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Criminal Justice and Behavior
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Psychopathy And Treatment Response In Incarcerated Female Substance Abusers

Henry J. Richards

University of Washington

Jay O. Casey

Patuxent Institution

Stephen W. Lucente

Friends Research Institute, Inc.

The authors rated 404 incarcerated female participants in a substance abuse treatment efficacy study using either the Hare Psychopathy Checklist–Revised (PCL-R) or the Psychopathy Checklist: Screening Version (PCL:SV). Participants were then randomly assigned among three treatment conditions. Psychopathy scores were significantly associated with poor treatment response with regard to program retention, removal for serious non-compliance, violent and disruptive rule violations, avoidance of urinalysis testing, treatment module attendance, and therapist ratings. Cox regression analyses indicated that psychopathy scores (particularly Factor 1 scores) better predicted new charges in the community than a combination of other variables. The authors concluded that Hare psychopathy scores can be used validly for assessment for placement, risk assessment, and individual treatment planning for female offenders.

Key Words: psychopathy • outcome • recidivism • drug treatment

Criminal Justice and Behavior, Vol. 30, No. 2, 251-276 (2003)
DOI: 10.1177/0093854802251010
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