Increasing Engagement in Prison-Based Drug Treatment

提高监狱戒毒治疗的参与度

• 批准号: 7090119
• 负责人: WILLIAM M BURDON
• 金额: $ 40.28万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-10 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7090119
• 关键词: behavior modification; behavioral /social science research tag; clinical research; correctional institutions; curriculum; drug abuse therapy; focus groups; human subject; interview; locus of control; motivation; patient oriented research; psychological reinforcement; questionnaires; social behavior; therapy compliance

DESCRIPTION (provided by applicant): The UCLA Integrated Substance Abuse Programs (ISAP), in collaboration with CiviGenics, Inc. and the Washington State Department of Corrections, is proposing a 4-year health services study that will seek to (1) test the impact of a behavioral reinforcement intervention on inmate engagement in prison-based substance abuse treatment (thereby improving both psychosocial functioning over the course of treatment and post-release outcomes [e.g., decreased drug use, reincarceration]), and (2) assess the process by which this evidence-based innovation is implemented and sustained within prison-based treatment programs. Male and female inmates (240) enrolled in 12-week prison-based intensive outpatient (IOP) treatment will be randomly assigned to one of two programs (conditions): Behavioral Reinforcement (BR) (experimental) and Standard Treatment (ST) (comparison). Inmates assigned to the BR programs will receive behavioral reinforcement contingent upon their attendance at and participation in regularly scheduled program activities and completion of assigned treatment-related tasks. Inmates assigned to the ST programs will receive standard IOP treatment services. The study will also assess the implementation of the behavioral reinforcement intervention within the treatment programs, measure organizational readiness for change both prior to the intervention and after it is completed, and determine if the intervention is sustained following completion of the study. The study has the following primary aims: (1) Increase client engagement in prison-based substance abuse treatment and improve client's psychosocial functioning over the course of treatment using behavioral reinforcement; (2) Assess the impact of behavioral reinforcement on prison-based treatment, participants' entrance into and retention in community-based treatment following release from prison, post-incarceration illicit drug use, and 9-month return-to-custody rates; and (3) Assess possible differential effects of the behavioral reinforcement intervention on a male and a female prison based substance abuse treatment population. The study has the following secondary aims: (4) Qualitatively assess the process by which this evidence-based innovation (behavioral reinforcement) is implemented within a prison-based treatment program; (5) Quantitatively assess organizational readiness for change on the part of the treatment organization and the larger institutional organization prior to the introduction of the behavioral reinforcement intervention and after the intervention is complete; and (6) Determine whether or not the behavioral reinforcement intervention is sustained as a normal part of the in-prison treatment curriculum following the end of the research study.

描述（由申请人提供）：加州大学洛杉矶分校综合药物滥用计划 (ISAP) 与 CiviGenics, Inc. 和华盛顿州惩教部合作，提议开展一项为期 4 年的健康服务研究，旨在 (1) 测试行为强化干预对囚犯参与监狱药物滥用治疗的影响（从而改善治疗过程中的心理社会功能和释放后的结果[例如减少吸毒、再监禁]）， (2) 评估在监狱治疗计划中实施和维持这种基于证据的创新的过程。参加为期 12 周监狱强化门诊 (IOP) 治疗的男性和女性囚犯 (240 名) 将被随机分配至以下两个项目之一（条件）：行为强化 (BR)（实验）和标准治疗 (ST)（比较） ）。分配到 BR 计划的囚犯将根据他们出席和参与定期安排的计划活动以及完成分配的治疗相关任务而获得行为强化。分配到 ST 项目的囚犯将接受标准的 IOP 治疗服务。该研究还将评估治疗计划中行为强化干预的实施情况，测量干预之前和完成之后组织对变革的准备情况，并确定干预在研究完成后是否持续。该研究有以下主要目的：（1）提高服务对象对监狱药物滥用治疗的参与度，并在治疗过程中使用行为强化改善服务对象的心理社会功能； (2) 评估行为强化对监狱治疗、参与者出狱后进入和保留社区治疗、监禁后非法药物使用以及 9 个月重返监禁率的影响； (3) 评估行为强化干预对男性和女性监狱药物滥用治疗人群可能产生的不同影响。该研究有以下次要目标：（4）定性评估在监狱治疗计划中实施这种基于证据的创新（行为强化）的过程； (5) 在引入行为强化干预之前和干预完成之后，定量评估治疗组织和较大的机构组织对变革的准备情况； (6) 确定研究结束后行为强化干预是否作为监狱治疗课程的正常部分持续进行。