Online Methamphetamine Abuse Training for Drug Court Professionals

为毒品法庭专业人员提供在线甲基苯丙胺滥用培训

基本信息

批准号：
7538007
负责人：
HILARY James LIBERTY
金额：
$ 16.2万
依托单位：
SOCIAL SCIENCES INNOVATIONS CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-07-15 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7538007
关键词：
AIDS/HIV problem Accident and Emergency department Address Admission activity Aggressive behavior Alcohols American Area Authorization documentation Brain Injuries Case Study Characteristics Charge Communication Communities Computers Confidentiality Counseling Country County Criminal Justice Daily Data Data Set Depth Desire for food Development District of Columbia Drug Courts Drug abuse Drug usage E-learning Educational Curriculum Educational workshop Enrollment Epidemiology Focus Groups Funding General Population Guam HIV Health Heart Hepatitis Hepatitis C Hepatitis C virus Hour Human immunodeficiency virus test Individual Institutes Justice Knowledge Law Enforcement Lawyers Learning Left Legal Length Life Marketing Measures Methamphetamine Methods Minority Groups Mission New York Northern Mariana Islands Numbers Occupational Occupations Online Systems Operative Surgical Procedures Outcome Pamphlets Participant Pattern Persons Pharmaceutical Preparations Pharmacology Phase Population Pre-Post Tests Prevention intervention Problem Solving Process Provider Psychotic Disorders Public Health Puerto Rico Questionnaires Randomized Range Rate Recording of previous events Reporting Research Research Institute Resources Role Science Services Sex Behavior Sexual Arousal Sleep Small Business Funding Mechanisms Small Business Innovation Research Grant Social Sciences Speed Substance Abuse, Other Substance abuse problem Supervision Surveys Target Populations Testing Time Training Training Programs Traumatic Brain Injury United States Universities Update Upper arm Visit Weight Withdrawal Woman Work Writing adjudicate aged alcohol and other drug alertness base computerized cost court court personnel day design drug addict experience follow-up innovation male member novel strategies offender parole payment probation programs prototype size skills social symposium transmission process treatment program trend usability young adult

项目摘要

DESCRIPTION (provided by applicant): This application addresses a pressing public health need through the development of a self-directed, highly interactive, tailored online computer assisted instruction (CAI) course addressing methamphetamine abuse and its treatment for drug court personnel. Of the US population aged 12 and over, more than 12 million people, or 5.2 %, have reported using methamphetamine in their lifetime. The National Survey on Drug Use and Health (NSDUH, formerly NHSDA) measured an increase in lifetime use from just under 2% in 1994 of the general population to more than 5% by 2002 (Hunt, Kuck and Truitt, 2006). Fifty-eight percent of county law enforcement agencies surveyed in 2005 reported that methamphetamine was the number one drug problem in their area (Hunt, 2006). In many states methamphetamine is the fastest growing drug of choice among those entering drug court (National Association of Drug Court Professionals (NADCP), June 2007 National Conference Brochure). For drug court professionals, methamphetamine represents a unique and daunting challenge requiring innovative new approaches and partnerships. For problem-solving judges and attorneys, a case is a problem to be solved, not just a matter to be adjudicated. Instead of seeing cases as isolated incidents, they look for patterns to change individuals' lives and reform communities (Berman and Feinblatt, 2005). Drug Court teams are composed of both criminal justice and treatment practitioners who work together to problem-solve and adjudicate the treatment process for participants. There is a pressing need for drug court staff and treatment professionals to become aware of the problem of methamphetamine abuse and its unique characteristics. This application proposes the development of an online CAI course to provide information on the pharmacology of methamphetamine, methods of use, epidemiology and current trends of use, and effective treatment strategies. It will be self-directed, allowing individuals to proceed at their own pace. It will be highly interactive, with prompts, questions and case studies implemented with audio and video as well as interactive graphics. The course will be tailored allowing for two major branches: 1) Court staff including judges, coordinators, defense counsels, prosecutors, and community supervision staff (probation, parole, law enforcement, etc.), and 2) drug treatment staff. Therefore, by identifying their specific job function participants will select the version that matches their individual occupational needs. PUBLIC HEALTH RELEVANCE: Of the US population aged 12 and over, more than 12 million people, or 5.2 %, have reported using methamphetamine in their lifetime. The National Survey on Drug Use and Health (NSDUH, formerly NHSDA) measured an increase in lifetime use from just under 2% in 1994 of the general population to more than 5% by 2002 (Hunt, Kuck and Truitt, 2006). The proportion of treatment admissions for meth grew from under 1% (1992) to over 6% (2003) according to the Treatment Episode Data Set (TEDS). The number of emergency room visits for meth increased from under 16,000 (1995) to 17,696 (2002) according to the Drug Abuse Warning Network (DAWN). Fifty-eight percent of county law enforcement agencies surveyed in 2005 reported that methamphetamine was the number one drug problem in their area (Hunt, 2006). In many states methamphetamine is the fastest growing drug of choice among those entering drug court (National Association of Drug Court Professionals (NADCP), June 2007 National Conference Brochure). Individuals using methamphetamine over the long term can experience heart damage, transient explosive aggression, psychosis, brain damage and increased transmission of HIV and hepatitis based on their drug use and/or sexual behaviors. The particular qualities of the methamphetamine high - increased energy, alertness, sexual arousal, endurance, stamina and reduced appetite and need for sleep, along with severe withdrawal - drive the lengths and depths methamphetamine users will go to recreate the high. Therefore, there is a great need for anyone providing drug treatment, social and legal services to have a comprehensive knowledge of methamphetamine and population-specific data to effectively devise treatment approaches. Targeted methamphetamine strategies, tailored and grounded in research findings, increase the possibility of effective and meaningful outcomes for methamphetamine users. There is a pressing need for drug court staff and treatment professionals to become aware of the problem of methamphetamine abuse and its unique characteristics.

描述（由申请人提供）：本申请通过开发自我指导、高度互动、量身定制的在线计算机辅助教学 (CAI) 课程来解决紧迫的公共卫生需求，解决甲基苯丙胺滥用及其对毒品法庭工作人员的治疗问题。在 12 岁及以上的美国人口中，超过 1200 万人（即 5.2%）报告称在其一生中使用过甲基苯丙胺。国家药物使用与健康调查（NSDUH，前身为 NHSDA）测算，总人口的终生使用率从 1994 年的略低于 2% 增加到 2002 年的 5% 以上（Hunt、Kuck 和 Truitt，2006 年）。 2005 年接受调查的县执法机构中有 58% 表示，甲基苯丙胺是其所在地区的头号毒品问题（Hunt，2006 年）。在许多州，甲基苯丙胺是进入毒品法庭的人中增长最快的首选毒品（全国毒品法庭专业人员协会 (NADCP)，2007 年 6 月全国会议手册）。对于毒品法庭的专业人士来说，甲基苯丙胺代表着一个独特而艰巨的挑战，需要创新的新方法和伙伴关系。对于解决问题的法官和律师来说，案件是一个需要解决的问题，而不仅仅是一个需要裁决的问题。他们没有将案例视为孤立事件，而是寻找改变个人生活和改革社区的模式（Berman 和 Feinblatt，2005）。毒品法庭团队由刑事司法和治疗从业人员组成，他们共同解决问题并裁决参与者的治疗过程。毒品法庭工作人员和治疗专业人员迫切需要了解甲基苯丙胺滥用问题及其独特特征。本申请建议开发在线 CAI 课程，以提供有关甲基苯丙胺的药理学、使用方法、流行病学和当前使用趋势以及有效治疗策略的信息。它将是自我导向的，允许个人按照自己的步调前进。它将具有高度互动性，通过音频和视频以及交互式图形来实现提示、问题和案例研究。该课程将针对两个主要部门进行定制：1）法院工作人员，包括法官、协调员、辩护律师、检察官和社区监督人员（缓刑、假释、执法等），以及 2）戒毒治疗人员。因此，通过确定其特定的工作职能，参与者将选择符合其个人职业需求的版本。公共卫生相关性：在 12 岁及以上的美国人口中，超过 1200 万人（即 5.2%）报告称在其一生中使用过甲基苯丙胺。国家药物使用与健康调查（NSDUH，前身为 NHSDA）测算，总人口的终生使用率从 1994 年的不到 2% 增加到 2002 年的 5% 以上（Hunt、Kuck 和 Truitt，2006 年）。根据治疗事件数据集 (TEDS)，因冰毒入院治疗的比例从不到 1% (1992 年) 增加到超过 6% (2003 年)。根据药物滥用警告网络 (DAWN) 的数据，因冰毒而前往急诊室就诊的人数从不到 16,000 人次（1995 年）增加到 17,696 人次（2002 年）。 2005 年接受调查的县执法机构中有 58% 表示，甲基苯丙胺是其所在地区的头号毒品问题（Hunt，2006 年）。在许多州，甲基苯丙胺是进入毒品法庭的人中增长最快的首选毒品（全国毒品法庭专业人员协会 (NADCP)，2007 年 6 月全国会议手册）。长期使用甲基苯丙胺的个人可能会因吸毒和/或性行为而遭受心脏损伤、短暂的爆炸性攻击、精神病、脑损伤以及艾滋病毒和肝炎的传播增加。甲基苯丙胺的特殊品质——增加能量、警觉性、性唤起、耐力、耐力、食欲和睡眠需求减少，以及严重的戒断——促使甲基苯丙胺使用者重新获得兴奋的长度和深度。因此，任何提供戒毒治疗、社会和法律服务的人都非常需要全面了解甲基苯丙胺和特定人群的数据，以便有效地制定治疗方法。根据研究结果量身定制的有针对性的甲基苯丙胺策略，可以增加甲基苯丙胺使用者获得有效和有意义结果的可能性。毒品法庭工作人员和治疗专业人员迫切需要了解甲基苯丙胺滥用问题及其独特特征。