Implementing Treatment Initiatives for Criminal Justice Clients

为刑事司法客户实施治疗举措

• 批准号: 7519749
• 负责人: TIMOTHY W KINLOCK
• 金额: $ 48.8万
• 依托单位: FRIENDS RESEARCH INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7519749
• 关键词: AIDS prevention; Adopted; Adoption; Area; Behavior; Caring; Client; Communities; Continuity of Patient Care; Criminal Justice; Drug abuse; Equipment and supply inventories; Evidence based practice; Evidence based treatment; Institution; Intervention; Maintenance; Methadone; Pharmaceutical Preparations; Public Health; Relapse; Research; Resources; Risk; Risk-Taking; Safety; Services; System; Work; clinical practice; community based treatment; community reentry; community setting; criminal thinking; design; detention center; interest; methadone maintenance; offender; public health relevance; treatment organization; treatment strategy

DESCRIPTION (provided by applicant): With greater availability of evidence-based practices in the drug abuse field, specifically, for offender clients, it is crucial that we develop strategies that allow for the adoption, implementation and sustaining of aids to effective clinical practice. The task of establishing new, research driven initiatives requires accommodation by the host organization to permit support for the continuing use of those initiatives with appropriate levels of fidelity. With offender clients, the use of a continuum of care becomes particularly critical in as much as treatment initiatives begun in institutional settings need to be built upon and continued through the period of community reentry, making use of community-based treatment or other community resources. The effective implementation of treatment involving a continuum of care then requires work with two organizational systems - criminal justice and drug treatment - with both complementary and differing interests and concerns. We have set out an implementation strategy designed to allow these two systems to coordinate their efforts and support the adoption and maintenance of the three continuum of care initiatives described: (1) the use of Project RESPECT to initiate HIV prevention efforts in the institution, and continue that intervention into the community as offender clients are thrust into situations capable of triggering risk-taking behaviors; (2)within the institutional setting we propose to administer the Level of Service Inventory to determine areas of risk and of offender need, and the Criminal Thinking Scales to permit assignment of offender clients to appropriate levels of care as they reenter the community; (3) a treatment intervention involving the administration of methadone through the comparison of Interim Methadone Maintenance as compared to regular methadone maintenance initiated in detention centers in order to enable a transition to the community. PUBLIC HEALTH RELEVANCE: It is critical that we work with criminal justice and treatment organizations to enable them to adopt, implement into organizational settings, and sustain evidence-based treatment strategies that permit a continuum of care from criminal justice to community settings. The proposed initiatives may reduce adverse public health and public safety consequences of relapse as well as increase organizational functioning for both drug treatment and criminal justice agencies.

描述（由申请人提供）：在药物滥用领域，特别是罪犯客户的基于证据的实践，我们至关重要的是，我们制定允许采用，实施和维持辅助工具以进行有效临床实践的策略。建立新的，研究驱动的计划的任务需要主持人组织的适应性，以允许以适当水平的忠诚度继续使用这些计划。对于犯罪者的客户，使用持续护理的使用在机构环境中开始的治疗计划在社区重新进入时期，使用基于社区的治疗或其他社区资源的期限尤为重要。然后，有效实施涉及连续护理的治疗需要与两个组织系统（刑事司法和毒品待遇）一起工作，并具有互补的和不同的利益和关注点。我们已经制定了一种实施策略，旨在允许这两个系统协调他们的努力，并支持所描述的三个连续护理计划的采用和维护：（1）使用项目尊重来在机构中启动艾滋病毒预防努力，并继续对社区进行干预，因为罪犯的客户是能够触发冒险行为的罪犯客户； （2）在机构环境中，我们建议管理服务清单的水平，以确定风险和罪犯需求的领域以及犯罪思维量表，以使罪犯客户在社区重新进入社区时将其分配给适当的护理； （3）与在拘留中心启动的常规美沙酮维持相比，通过比较美沙酮维持的治疗干预措施，以使其能够过渡到社区。公共卫生相关性：至关重要的是，我们与刑事司法和治疗组织合作，使他们能够采用，实施组织环境，并维持循证待遇策略，以允许从刑事司法到社区环境的连续护理。拟议的举措可能会减少不利的公共卫生和公共安全后果，并增加毒品治疗和刑事司法机构的组织功能。