CJ-PRISM: Understanding the Impact of Criminolegal System Involvement on a Peer-Delivered Intervention to Improve Retention and Polysubstance Use

CJ-PRISM：了解刑事法律系统的参与对同行提供的干预措施的影响，以改善保留和多物质使用

• 批准号: 10841123
• 负责人: Sarah M. Kattakuzhy
• 金额: $ 14.56万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10841123
• 关键词: Acute; Address; Adherence; Affect; Award; Behavioral; Buprenorphine; Cessation of life; Communities; County; Data; Disease; Ensure; Equity; Focus Groups; Geographic Locations; Goals; Health; Healthcare; Imprisonment; Individual; Infrastructure; Intervention; Interview; Jail; Knowledge; Legal system; Life; Maryland; Measures; Opioid; Outcome; Outcome Study; Overdose; Parents; Participant; Patients; Persons; Pharmaceutical Preparations; Prisons; Research; Resources; Role; Rural; Services; Site; Specialist; Structure; Substance Use Disorder; System; Telemedicine; Therapeutic; Treatment outcome; Vulnerable Populations; Work; acceptability and feasibility; addiction; behavioral health; cohort; critical period; detention center; high risk; improved; interest; member; opioid overdose; opioid use disorder; overdose death; overdose risk; parent grant; patient population; peer; peer recovery; polysubstance use; primary outcome; programs; rural area; stakeholder perspectives; treatment adherence; treatment program

Project Summary Incarcerated individuals with opioid use disorder (OUD) are at disproportionately high risk of death from overdose upon community release—a key window of opportunity for interventions aiming to engage and retain individuals in life-saving OUD treatment. Our parent grant (PRISM) is evaluating a peer recovery specialist-delivered behavioral activation intervention to address polysubstance use as a primary barrier to OUD treatment retention. The overall goal of this supplement is to understand how the peer role may support linkage from jail to the MTU and how criminal and legal system involvement (CLI) may affect the parent study outcomes. Our specific aims are: (SA1) to understand perspectives of recently incarcerated individuals on (i) the impact of CLI on polysubstance use and OUD treatment retention; and (ii) considerations for adaptation of the PRISM peer-delivered intervention to meet the needs of people with CLI; (SA2) to obtain key stakeholder perspectives on how to strengthen the linkage between discharge from jail and the MTU, and how a peer (and the PRISM intervention) could best support that linkage; and in an exploratory aim (SA3), to characterize and evaluate the impact of criminolegal system involvement on polysubstance use and treatment adherence and retention. By gathering patient and key stakeholder input, we will understand how PRISM may be adapted to be delivered during the critical period of jail discharge and re-entry into the community. Further, this study will inform on the impact of CLI on the parent award primary outcomes of polysubstance use and OUD treatment adherence and retention.

项目概要 患有阿片类药物使用障碍 (OUD) 的被监禁者死亡风险极高 社区释放后避免服药过量——这是干预措施的一个关键机会之窗，旨在 吸引并保留个人参与挽救生命的 OUD 治疗。我们的家长补助金 (PRISM) 正在评估一项 同伴恢复专家提供行为激活干预，以解决多物质使用问题 保留 OUD 治疗的主要障碍 本补充材料的总体目标是了解如何做到这一点。 同伴角色可能支持从监狱到 MTU 的联系以及刑事和法律系统如何参与 (CLI) 可能会影响家长的研究结果。我们的具体目标是： (SA1) 了解观点。 最近被监禁的个人对 (i) CLI 对多物质使用和 OUD 治疗的影响 保留；以及 (ii) 考虑调整 PRISM 同行提供的干预措施以满足 CLI 患者的需求；(SA2) 获取关键利益相关者对如何加强 出狱与 MTU 之间的联系，以及同伴（以及 PRISM 干预）如何能够 最好地支持这种联系；并以探索性目标（SA3）来描述和评估影响 刑事法律系统对多种物质的使用和治疗依从性和保留的参与。 收集患者和关键利益相关者的意见，我们将了解 PRISM 如何适应 进一步，本研究是在出狱和重返社会的关键时期进行的。 将告知 CLI 对家长奖励多物质使用和 OUD 主要结果的影响 治疗依从性和保留率。