PTSD and Addiction Disorder Screening and Treatment for Incarcerated Men

被监禁男性的创伤后应激障碍 (PTSD) 和成瘾障碍筛查和治疗

基本信息

批准号：
8535198
负责人：
Nancy Wolff
金额：
$ 62.72万
依托单位：
RUTGERS, THE STATE UNIV OF N.J.
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-02 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8535198
关键词：
Address Administrator Adult Alcohol consumption Alcohol or Other Drugs use Attention Behavioral Cognitive Computer software Computers Development Diffuse Disease Drops Drug usage Effectiveness Evidence based intervention Focus Groups Freedom Goals Health Health Personnel Housing Imprisonment Individual Institute of Medicine (U.S.)Intervention Interview Lead Left Life Mental Health Mental disorders Methods Modality Modeling National Institute of Mental Health New Jersey Outcome Phase Population Post-Traumatic Stress Disorders Prisons Public Health Randomized Randomized Controlled Trials Recovery Reporting Research Support Risk Factors Safety Screening procedure Security Services Sexual abuse Staging Strategic Planning Substance Use Disorder Surgeon Testing Time Trauma Trauma recovery Veterans Work addiction aged arm base behavioral health care systems compare effectiveness computerized cost effective effective intervention emotional abuse empowerment evidence base experience group intervention improved informant male medical schools men mindfulness mindfulness meditation phase 1 study physical abuse population based preference provider intervention screening skills trauma care treatment as usual

项目摘要

DESCRIPTION (provided by applicant): At least one-fifth of men inside state prisons have mental health problems, over half have experienced physical, sexual, or emotional abuse (referred to as "interpersonal trauma") during their formative years and often in adulthood, and the majority has alcohol or drug use problems. Interpersonal trauma is highly correlated with health and behavioral health problems and criminality. Few male inmates receive treatment for behavioral health disorders related to interpersonal trauma while incarcerated even though these problems are risk factors for returning to prison after release. While the Surgeon General's Report and the President's New Freedom Commission Report highlighted the importance of trauma-informed services and systems of care, trauma- related behavioral health problems among incarcerated men have received little attention. This application addresses both screening for and treatment of Post-Traumatic Stress Disorder (PTSD) and substance use disorders (SUD) within an adult male correctional setting. The proposed study will be conducted at an adult medium security prison in New Jersey that houses ~1900 male inmates primarily aged 18 to 25. We propose a two-phase study that: (1) tests the reliability (test-retest) of computer-administered screening for PTSD and SUD compared to clinician-administered screening (goal: to develop a cost-effective population- based screening procedure for PTSD and SUD within incarcerated settings) and (2) conduct a randomized controlled trial (RCT) in which 240 male inmates are assigned to two evidence-based, manualized first stage trauma interventions (Seeking Safety (SS) and Trauma Recovery and Empowerment Model version for men with substance use problems (M-TREM) (goal: to identify effective interventions for PTSD and SUD among incarcerated men). The RCT will be enhanced in two ways: (1) those who decline treatment participation will be shown a 10-minute educational video on PTSD and SUD and after viewing the video invited a second time to participate in the RCT and (2) determined by random assignment, two-thirds of participating subjects (n=160) will be randomly assigned to treatment and the other one-third (n=80) will choose treatment based on their preference for one intervention over the other. We will be testing overall effectiveness of screening and treatment interventions and the marginal impact of educational-enhancement and preferences on outcomes.

描述（由申请人提供）：州立监狱内至少五分之一的男性有心理健康问题，超过一半的人在成长时期和成年后经历过身体、性或情感虐待（称为“人际创伤”），并且大多数人有酗酒或吸毒问题。人际创伤与健康和行为健康问题以及犯罪行为高度相关。很少有男性囚犯在监禁期间接受与人际创伤相关的行为健康障碍的治疗，尽管这些问题是释放后返回监狱的危险因素。虽然外科医生的报告和总统的新自由委员会报告强调了创伤知情服务和护理系统的重要性，但被监禁男子中与创伤相关的行为健康问题却很少受到关注。该应用程序致力于在成年男性惩教环境中筛查和治疗创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD)。拟议的研究将在新泽西州的一所成人中等安全监狱进行，该监狱关押着约 1900 名年龄在 18 至 25 岁之间的男性囚犯。我们提出了一项两阶段的研究：(1) 测试计算机的可靠性（重测）与临床医生进行的筛查相比，对 PTSD 和 SUD 进行筛查（目标：在监禁环境中开发一种经济高效、基于人群的 PTSD 和 SUD 筛查程序），并且 (2) 进行随机对照试验 (RCT)，其中 240 名男性囚犯被分配接受两项基于证据的手动第一阶段创伤干预措施（寻求安全 (SS) 和针对有物质使用问题的男性的创伤恢复和赋权模型版本 (M-TREM)（目标：确定针对被监禁男性的 PTSD 和 SUD 的有效干预措施） RCT 将以两种方式得到加强：(1) 将为那些拒绝参与治疗的人播放 10 分钟的关于 PTSD 和 SUD 的教育视频。 SUD 并在观看视频后第二次邀请参加 RCT，并且 (2) 通过随机分配确定，三分之二的参与受试者 (n=160) 将被随机分配接受治疗，另外三分之一 (n= 80）将根据他们对一种干预措施相对于另一种干预措施的偏好来选择治疗。我们将测试筛查和治疗干预措施的整体有效性以及教育加强和偏好对结果的边际影响。