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This version was published on June 1, 2008
International Journal of Offender Therapy and Comparative Criminology, Vol. 52, No. 3, 346-357 (2008)
DOI: 10.1177/0306624X07305479

Baseline Subjective Stress Predicts 1-Year Outcomes Among Drug Court Clients

Thomas F. Garrity

University of Kentucky, Lexington, tgarrit{at}uky.edu

Sallie H. Prewitt

Drug Court Case Specialist, Winchester and Richmond, Kentucky

Michelle Joosen

Erasmus University, Rotterdam, Netherlands

Michele Staton Tindall

University of Kentucky Center on Drug and Alcohol Research, Lexington

J. Matthew Webster

University of Kentucky, Lexington

Carl G. Leukefeld

University of Kentucky, Lexington

Psychological stress has long been known to predict negative changes in physical and behavioral health in the general population. The same relationships have been found in research on drug abusers. In this longitudinal study, 477 clients of two Kentucky drug courts were followed for 1 year to examine the relationship between subjective stress at intake and outcomes 1 year after the baseline of this 18-month drug court program. Greater baseline subjective stress was significantly associated with poorer employment, substance use, criminal justice, and health outcomes at 1-year follow-up, even after adjusting for selected demographic characteristics and baseline levels of the outcomes of interest. If these results are replicated in these and other drug courts, then a stress reduction treatment trial within the drug court context should be attempted and evaluated.

Key Words: drug courts • drug abstinence • psychological stress • criminality • health status


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