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: 7388862
• 负责人: Elwin Wu
• 金额: $ 34.47万
• 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/7388862
• 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

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., law- breaking 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 researchto 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.

本应用程序详细介绍了前瞻性纵向小组研究的建议，其随机样本为360 参加纽约市（纽约市）替代监禁（ATI）计划的个人 涉及罪犯。拟议的研究重点是（1）正式医疗保健利用的影响 关于ATI计划完成，累犯，技术违规的结果的心理社会服务（即法律 - 破坏行为不会导致重新监禁）和亲社会变化（例如，履行儿童和老年 看护角色）； （2）影响ATI计划参与者中服务利用的因素。研究 履行了NIDA蓝带卫生服务研究工作组的一些建议， 包括扩大（a）毒品滥用服务的场所，包括计划 “非传统”设置，尤其是刑事司法系统，以及（b）需求范围和 研究的亚组的特征是为了解决更全面的“护理和患者的连续体” 小组。”工作队的建议与其他有关阐明调解员的需要的呼吁呼应 待遇的成功，尤其是那些在非传统环境中的治疗方法，例如刑事司法计划 涉及毒品的罪犯。此外，与工作队报告一致，拟议的研究将采用新的 使用观察数据的因果推断的数据分析方法。意义和可行性 提议的研究通过研究人员成功完成的试点研究的发现证实了拟议的研究。 对于拟议的研究，我们将在他们参与ATI计划时招募个人 对于成人，纽约市的毒品涉及罪犯，课程每3个月进行结构化访谈 每个参与者的18个月。目的，假设和测量由网络发作指导 模型，一种创新的模型，概念化正式服务的访问和出勤率 由需求水平驱动的行为，并由涉及个人/社会环境因素的动态过程塑造 和服务系统经验。拟议的研究旨在实现以下主要目标： （1）检查服务利用和（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）识别和估计因果关系 影响ATI参与者中正式服务访问和利用的因素的影响。调查结果会 对药物滥用领域的研究人员和专业人员产生实质性和实际影响， 服务研究，刑事司法和公共卫生在制定和测试未来的干预措施时以及 涉及毒品罪犯的计划。拟议的研究将由Elwin Wu博士和Nabila博士进行。 哥伦比亚大学社会工作学院社会干预小组的EI-Bassel。