CT Climical Justice-DATS Research Initiative

CT 临床正义-DATS 研究计划

• 批准号: 6667094
• 负责人: LINDA K FRISMAN
• 金额: $ 45.7万
• 依托单位: CONNECTICUT ST DEPT OF MH/ADDICTION SRVS
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-25 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6667094
• 关键词: behavior modification; behavioral /social science research tag; clinical research; clinical trials; combination therapy; community health services; comorbidity; cooperative study; correctional institutions; cost effectiveness; criminal behavior; drug /alcohol abstinence; drug abuse; drug abuse therapy; health care model; human subject; human therapy evaluation; outcomes research; patient oriented research; posttraumatic stress disorder; psychological tests; psychotherapy; relapse /recurrence; social support network; statistics /biometry; urinalysis

DESCRIPTION (provided by applicant): Arrest and incarceration provide motivation for drug treatment not otherwise present in the community. Yet some persons with addictive disorders do not avail themselves of treatment, or leave treatment prematurely, or do not sustain long-term benefit from treatment. Recent evidence suggests that programs and services that better integrate the treatment community with the criminal justice system are likely to yield better clinical outcomes. The Connecticut Criminal Justice Drug Abuse Treatment Service (CT CJ-DATS) Initiative will create a partnership to empirically test integrated services and treatment in Connecticut, where the judicial and correction systems are state-operated, and interagency relationships have been developing for several years. The initiative will be overseen by a state-level steering committee composed of high-level state and community agency managers, and a research team including expertise in behavioral health, economics, and criminal justice, and with experience in multi-site collaborative research. We propose two examples of studies that could be led by the CT CJ-DATS team. First, for women offenders with co-occurring trauma and drug disorders, we propose a randomized controlled trial comparing a novel group treatment approach of substance abuse and trauma treatment called TARGET, compared to substance abuse treatment alone. We hypothesize that integrated treatment for trauma and drug abuse will improve outcomes with regard to substance abuse and criminal behavior. Second, for drug dependent or drug abusing defendants referred by the court system, including probation officers, we propose to test a model treatment called Network Support, which would emphasize the development of a positive social support network. Four conditions will be compared: (1) substance abuse treatment alone; (2) substance abuse treatment with contingency management; (3) substance abuse treatment with network support; and (4) substance abuse treatment with network support and contingency management. We hypothesize that using both network support and contingency management will result in the best outcomes with respect to reduced drug use and continuous abstinence.

描述（由申请人提供）： 逮捕和监禁提供了社区中没有其他其他药物治疗的动机。然而，有些患有上瘾疾病的人不利于治疗，或者过早离开治疗，或者不能从治疗中维持长期利益。最近的证据表明，更好地将治疗界与刑事司法系统相结合的计划和服务可能会产生更好的临床结果。康涅狄格州刑事司法药物滥用治疗服务（CT CJ-DATS）计划将建立合作伙伴关系，以经验测试康涅狄格州的综合服务和待遇，在那里司法和校正系统是国家经营的，并且已经发展了几年的机构关系。该倡议将由由高级州和社区代理经理组成的州级指导委员会负责，以及一个研究团队，包括行为健康，经济学和刑事司法方面的专业知识，并具有多站点合作研究的经验。我们提出了两个可以由CT CJ-DATS团队领导的研究示例。首先，对于患有同时发生创伤和药物疾病的女性罪犯，我们提出了一项随机对照试验，比较了与仅药物滥用治疗相比，比较了一种新型的滥用药物滥用和创伤治疗的小组治疗方法。我们假设对创伤和药物滥用的综合治疗将改善滥用毒品和犯罪行为的结果。第二，对于法院系统提到的毒品依赖或滥用毒品，包括缓刑官员，我们建议测试一种称为网络支持的模型处理，这将强调发展积极的社会支持网络。将比较四个条件：（1）仅药物滥用治疗； （2）通过应急管理的药物滥用治疗； （3）通过网络支持的药物滥用治疗； （4）具有网络支持和应急管理的药物滥用治疗。我们假设使用网络支持和应急管理将导致毒品使用和持续禁欲的最佳结果。