A model of clinical case management, called Treatment Accountability for Safer Communities or Treatment Alternatives to Street Crime TASCis designed to bridge gaps between the substance use, mental health, and criminal justice systems.
Although they may have substantial social service needs, such as illiteracy or lack of job skills, they do not suffer from a severe substance use or mental health disorder.
It appears that MAT, by itself, may be most appropriate for low risk and high need inmates who have a severe substance use disorder but pose a minimal risk of engaging in criminal recidivism if they receive appropriate treatment.
They do not, however, have other serious risk factors for criminal recidivism or recurrent encounters with law enforcement, such as extensive criminal histories or antisocial tendencies.
In both pre-plea and post-plea models, the criminal charges are dismissed, withdrawn, or reduced to a lesser charge if participants complete the program successfully; however, failure to complete the program typically leads to prosecution and possibly sentencing.
Challenges of implementation.
This includes contrasting outcomes to those of an equivalent and unbiased comparison group, including sufficiently large and representative samples to draw generalizable inferences from the findings, and employing objective and standardized outcome measures.