Service Use, ATI Program Outcomes, and Pro-Social Change

服务使用、ATI 计划成果和亲社会变革

• 批准号: 7227203
• 负责人: Elwin Wu
• 金额: $ 35.17万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-24 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7227203
• 关键词: Address; Adult; Advisory Committees; Affect; Age; Area; Attitude; Behavior; Behavioral Research; California; Characteristics; Child; Cities; Collaborations; Communities; Condition; Consensus; Consultations; Continuity of Patient Care; Criminal Justice; Data; Data Analyses; Diversion Program; Dropout; Drug Courts; Drug abuse; Drug usage; Elderly; Employment; Ethnic Origin; Face; Funding; Future; Gender; Goals; HIV; Health; Health Services Research; Healthcare; Hepatitis C; Illicit Drugs; Imprisonment; Individual; Intervention; Interview; Laws; Lead; Life; Literature; Measurement; Mediator of activation protein; Medical; Mental Health; Mental disorders; Mentors; Mentorship; Methods; Minority Groups; Modeling; Motivation; National Institute of Drug Abuse; New York City; Outcome; Outcome Measure; Participant; Patients; Perception; Pharmaceutical Preparations; Pilot Projects; Population; Poverty; Prevention Research; Principal Investigator; Process; Provider; Psychiatric Social Work; Public Health; Race; Randomized Clinical Trials; Range; Rate; Recommendation; Recording of previous events; Recruitment Activity; Relapse; Reporting; Research; Research Personnel; Role; Sampling; Schools; Services; Severities; Shapes; Site; Social Change; Social Environment; Social Network; Social Problems; Social Work; Structure; Subgroup; Substance abuse problem; System; Target Populations; Testing; Therapeutic; Time; Trauma; Trust; Universities; Woman; Work; addiction; cost; criminal behavior; design; driving behavior; drug abuse education; experience; health disparity; improved; innovation; intervention program; knowledge base; men; offender; professor; programs; prospective; psychosocial; recidivism; research study; response; satisfaction; service utilization; social; sociologist; success

DESCRIPTION (provided by applicant): This application details a proposal for a prospective longitudinal panel study with a random sample of 360 individuals attending alternative to incarceration (ATI) programs in New York City (NYC) that serve drug-involved offenders. The proposed study focuses on (1) the impact of utilization of formal healthcare and psychosocial services on outcomes of ATI program completion, recidivism, technical violations (i.e., lawbreaking behaviors not resulting in re-incarceration), and pro-social change (e.g., fulfilling child- and elder-caretaking roles); and (2) factors affecting service utilization among ATI program participants. The study fulfills several recommendations from the Blue Ribbon Task Force on Health Service Research at NIDA, including broadening both (a) the venues of drug abuse services research to include programs in "nontraditional" settings, especially the criminal justice system, and (b) the range of needs and characteristics of subgroups that are studied in order to address a fuller "continuum of care and patient groups." The Task Force's recommendations echoed other calls regarding the need to elucidate mediators of success of treatment, especially those in nontraditional settings such as criminal justice programs for drug-involved offenders. Also consistent with the Task Force report, the proposed research will employ new data analysis methods for causal inference using observational data. The significance and feasibility of the proposed study are substantiated by findings from a pilot study successfully completed by the investigators. For the proposed study, we will recruit individuals at the start of their participation in ATI programs designed for adult, drug-involved offenders in NYC, conducting structured interviews every 3 months over the course of 18 months for each participant. Aims, hypotheses, and measurements are guided by the Network Episode Model, an innovative model that conceptualizes access and attendance of formal services as a time-varying behavior driven by level of need and shaped by dynamic processes involving individual/social context factors and service system experiences. The proposed study is designed to achieve the following primary aims: (1) To examine the causal relationship between service utilization and (a) ATI program completion, (b) recidivism, (c) technical violations, and (d) pro-social change; and (2) To identify and estimate the causal impact of factors that influence access and utilization of formal services among ATI participants. Findings will generate substantive and practical implications for researchers and professionals in the areas of drug abuse, services research, criminal justice, and public health in developing and testing future interventions and programs for drug-involved offenders. The proposed study will be conducted by Dr. Elwin Wu and Dr. Nabila EI-Bassel of the Social Intervention Group at the Columbia University School of Social Work.

描述（由申请人提供）： 本申请详细介绍了一项前瞻性纵向小组研究的建议，其随机样本是在纽约市（NYC）（NYC）替代监禁（ATI）计划的360个人样本，该计划服务于毒品涉及的罪犯。拟议的研究重点是（1）对正式医疗保健和社会心理服务的利用对ATI计划完成，累犯，技术违规行为（即，违法行为的行为）的影响（不导致重新关注的行为）和亲社会变化（例如，满足儿童和老年人和老年人的角色）； （2）影响ATI计划参与者中服务利用的因素。该研究符合NIDA的蓝丝带卫生服务研究工作组的一些建议，包括扩大（a）药物滥用服务的场所，包括在“非传统”环境中包括程序，尤其是刑事司法系统，以及（b）研究的子组的需求和特征范围，这些范围和特征是为了解决一个fuller“ fuller of Career of Care to contuner of Care and Care of Care and Careate and Catient of患者”。”该工作队的建议回应了有关阐明调解人成功疗法的其他呼吁，尤其是那些在非传统环境中，例如涉及毒品犯罪罪犯的刑事司法计划。同样与工作队报告一致，拟议的研究将使用观察数据采用新的数据分析方法来进行因果推断。拟议研究的重要性和可行性通过研究人员成功完成的试点研究的发现证实。在拟议的研究中，我们将在参加为成人，涉及毒品涉及的成人毒品犯罪者的ATI计划开始时招募个人，每3个月在每个参与者的18个月内每3个月进行结构化访谈。目的，假设和测量值是由网络情节模型指导的，网络情节模型是一种创新的模型，概念化正式服务的访问和出勤率是由需求级别驱动的时变行为，并由涉及个人/社会背景因素和服务系统体验的动态过程塑造。拟议的研究旨在实现以下主要目的：（1）检查服务利用与（a）ATI计划完成之间的因果关系，（b）累犯，（c）技术违规和（d）亲社会变革； （2）确定和估计影响ATI参与者中正式服务访问和利用的因素的因果影响。调查结果将对毒品滥用，服务研究，刑事司法和公共卫生领域的研究人员和专业人员产生实质性和实际意义，以开发和测试未来的涉及药物涉及罪犯的干预措施和计划。拟议的研究将由哥伦比亚大学社会工作学院社会干预小组的Elwin Wu博士和Nabila Ei-Bassel博士进行。