Advancing Health Disparities Research in Aging: The Aging Research in Criminal Justice & Health (ARCH) Network

推进老龄化领域的健康差异研究：刑事司法中的老龄化研究

基本信息

批准号：
10450148
负责人：
BRIE A WILLIAMS
金额：
$ 33.37万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-30 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10450148
关键词：
Address Age Aging Area Arkansas Award Behavioral California Capsicum Collaborations Communities Community Healthcare Consent Criminal Justice Criminology Development Discipline Discipline of Nursing Drug Legislation Elder Abuse Elderly Ensure Epidemiology Evidence based intervention Faculty Funding Future Geography Geriatrics Gerontology Goals Growth Health Health Disparities Research Healthcare Healthcare Systems Homelessness Impaired cognition Imprisonment Institutes Institution Interdisciplinary Study Intervention Jail Knowledge Latino Leadership Life Cycle Stages Measures Medical Medicine Mental Health Mentorship Methods Older Population Onset of illness Outcome Palliative Care Participant Patients Personal Satisfaction Persons Phase Plant Roots Police Policies Polypharmacy Population Population Intervention Prisons Public Health Public Health Nursing Quality of life Reduce health disparities Research Research Design Research Infrastructure Research Personnel Risk Factors San Francisco Science Scientist Social Welfare Social outcome Substance Use Disorder Testing Trauma Universities Work behavioral health black men career community reintegration court disability early onset experience falls functional disability health disparity health disparity populations improved lifetime risk medical vulnerability men multidisciplinary neglect neighborhood safety parole probation programs public health research racial bias response safety net social social health determinants social vulnerability symposium therapy design

项目摘要

Project Summary / Abstract Despite 20 years of unprecedented growth in the number of criminal justice-involved older adults (those under arrest, in court, in prison or jail, on probation or parole), the knowledge needed to develop evidence-based interventions for this population with high rates of early onset disease, disability and behavioral and social risk factors, is deeply under- developed. In particular, research to understand the life course experiences, the social determinants of health, and the drivers of later life health disparities in this population, including criminal justice involvement itself, is limited. Moreover, much of the research about this population has failed to study geriatric conditions (e.g., functional and cognitive impairment, falls, elder abuse, polypharmacy) that are key to understanding the health and wellbeing of older adults at each phase of criminal justice involvement (from arrest through community reintegration after incarceration). This lack of knowledge has profound impacts on public health as over 95% of incarcerated patients are eventually released to the community where they disproportionately rely on community safety net healthcare systems. The relative lack of evidence in this area of aging and health disparities research reflects, in part, professional isolation among the growing number of researchers who study aging and criminal justice involvement – many of them early in their careers – from a range of academic disciplines (e.g. medicine, public health, nursing, epidemiology, social welfare) spread throughout the nation with few centered at any one institution. As a result, vital interdisciplinary research collaborations are limited and junior researchers often lack the mentorship needed to pursue a successful research career in this area. In response, we propose developing The ARCH (Aging Research in Criminal justice & Health) Network to build research capacity in this emerging field and catalyze the impactful research needed to develop evidence-based interventions that meet the needs of this historically overlooked population of older adults. To meet these goals, we propose two specific aims: (1) to establish a multidisciplinary national research network to develop and refine the research agenda, measures, and methods needed to advance research on the health and social drivers of criminal justice involvement and health disparities among older adults over the life course and the consequences of criminal justice involvement on health in later life; and (2) to support new and established scientists to develop and implement life course research on the health of criminal justice-involved older adults by offering a research technical assistance program, creating a national mentorship program for junior investigators, directly funding pilot and exploratory research, and creating formal opportunities for networking to develop new multidisciplinary research collaborations. The ARCH Network will ensure that geriatric principles are front and center in studying the health and healthcare needs of criminal justice-involved older adults and will develop a research agenda that can inform correctional and community healthcare systems of opportunities across the life course where programmatic and policy interventions can be tested to reduce health disparities for this population.

项目概要/摘要尽管 20 年来，参与刑事司法的老年人（被捕者、法庭、监狱或看守所、缓刑或假释），为此制定循证干预措施所需的知识早发性疾病、残疾以及行为和社会风险因素的发病率很高的人群，特别是，开展了了解生命历程经历、健康的社会决定因素以及健康的社会决定因素的研究。该人群晚年健康差异的驱动因素（包括刑事司法参与本身）是有限的。关于这一人群的大部分研究都未能研究老年病症（例如功能和认知功能）损伤、跌倒、虐待老年人、复方用药），这是了解老年人健康和福祉的关键刑事司法参与的每个阶段（从逮捕到监禁后重新融入社区）。知识对公共健康有着深远的影响，因为超过 95% 的被监禁患者最终被释放到监狱他们过分依赖社区安全网医疗保健系统相对缺乏证据。在老龄化和健康差异这一领域的研究部分反映了越来越多的人之间的职业隔离研究老龄化和刑事司法参与的研究人员——其中许多人在职业生涯的早期——来自不同领域学科（如医学、公共卫生、护理、流行病学、社会福利）遍布全国因此，重要的跨学科研究合作有限且初级。研究人员往往缺乏在该领域取得成功研究生涯所需的指导。对此，我们提出建议。开发 ARCH（刑事司法与健康中的老龄化研究）网络，以建设这一新兴领域的研究能力领域并促进开展有影响力的研究，以制定满足这一需求的循证干预措施历史上引人注目的老年人口。为了实现这些目标，我们提出两个具体目标：（1）建立一个多学科的国家研究网络，制定和完善推进健康和社会研究所需的研究议程、措施和方法老年人一生中刑事司法参与和健康差异的驱动因素及其后果刑事司法参与对晚年健康的影响；(2) 支持新老科学家的发展和通过提供研究技术，对涉及刑事司法的老年人的健康进行生命全程研究援助计划，为初级研究人员创建国家指导计划，直接资助试点和探索性项目研究，并创造正式的网络机会来发展新的多学科研究合作。 ARCH 网络将确保老年病学原则成为研究老年人健康和医疗保健需求的前沿和中心涉及刑事司法的老年人，并将制定一项研究议程，为惩教和社区提供信息整个生命周期的机会医疗保健系统，可以测试计划和政策干预措施减少该人群的健康差距。