Critical Time Intervention (CTI) for Men with Mental Illness Leaving Prison

针对出狱的精神疾病男性的关键时间干预 (CTI)

• 批准号: 7143256
• 负责人: Jeffrey Draine
• 金额: $ 61.96万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7143256
• 关键词: clinical research

DESCRIPTION (provided by applicant): An estimated 100,000 people with mental illness are released to communities from prison each year. These individuals frequently have co-occurring substance abuse disorders. They enter an extreme life transition where there are few, if any, rehabilitative resources for ex-prisoners, much less those with mental illness or their families. What is done by, for, and with these individuals under such stress can make the difference between a new life; and a return to the conditions that contributed to the old life. We propose a randomized field trial of the Critical Time Intervention (CTI). CTI is a nine month, phased intervention of psychiatrically supervised time-limited case management to support transition from institutional settings to community life. It has an evidence base of efficacy for individuals with mental illness leaving homeless shelters, as well as cost effectiveness in those settings. It has been replicated for individuals leaving state psychiatric hospitals and in the Veterans Affairs medical system. A demonstration of effectiveness for homeless women with mental illness in shelters earned CTI a place among evidence based practices featured in the President's New Freedom Commission report. CTI has never been tested for people leaving jail or prison. CTI, tested against an enhanced reentry planning from prison, is expected to be more effective in reducing recidivism and increasing the chances for community integration for this population. Because so many have substance use disorders, we are proposing a service integration support strategy for co-occurring substance abuse disorders. At least 352 men leaving prison for Camden County, NJ will be randomized, half to receive CTI and half to receive an enhanced reentry planning intervention. The implementation and effectiveness of the intervention will be assessed by interviews at 1, 3, 6, 9, and 18 months post release, collecting clinical data as well as data on treatment engagement and community integration. We will test the mediating role of growth in resources from community connections.

描述（由申请人提供）：估计每年有 100,000 名患有精神疾病的人从监狱释放到社区。这些人经常同时患有药物滥用障碍。他们进入了极端的生活转变，刑满释放人员几乎没有康复资源，更不用说那些患有精神疾病的人或其家人了。在这种压力下，这些人所做的事情、为这些人所做的事情以及与这些人一起所做的事情，可能会带来新生活的不同；以及回到促成旧生活的条件。我们提议对关键时间干预（CTI）进行随机现场试验。 CTI 是一项为期 9 个月、分阶段进行的精神病学监督限时病例管理干预措施，旨在支持从机构环境向社区生活的过渡。它具有对离开无家可归者收容所的精神疾病患者的功效以及这些环境中的成本效益的证据基础。对于离开州立精神病院和退伍军人事务医疗系统的个人来说，它已被复制。 CTI 对庇护所中患有精神疾病的无家可归妇女的有效性的证明使 CTI 在总统新自由委员会报告中的循证实践中占有一席之地。 CTI 从未对出狱或出狱的人进行过测试。 CTI 经过针对强化的出狱重返计划的测试，预计将更有效地减少累犯并增加该人群融入社区的机会。由于许多人患有药物滥用障碍，因此我们针对同时发生的药物滥用障碍提出了服务整合支持策略。至少 352 名离开监狱前往新泽西州卡姆登县的男子将被随机分组​​，其中一半接受 CTI，另一半接受强化重返计划干预。干预措施的实施和有效性将通过发布后 1、3、6、9 和 18 个月的访谈进行评估，收集临床数据以及治疗参与和社区融入的数据。我们将测试社区联系资源增长的中介作用。