This article presents the results of an assessment of a multistage therapeutic community (TC) treatment program instituted in the Delaware correctional system.
Components in place long enough to provide follow-up data consist of a TC in prison and a "transitional" TC outside the prison for parolees. Baseline data at release from prison and outcome data 6 months after release were analyzed for 457 respondents. A group that had participated in neither of the TC's was compared to groups that had participated in the TC in prison only, the transitional TC only, or both TC's. The latter two groups had significantly lower rates of drug relapse and criminal recidivism, even when adjusted for other risk factors. There was also a reduction for the prison TC group, although more modest and statistically significant only when adjusted for baseline differences. Outcome benefits of the TC participation were also found for behaviors that affect the risk of HIV infection. The results support the efficacy of a multistage TC program and the importance of the transitional TC as a component. 4 tables and 30 references