The Development of a Prevention Intervention for Low-Risk Drug Court Clients

为低风险毒品法庭客户制定预防干预措施

• 批准号: 7491583
• 负责人: DAVID S DEMATTEO
• 金额: $ 19.82万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-30 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7491583
• 关键词: Addictive Behavior; Adherence; Adolescent; Adult; Alcohol or Other Drugs use; Alcohols; Behavior Therapy; Case Management; Child; Client; Clinical; Cognitive Therapy; Condition; Counseling; Crime; Criminal Justice; Development; Device or Instrument Development; Drug Courts; Drug abuse; Drug usage; Drug user; Elements; Focus Groups; Foundations; Future; Hearing; Hour; Housing; Imprisonment; Individual; Institution; Intervention; Intervention Studies; Literature; Manuals; Measures; Modeling; National Institute of Drug Abuse; Pharmaceutical Preparations; Pilot Projects; Population; Prevention; Prevention approach; Prevention intervention; Prevention program; Prevention strategy; Publishing; Purpose; Randomized; Research; Review Literature; Risk; Risk Behaviors; Safety; Secondary Prevention; Services; Severities; Specific qualifier value; Staging; Standards of Weights and Measures; Substance Use Disorder; Substance abuse problem; Symptoms; Target Populations; Telephone; Testing; Treatment Protocols; Urine; Week; Work; addiction; base; clinically significant; college; court; design; drug abuse prevention; drug testing; early /brief intervention /therapy; group counseling; improved; novel; offender; response; size; therapy development

DESCRIPTION: (provided by applicant): This is a Stage la/lb Behavior Therapy Development Application to develop a secondary prevention intervention for adult drug court clients who do not have an identifiable substance use disorder. The drug court treatment model assumes that most drug offenders are addicts, and that substance use fuels their criminal activity. Accordingly, clients must satisfy an intensive regimen of treatment and supervisory obligations, including several hours per week of drug counseling, on-going judicial status hearings, and random weekly urine testing. However, recent research suggests that roughly one-third of drug court clients do not have a diagnosable or clinically significant substance use disorder. As such, these individuals may be best suited for a secondary prevention approach directed at interrupting the early acquisition of addictive behavior. Unfortunately, virtually all of the existing research on prevention programs for substance use has focused on children or adolescents, and we have been unable to locate any study of a prevention strategy designed for adult substance users who are not embedded in an educational institution. Over the past 18 months, we have identified the target population, reviewed the literature to identify potentially promising prevention strategies, identified the key elements of a prevention intervention, held focus groups with drug court clients and staff to gauge the acceptability of specific prevention strategies, pilot tested a secondary prevention package to assess its feasibility and acceptability, and assembled a multi- disciplinary panel of experts to help us identify the most promising elements to include in an intervention. Building on this foundation of work, this proposal has the following specific aims -- (1) finalize the content of the prevention intervention with the assistance of the expert panel; (2) manualize the prevention intervention and develop therapist-fidelity and client-adherence measures; and (3) estimate an effect size for the prevention intervention by conducting a small randomized pilot study (N=40) comparing the prevention intervention to standard drug court treatment, which will allow us to determine whether future Stage II research is warranted.

描述：（由申请人提供）：这是LA/LB行为疗法开发的阶段，可为没有可识别药物使用障碍的成人药物法院客户开发二次预防干预措施。毒品法院治疗模型假设大多数毒品犯罪者都是成瘾者，并且使用物质会助长其犯罪活动。因此，客户必须满足治疗和监督义务的密集措施，包括每周的毒品咨询，持续的司法状况听证会以及每周随机的尿液测试。但是，最近的研究表明，大约三分之一的药物法院客户没有可诊断或临床上重要的药物使用障碍。因此，这些人最适合一种旨在打断早期获得上瘾行为的二级预防方法。不幸的是，几乎所有有关用于药物使用的预防计划的现有研究都集中在儿童或青少年上，我们无法找到针对未嵌入教育机构的成人药物使用者设计的预防策略的任何研究。在过去的18个月中，我们已经确定了目标人群，审查了文献，以确定潜在的预防策略，确定了预防干预的关键要素，与药物法院客户和员工保持了焦点小组，以评估特定预防策略的可接受性，测试了次要的预防套餐，以评估其可行性和可接受性，以评估其可靠性，并列出了多个良好的良好的良好的良好的良好的良好的良好的良好的良好的预期。在这项工作的基础上，该提案具有以下具体目标 - （1）在专家小组的协助下最终确定预防干预的内容； （2）手动制定预防干预并制定治疗师的保证和客户遵守措施； （3）通过进行一项小型随机试验研究（n = 40），将预防干预与标准药物法院治疗进行比较，可以估算预防干预的效果大小，这将使我们能够确定是否有必要进行未来的II阶段研究。