Objective: The effectiveness of federal prison-based residential drug and a
lcohol treatment programs was evaluated using event history procedures that
addressed the problem of selection bias and included a wide range of contr
ol variables. Methods: The sample comprised 760 treatment subjects and 809
comparison subjects. Treatment subjects were from 20 different prisons of m
edium, low, and minimum security levels. Comparison subjects were drawn fro
m over 30 prisons. Results: The results indicated that individuals who ente
red and completed in-prison residential treatment were less likely to exper
ience the critical postrelease outcomes of new arrests and substance use du
ring the first 6 months following release. Conclusions: Without controlling
for selection bias, the effects of treatment would most likely have been a
ttenuated. The results have greater generalizability than other studies of
prison-based treatment. This study occurred within a multisite context of 2
0 programs serving both male and female inmates and operating within differ
ent security levels and different geographic regions.