study shall also provide an ample assessment of offenders with chemical dependency problems, the evaluation processes and tools presently in use for testing, the chemical dependency treatment effects of the offenders, the constructive dependency treatment results, and its impacts to the individuals being treated and to the society. After the presentation of the existing related literature, the researcher shall provide a synthesis of the whole chapter in relation to the study.
The third part of the research study shall be discussing the methods and procedures used in the study. The chapter shall comprise of the presentation of the utilized techniques for data collection and research methodology. Similarly, it will also contain a discussion on the used techniques in data analysis as well as the tools used to acquire the said data. The fourth chapter will be an analysis of the collected and tabulated data. Computations and correlations will be made in order to uncover relationships and to address the statement of the problem noted in the first chapter. The last chapter shall comprise of three sections, namely, the summary of the findings, the conclusion of the study, and the recommendations. With these three portions, this chapter will be able to highlight the implication of the findings in relation to the data obtained.
Background of the Study
Given the problem at hand, House Bill 3900 (sec 26 - 28) indicates the enhancement, implementation and examination of the Chemical Dependency Disposition Alternative or CDDA, which gives courts with a verdict alternative for chemically dependent youth. Drug treatment is the primary responsibility of the CDDA, thus, becoming responsible for providing immediate solutions to the factors that contribute to the problems that the youth in the society are facing today. According to a particular study, adolescents are the recurrent patients in abuse treatment programs of the government (Brown, 1990). Although they have less duration of substance abuse, their bigger participation with alcohol and marijuana can probably make them become poly-drug addicts and have illegal records. Because of this, the call for the guidance of their family and various academic institutions becomes crucial. In addition to this is the Juvenile Justice Act, which was created for juveniles who are chemically dependent to ensure that they would benefit from treatment. Under this Act and the mentioned House Bill, the court may order an examination to determine if the juvenile is chemically dependent and amenable to treatment, and may also order a second examination if so requested by the state (“House Bill Report SHB 1337”, 2001). Moreover, with persistent action, the government also came up with other laws, such as the ‘Social Host’ Laws in the United States, which would allow police to enter private homes to break up underage drinking parties and impose fines on adults who allow gatherings to take place (“Social Host Laws Proliferate in U.S.”, 2007). In this regard, this law becomes a preventive measure that would restrict juvenile drinking, which can be causes for committing crimes and damage to the community. With the help of these laws and regulations, the importance of preventing chemical dependence and crimes can be promoted.
Despite such restrictions and regulations, increase in the incidences and cases of crimes related to chemical dependency can still be observed in the society. In the event of chemical dependency of juveniles and adults, it would be very helpful to determine and consider the possible and necessary treatments that they can undergo to provide them with a safe and decent life and well-being, which reinforces their right as an individual in the society. With this, several types of chemical dependency treatment programs are recognized, which can help chemical dependents, most especially chemical dependent offenders to start anew. There are five types of chemical dependency treatment programs, and most of theses originated from adult treatment programs. The first program is through Therapeutic Communities, wherein a patient lives in a drug-free residence. Its main principle is to treat drug abuse as social and not medical in nature. The duration of this treatment is from three to 15 months, depending on the cooperation and recovery of the patient. Its completion rate is only 10 to 18% of the total patient population (Henggeler, 1996). The second type of chemical dependency treatment program is the Residential Settings, wherein the patient is placed in a boarding school that usually has an inpatient non-hospital based treatment program. Through the program that caters residential settings, the substance abuser is made to believe that he or she can still be a prolific member of the society, given the natural residential features of the boarding school. The duration of this program is usually 7 to 90 days, depending on the program principles. The third type of chemical dependency treatment program is the Outpatient Treatment, which is a less limiting type of treatment program among the rest. It lets the patient live with their families and communities, thus, giving them the immediate opportunity to exercise newly attained skills or behavioral transformation learned from the program. The fourth type is the Community Monitoring, wherein the patient may be presently using a substance, along with monitoring. Monitoring can be done through routine analyses and counseling with a probation officer or a social worker. In this program, the patients are considered to undergo a house arrest, to be imposed on curfew, or be electronically monitored by their district officers. The last type of chemical dependency treatment program is the Self-Help and other community based groups, which involve the contribution and assistance of community groups in the treatment of substance abusers. This program is often considered as an effective aftercare because it gives positive role models and emotional supports from the elder members of the program. Identification of such treatment or rehabilitation programs enables recognition of advantages in determining the best rehabilitation program.
Primarily, knowing the best chemical dependency rehabilitation program would enable increase knowledge in the treatment of substance abusers. Many researchers would be able to engage in further research and observation that would entail the advancement and the development of the recognized most effective rehabilitation program. Thus, in this case, the recognized most effective rehabilitation program would be further developed and enhanced to help many chemical dependents with their treatment.
Second, recognizing the best chemical dependency rehabilitation program would improve the services and facilities of rehabilitation centers, which would help further address the needs and the problems of substance users and abusers. It has been reported that most clients valued visiting rehabilitation center facilities beforehand, for these facilities play a very important role in helping the chemical dependent with his or her recovery, such that they influence life-changing experiences and understanding of the nature of chemical dependency of clients (Wilkinson and Mistral, 2006). There are approximately 37.9% of the chemical dependents that have been able to obtain treatment in the United States (“More than 10 percent of U.S. adults abuse drugs”, 2007), and with no available data on how many were treated from rehabilitation centers. In this sense, improving the facilities and services of rehabilitation centers may provide an increase in the number or percentages of treated chemical dependents.
Third advantage that can be recognized is the fact that recognizing the best rehabilitation program available would support the community and the local and the national government with its endeavors of promoting peace and order in the country, which would encourage safety, development, and progression. In this regard, having a safe and peaceful society can promote development and improvement in the country, such that many individuals and establishments would gain the trust of other businesses and in turn, promote its economic prosperity. With fewer crimes due to the influence of drugs and alcohol, more business establishments and firms would have the chance to function effectively in the society, through having increased transactions and negotiations from foreign investors, who would bring success, profit and advancement to a number of companies.
Fourth and last recognized advantage of recognizing the most effective chemical dependent rehabilitation program is providing additional knowledge with the families of chemical dependents that would give them the confidence and the hope that their loved one will be able to be treated from its condition. If this research study would become successful in so doing, the determined most effective rehabilitation program can be recommended to the government and other health-related institutions and organizations to further provide assistance to chemical dependent offenders. With these reasons, determination of the most effective chemical dependent rehabilitation program would be able to help many individuals in terms of treatment and acceptance in the society.
Objectives of the Study
This research study will be done to help increase knowledge and information regarding the rehabilitation methods for chemically dependent offenders and the effectiveness of a number of rehabilitation methods for their treatment. Hence, this research study will be conducted to determine which of the rehabilitation methods for chemically dependent offender populations is the most effective. The specific research objectives for this study can be summarized as follows:
1) To find out causes of addiction and chemical dependency in the target population;
2) To determine the effects of chemical dependency to individuals and to the society;
3) To determine the different drug and alcohol rehabilitation methods currently used, including its process, duration and development;
4) To identify the elements that foresee substance exploit problems or the problems that lead to chemical dependency;
5) To provide an ample assessment of offenders with chemical dependency problems;
6) To evaluate processes and tools presently used for testing;
7) To determine the different rehabilitation methods available for chemical dependents;
8) To determine the chemical dependent treatment effects of the offenders;
9) To identify the constructive dependency treatment results in offenders;
10) To recognize the impacts of such actions to the society; and
11) To give recommendations to the readers, to the government, and to the society
Statement of the Problem
The increase in the number of chemically dependent criminal offenders in the society of the United States leads to the recognition of a number of chemical dependent rehabilitation programs. Due to the perceived significant and essential role played by chemical dependency rehabilitation programs in the treatment of drug and alcohol dependents, it is important to recognize the different rehabilitation and treatment methods that would help in the recovery of substance dependents and in the alleviation of the number of criminal cases related to substance use in the U.S. society. This study intends to examine the most effective rehabilitation program for chemical dependent offender population in the United States. Specifically, the study intends to answer the following queries:
Significance of the Study
This research study will be a significant in knowing the perceived best and most effective chemical dependent treatment programs for offender population, which could be suggested to the government and to the families of the substance dependent. It will be significant in the development of more scientific and research-based approaches in addressing the different problems regarding the relationship of substance abuse and the increase in criminal cases in the U.S. society. In addition, this research study can also be significant in providing wider knowledge and alternatives for the government and the families of the substance abusers regarding other available treatment and therapies for the chemical dependent offenders. Moreover, this study can be significant in the endeavor for the improvement and development of the services and facilities of different rehabilitation or treatment programs that would further cater to the needs of the chemical dependent offender population in the society of the United States.
Scope and Limitations
The research study intends to examine the most effective rehabilitation or treatment program for the chemical dependent population. For this study, primary research will be conducted using anonymous questionnaires that will be sent to the general population in California of legal age. The questionnaires will be used to collect quantitative data. Qualitative data would be gathered using secondary research based on related literatures.
In relation to the previous discussion, limitations and other key assumptions were also considered, and are as follows:
- Are the results of the research study valid?
- Was the data relevant to the research questions?
- Were the data collection methods appropriate for the research objectives?
- Was the data collection comprehensive enough?
- Were the data appropriately analyzed, with the findings adequately supported?
Obstacles of the Research Study
Despite the aim and the perceived significance of this research study, a number of obstacles or problems could be encountered. Essentially, there are a small number of sensible and pragmatic barriers in this research study or dissertation. The main practical apprehension is the expensiveness of purchasing journals online. This is a practical concern because monetary costs are one of the main important factors that will keep this study going. Another practical obstacle is the availability of resources regarding the rehabilitation programs for chemical dependent offenders. There are limited studies that are related to the focus of this study. Limited local references can affect the development of this research study. On the other hand, in terms of empirical obstacles, there might not be sufficient statistics to show what program is the most effective in treating offenders with substance abuse. In simple terms, there could be difficulty in obtaining relevant and sufficient statistics from financial service institutions. This is where secondary research will come to play. The surveys and interviews to be conducted with families and social institutions are intended to make bridges that will lead to the acquisition of important references. Overall, resources and cooperation are the two major obstacles in the study. In addition, another difficulty that can be recognized is in the process of the model to be used in the research study, which is the input-process-output-model. Difficulty would rely on the different issues that the study might be able to face. In this regard, the information required should be arranged conveniently for a more effective and efficient analysis. The effective execution of the process will be the main importance and concern of the research study because it will determine the quality of the output.
Ethical Considerations and Standards
The position of the researcher in the research study is crucial because he or she will be the one to conduct the whole process of the research study. This particular research study has a political influence in nature because many laws and regulations under the judicial and community sectors govern rehabilitation programs of chemical dependent offenders. The role of the researcher is to attain the necessary information needed in the study as much as possible, and to create connections with important people who will be helpful in assisting the progress of the study. In relation to the role of the researcher is his or her responsibility to deem ethical considerations that will be applied in accomplishing the research study. Given the sensitive situation being experienced by the families of chemical dependent offenders and the social institutions handling their cases, most of the target respondents would be hesitant to share their views because of certain factors they are afraid of or uncomfortable with. As an ethical stance, confidentiality of the identity and participation of the respondents will be ensured throughout the research. Furthermore, important but confidential information that respondents do not want to talk about or give away would also be respected, especially in the process of an interview. As part of the ethical consideration of this research study, complete information, such as the goal and aim of the study would be provided to the respondents thus, respecting their right to be informed. Racial discrimination would not be observed in this study, for all races would be considered sources of relevant data. With regards to the accomplishment of the paper, strict compliance with citing references is to observed in order to avoid plagiarism of literatures to be used.
Chapter 2
Review of Related Literature
This part of the paper will review the related literatures conducted on the area of study. By doing this, the research may be guided consequently by primarily discovering where the research is coming from, what and how much have been studied regarding the topic, and what it is yet to discuss. Aside from providing the background of the study, this chapter will provide its readers the necessary backbone and support for the research study to stand credible and reliable. In addition, by appraisal or evaluation of past researches related to the study, a historical perspective may be given. The researcher will be able to gain new insights on how much venture has been explored before, which will enable reflection, comparison, learning, and producing a stronger and more efficient study. This chapter will also present the research study a rich source of data, both new and old, which will augment and enrich the study. This part of the research study will also accentuate how it will contribute to the field of study it has chosen and further improve it.
Causes of Addiction and Chemical Dependency
Understanding the concept of chemical dependence would entail determining the different aspects that affect its occurrence and persistence in some individuals. As such, determining its causes would be most appropriate. Chenier (2001) summarized the causes or factors that may trigger drug or alcohol addiction among juveniles or adolescents, and in doing so, it would be helpful to adopt a medical, psychological, sociological, economic, legal, criminological, pharmacological, and philosophical approach. Chenier (2001) stressed that chemical dependence may be attributed to a genetic component, to an addictive personality type, to critical environmental circumstances, and to a physiological connection. In this sense, as previously stated, no one is excluded from the list of individuals who may be able to become chemical dependents. However, Chenier (2001) pointed out that the male gender, the unemployed, the aboriginal peoples, and the street youth are the ones having a higher chance of becoming dependent on such substances. In support of this, several other authors have attempted to explain the causes of chemical dependence among the youth. Petraitis, Flay and Miller in 1995 proposed a conceptual model that includes three kinds of influences, namely, cultural and attitudinal, social and interpersonal, and individual baggage. A study done by Castro-Sarinana in 2001 identified 50 factors that relate to teenage chemical abuse, which were also classified into three groups using an epidemiological model, including, a predisposing environment, the drug itself, and the individual. Medina-Mora et. al in 1995 suggest that easy access to drugs and other substances, drug users among family or peers, peer approval, a perception of low risk, and an unpleasant mood state are also linked to cause chemical dependency. Sanchez-Huezca et. al. 2002 added that domestic violence and sexual abuse could also be considered as causes. Bryant et. al 2000 also considered school-related factors such as academic failure, absenteeism, peer drug use, and psychological distress can be linked to teenage chemical dependence, with an emphasis on a related study done by Sanchez-Huezca et. al in 2002 that teenagers who engage in misconduct and had low school performance scores had higher chemical dependence and tendency compared to teenagers who are highly motivated and focused with their studies. Moreover, a number more authors have considered the influence of family factors such as faulty and triangulated communication, inter-parental conflicts, affection-deprived family environment, ineffective problem-solving patterns, low familial satisfaction levels, type of religious practice, family disintegration, and low levels of parental monitoring are also attributed as causes of chemical dependence (as cited in Alvarez-Nemegyei, Nuno-Gutierrez, and Rodriguez-Cerda, 2006).
To find out causes of addiction and chemical dependency in the target population;
12) To determine the effects of chemical dependency to individuals and to the society;
13) To determine the different drug and alcohol rehabilitation methods currently used, including its process, duration and development;
14) To identify the elements that foresee substance exploit problems or the problems that lead to chemical dependency;
15) To provide an ample assessment of offenders with chemical dependency problems;
16) To evaluate processes and tools presently used for testing;
17) To determine the different rehabilitation methods available for chemical dependents;
18) To determine the chemical dependent treatment effects of the offenders;
19) To identify the constructive dependency treatment results in offenders;
To recognize the impacts of such actions to the society; and
Methodology
The method utilized in this research study is termed the research onion process, which will be used in order to ensure that the researcher will be able to obtain the necessary data to examine which rehabilitation program is the most effective treatment for chemically dependent offenders.
The research design used was both a qualitative and quantitative research, which use explanatory methods in describing the variables, such that the data situation and other facts collected were explained and correlated with other data. This form of research design is useful when conducting a study where data are immeasurable, such as feelings, beliefs, and thoughts (Mays and Pope, 2000). In addition, this descriptive study focuses on the conditions set and the nature that surrounds the data, and not on the correlation with other collected facts.
In order to come up with the most suitable research approaches and strategies for the study, the research onion process was utilized. The process was termed as such because the conduction of the research is like peeling the layers of an onion, in order to come to the central issue of how to collect the necessary data needed to answer the research questions and objectives. In this research process, important layers should be first peeled away, before arriving at the core of the process. With the said process, an outline on what measures to be applied are most appropriate would be made. In addition, it is not unusual for a researcher to first think of his research understanding by considering whether one should for example, administer a questionnaire or conduct interviews; this is why thoughts of this question should belong to the center of the research onion (Saunders, 2003). That is, in order to come to the central issue of how to collect the data needed to answer one’s research questions, there are important layers of the onion that needed to be peeled away. The first layer raises the question of the research philosophy to adopt. The second layer considers the subject of the research approach that flows from the research philosophy. The third layer examines the research strategy that is most applicable, while the fourth layer refers to the time horizon a researcher applies to his or her research. The fifth and final layer is the data collection methods that are to be used in the research study.
Then again, the research philosophy that is reflected in this study is positivism. With this research philosophy, a researcher prefers to work with an observable social reality in order to come up with law-like generalizations similar to those produced by the physical and natural scientists (Remenyi et. al., 1998). In this tradition, the researcher becomes an objective analyst, coolly making detached interpretations about those data that have been collected in an apparently value-free manner (Saunders et al, 2003). In addition, the emphasis is on a highly structured methodology to facilitate replication (Gill and Johnson, 1997) and on quantifiable observations that lend themselves to statistical analysis (Saunders et al, 2003). The assumption is that the researcher is independent of and neither affects nor is affected by the subject of the research (Remenyi et. al., 1998; Saunders et al, 2003).
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