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Drug courts

Adult Criminal Justice
Benefit-cost methods last updated December 2024.  Literature review updated August 2016.
Drug courts are an alternative to traditional criminal justice system processing for the sentencing and supervision of eligible drug-addicted persons. Drug courts share the primary goals of reducing criminal recidivism and substance abuse among its participants. Each drug court is unique in operations, method, and length of treatment. Drug courts typically use a combination of judicial oversight, supervision, drug testing, substance abuse treatment, and sanctions and incentives in an attempt to modify the behavior of drug-involved defendants. Length of drug court participation varied from 12 to 26 months in these studies.

Through a meta-regression analysis, we analyzed the impact of follow-up period, pre/post adjudication court condition, and length of treatment, but we found no statistically significant differences in recidivism due to these variables.
 
ALL
BENEFIT-COST
META-ANALYSIS
CITATIONS
For an overview of WSIPP's Benefit-Cost Model, please see this guide. The estimates shown are present value, life cycle benefits and costs. All dollars are expressed in the base year chosen for this analysis (2023).  The chance the benefits exceed the costs are derived from a Monte Carlo risk analysis. The details on this, as well as the economic discount rates and other relevant parameters are described in our Technical Documentation.
Benefit-Cost Summary Statistics Per Participant
Benefits to:
Taxpayers $3,959 Benefits minus costs $3,877
Participants $0 Benefit to cost ratio $1.64
Others $6,960 Chance the program will produce
Indirect ($1,028) benefits greater than the costs 97%
Total benefits $9,892
Net program cost ($6,015)
Benefits minus cost $3,877

Meta-analysis is a statistical method to combine the results from separate studies on a program, policy, or topic to estimate its effect on an outcome. WSIPP systematically evaluates all credible evaluations we can locate on each topic. The outcomes measured are the program impacts measured in the research literature (for example, impacts on crime or educational attainment). Treatment N represents the total number of individuals or units in the treatment group across the included studies.

An effect size (ES) is a standard metric that summarizes the degree to which a program or policy affects a measured outcome. If the effect size is positive, the outcome increases. If the effect size is negative, the outcome decreases. See Estimating Program Effects Using Effect Sizes for additional information on how we estimate effect sizes.

The effect size may be adjusted from the unadjusted effect size estimated in the meta-analysis. Historically, WSIPP adjusted effect sizes to some programs based on the methodological characteristics of the study. For programs reviewed in 2024 or later, we do not make additional adjustments, and we use the unadjusted effect size whenever we run a benefit-cost analysis.

Research shows the magnitude of effects may change over time. For those effect sizes, we estimate outcome-based adjustments, which we apply between the first time ES is estimated and the second time ES is estimated. More details about these adjustments can be found in our Technical Documentation.

Meta-Analysis of Program Effects
Outcomes measured Treatment age No. of effect sizes Treatment N Effect sizes (ES) and standard errors (SE) used in the benefit-cost analysis Unadjusted effect size (random effects model)
First time ES is estimated Second time ES is estimated
ES SE Age ES SE Age ES p-value
32 72 29452 -0.255 0.025 33 -0.255 0.025 41 -0.281 0.001
1In addition to the outcomes measured in the meta-analysis table, WSIPP measures benefits and costs estimated from other outcomes associated with those reported in the evaluation literature. For example, empirical research demonstrates that high school graduation leads to reduced crime. These associated measures provide a more complete picture of the detailed costs and benefits of the program.

2“Others” includes benefits to people other than taxpayers and participants. Depending on the program, it could include reductions in crime victimization, the economic benefits from a more educated workforce, and the benefits from employer-paid health insurance.

3“Indirect benefits” includes estimates of the net changes in the value of a statistical life and net changes in the deadweight costs of taxation.
Detailed Monetary Benefit Estimates Per Participant
Affected outcome: Resulting benefits:1 Benefits accrue to:
Taxpayers Participants Others2 Indirect3 Total
Crime Criminal justice system $3,959 $0 $6,960 $1,980 $12,899
Program cost Adjustment for deadweight cost of program $0 $0 $0 ($3,007) ($3,007)
Totals $3,959 $0 $6,960 ($1,028) $9,892
Click here to see populations selected
Detailed Annual Cost Estimates Per Participant
Annual cost Year dollars Summary
Program costs $11,227 2003 Present value of net program costs (in 2023 dollars) ($6,015)
Comparison costs $7,335 2003 Cost range (+ or -) 30%
Per-participant cost estimate from Barnoski, R., & Aos, S. (2003). Washington State's drug courts for adult defendants: Outcome evaluation and cost-benefit analysis (Doc. No. 03-03-1201). Olympia: Washington State Institute for Public Policy
The figures shown are estimates of the costs to implement programs in Washington. The comparison group costs reflect either no treatment or treatment as usual, depending on how effect sizes were calculated in the meta-analysis. The cost range reported above reflects potential variation or uncertainty in the cost estimate; more detail can be found in our Technical Documentation.
Benefits Minus Costs
Benefits by Perspective
Taxpayer Benefits by Source of Value
Benefits Minus Costs Over Time (Cumulative Discounted Dollars)
The graph above illustrates the estimated cumulative net benefits per-participant for the first fifty years beyond the initial investment in the program. We present these cash flows in discounted dollars. If the dollars are negative (bars below $0 line), the cumulative benefits do not outweigh the cost of the program up to that point in time. The program breaks even when the dollars reach $0. At this point, the total benefits to participants, taxpayers, and others, are equal to the cost of the program. If the dollars are above $0, the benefits of the program exceed the initial investment.

Citations Used in the Meta-Analysis

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Brewster, M.P. (2001). An evaluation of the Chester County (PA) Drug Court Program. Journal of Drug Issues, 31(1), 177- 206.

Brown, R. (2011). Drug Court effectiveness: A matched cohort study in the Dane County Drug Treatment Court. Journal of Offender Rehabilitation, 50(4), 191-201.

Carey, S.M., & Finigan, M.W. (2007). Indiana drug courts: Monroe County drug treatment court: Process, outcome, and cost evaluation. Portland, OR: NPC Research

Carey, S.M., Lucas, L.M., Waller, M.S., Lambarth, C.H., Linhares, R., Weller, J.M., & Finigan, M.W. (2009). Vermont drug courts: Rutland County adult drug court process, outcome, and cost evaluation (Final Report). Portland, OR: NPC Research.

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Fielding, J.E., Tye, G., Ogawa, P.L., Imam, I.J., & Long, A.M. (2002). Los Angeles County drug court programs: Initial results. Journal of Substance Abuse Treatment, 23(3), 217-224.

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Goldkamp, J.S., Weiland, D., & Moore, J. (2001). The Philadelphia treatment court, its development and impact: The second phase (1998-2000). Philadelphia: Crime and Justice Research Institute.

Goldkamp, J.S., White, M D., & Robinson, J.B. (2001). Do drug courts work? Getting inside the drug court black box. Journal of Drug Issues, 31(1), 27-72.

Gottfredson, D.C., Coblentz, K., & Harmon, M.A. (1997). A short-term outcome evaluation of the Baltimore City Drug Treatment Court Program. Perspectives, Winter, 33-38.

Gottfredson, D.C., Najaka, S.S., Kearley, B.W., & Rocha, C.M. (2006). Long-term effects of participation in the Baltimore City Drug Treatment Court: Results from an experimental study. Journal of Experimental Criminology, 2(1), 67-98.

Granfield, R., Eby, C., & Brewster, T. (1998). An examination of the Denver Drug Court: The impact of a treatment-oriented drug-offender system. Law & Policy, 20(2), 183-202.

Harrell, A., Roman, J., & Sack, E. (2001). Drug court services for female offenders, 1996–1999: Evaluation of the Brooklyn Treatment Court. Washington, DC: The Urban Institute.

Johnson, G.D., Formichella, C.M., & Bowers, D.A., Jr. (1998). Do drug courts work? An outcome evaluation of a promising program. Journal of Applied Sociology, 15(1), 44-62.

Kobus, K. (2009). Examining the impact of drug court participation for moderate and high risk offenders. Digital Scholarship@UNLV.

Krebs, C.P., Lindquist, C.H., Koetse, W., Lattimore, P.K. (2007). Assessing the long-term impact of drug court participation with generalized estimating equations. Drug and Alcohol Dependence, 91(1), 57-68.

Latessa, E.J., Shaffer, D.K., & Lowenkamp C. (2002). Outcome evaluation of Ohio’s drug court efforts: Final report. Cincinnati, OH: University of Cincinnati, Center for Criminal Justice Research, Division of Criminal Justice.

Listwan, S.J., Borowiak, J., Latessa, E.J. (2008). An examination of Idaho’s felony drug courts: Findings and recommendations. Kent, OH: Kent State University, Department of Justice Studies, Institute for the Study and Prevention of Violence.

Listwan, S.J., & Latessa, E.J. (2003). The Kootenai and Ada County drug courts: Outcome evaluation findings (Final Report). Cincinnati: Center for Criminal Justice Research, University of Cincinnati.

Listwan, S.J., Shaffer, D.K., & Latessa, E.J. (2001). The Erie County drug court: Outcome evaluation findings.Cincinnati, OH: University of Cincinnati, Center for Criminal Justice Research.

Listwan, S.J., Shaffer, D.K., & Latessa, E.J. (2001). The Akron municipal drug court: Outcome evaluation findings. Cincinnati, OH: University of Cincinnati, Center for Criminal Justice Research.

Listwan, S.J., Sundt, J.L., Holsinger, A.M., & Latessa, E.J. (2003). The effect of drug court programming on recidivism: The Cincinnati experience. Crime & Delinquency, 49(3), 389-411.

Logan, T., Hoyt, W., & Leukefeld, C. (2001). Kentucky drug court outcome evaluation: Behaviors, costs, and avoided costs to society. Lexington: University of Kentucky, Center on Drug and Alcohol Research.

Mackin, J.R., Carey, S.M., Finigan, M.W., Lucas, L.M., Strong, S.E., & Waller, M.S. (2008). Prince George's County Circuit Court Adult Drug Court Outcome and Cost Evaluation. NPC Research: Portland, OR.

Mackin, J.R., Lucas, L.M., Lambarth, C.H., Waller, M.S., Herrera Allen, T., Carey, S.M., & Finigan, M.W. (2009). Wicomico County Circuit Court Adult Drug Treatment Court Program Outcome and Cost Evaluation. NPC Research: Portland, OR.

Mackin, J.R., Carey, S.M., Finigan, M.W., Lucas, L.M., Strong, S.E., & Waller, M.S. (2008). Harford County District Court Adult Drug Court outcome and cost evaluation. Portland, OR: NPC Research.

Mackin, J.R., Lucas, L.M., Lambarth, C.H., Waller, M.S., Carey, S.M., & Finigan, M.W. (2009). Baltimore City Circuit Court Adult Drug Treatment Court and Felony Diversion Initiative: Outcome and cost evaluation final report. NPC Research: Portland, OR.

Mackin, J.R., Lucas, L.M., Lambarth, C.H., Waller, M.S., Herrera Allen, T., Carey, S.M., & Finigan, M.W. (2010). Howard County District Court Drug Treatment Court Program Outcome and Cost Evaluation. NPC Research: Portland, OR.

Mackin, J.R., Lucas, L.M., Lambarth, C.H., Waller, M.S., Herrera Allen, T., Carey, S M., & Finigan, M.W. (2010). Montgomery County Adult Drug Court Outcome and Cost Evaluation. NPC Research: Portland, OR.

Mahaffy, K.A. (2006). Lancaster County Court of Common Pleas adult drug court: Outcome evaluation. Millersville, PA: Millersville University, Department of Sociology/Anthropology.

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Marchand, G., Waller, M., & Carey, S.M. (2006). Kalamazoo County Adult Drug Treatment Court outcome and cost evaluation (Final Report). Portland, OR: NPC Research.

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