Purpose: This study aims to compare the psychological and behavioral profiles of individuals with substance use disorders (SUD) according to their prison history and probation status. Materials and Methods: This retrospective study included 607 inpatients aged 18–25 diagnosed with SUD and treated at the AMATEM service of a private addiction hospital in Istanbul between 2022 and 2023. The Addiction Profile Index (API), a validated multidimensional assessment tool, was used to measure addiction severity, psychological symptoms, and behavioral traits. Results: Individuals under probation exhibited significantly higher levels of addiction severity, diagnostic scores, life impact, and craving compared to those not under probation. Their total API scores were also significantly elevated, alongside increased anger and reduced self-confidence. Crack use was significantly more common among those with a prison history, while cocaine use was higher among probationers. Alcohol use was less prevalent in both incarcerated individuals and probationers. Conclusion: These results suggest that legal status is closely linked to addiction severity and psychological symptom patterns. The findings also indicate a bidirectional and multidimensional relationship between SUD and criminal behavior. Intervention programs should be structured not only according to addiction symptoms but also according to the individual's criminal history and psychosocial needs.
Çokluk et al. (Thu,) studied this question.