Recovery Management Checkups for Women Offenders (RMC-WO) Experiment

女性罪犯康复管理检查（RMC-WO）实验

• 批准号: 7652352
• 负责人: Christy K Scott
• 金额: $ 99.15万
• 依托单位: CHESTNUT HEALTH SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7652352
• 关键词: AIDS prevention; Accounting; Admission activity; Alcohol or Other Drugs use; Chronic; Communities; Continuity of Patient Care; Contracts; Counseling; Criminal Justice; Development; Education; Effectiveness; Employment; Face; Feedback; General Population; HIV; Health Services Research; Housing; Human immunodeficiency virus test; Imprisonment; Interpersonal Violence; Intervention; Jail; Laws; Link; Longevity; Modeling; Monitor; Morbidity - disease rate; National Institute of Drug Abuse; Nature; One-Step dentin bonding system; Outcome; Pharmaceutical Preparations; Population; Population Study; Prisons; Process; Public Health; Quality of life; Randomized; Recovery; Recruitment Activity; Relapse; Reporting; Research; Research Personnel; Risk Behaviors; Site; Societies; Subgroup; Substance Use Disorder; Substance abuse problem; Symptoms; System; Techniques; Testing; Therapeutic; Time; Treatment outcome; Violence; Vulnerable Populations; War; Woman; Women' s Group; addiction; base; care episode; checkup examination; community based treatment; design; effective intervention; high risk; high risk behavior; improved; improved functioning; meetings; men; motivational enhancement therapy; offender; perpetrators; prevent; psychosocial; public health priorities; research study; social; treatment program

DESCRIPTION (provided by applicant): Women offenders released from jail are a growing and vulnerable population who are at high risk of relapsing to substance use, recidivating to the criminal justice system, contracting or spreading HIV, and becoming involved in violence as observers, victims, and/or perpetrators. While this is the largest group of women offenders re-entering the community, it is a relatively under studied population and represents a critical point in time for changing the course of the chronic and cyclical nature of their condition. The proposed study is designed to test the effectiveness of recovery management checkups for women offenders (RMC-WO) released from jail to provide continuity of care immediately upon release and to help them manage their long-term recovery. The components of the checkup will include: on-going monitoring via a re-entry meeting and quarterly assessments for 3 years, personalized feedback on substance use and high risk behaviors, linkage to community-based substance abuse treatment (when needed), on-site HIV booster sessions (when needed), and treatment engagement and retention support. Motivational interviewing will provide the therapeutic approach to transition women from one step of the change process to another. Combined, these components and therapeutic milieu afford an opportunity for immediate linkage to community-based treatment and HIV prevention as well as ongoing monitoring for relapse and early re-intervention for both substance use and HIV risk behaviors (both public health priorities). The research team will recruit 425 women offenders with substance use problems from sequential admissions to a jail-based substance abuse treatment program. While in jail, all women will receive a baseline assessment, substance abuse treatment, HIV testing, counseling and education, and prior to release referrals to community-based treatment. Following the baseline assessment, approximately half of the women will be randomly assigned to the Recovery Management Checkups-Women Offenders (RMCWO) condition and the other half to a control condition. All women will complete 12 quarterly assessments over 3 years (5525 total observations). All RMC-WO interventions will occur post release and provide the vehicle for immediate and ongoing monitoring of substance use and HIV risk behaviors, early re-intervention, access and retention in community-based treatment. The specific aims of this experiment are to examine the impact of: 1) RMC-WO on accessing and staying in community-based treatment during the first 90 days after release from jail and over the course of 3 years; 2) RMC-WO and substance abuse treatment on substance use and HIV risk behaviors over 3 years; and 3) RMC-WO, substance abuse treatment, and reductions in substance use and HIV risk behaviors on psychiatric co-morbidity, interpersonal violence, illegal activity, and arrest and re-incarceration over 3 years.

描述（由申请人提供）：从监狱释放的妇女罪犯是一个越来越脆弱的人口，他们有很高的风险转移到药物使用，累积到刑事司法系统，收缩或传播艾滋病毒，并涉及观察员，受害者和/或犯罪者的暴力。尽管这是重新进入社区的最大妇女罪犯，但它是一个相对研究的人口，这是改变其状况的慢性和周期性过程的关键时间点。拟议的研究旨在测试从监狱释放的女性罪犯（RMC-WO）恢复管理检查的有效性，以立即在释放后立即提供连续的护理，并帮助他们管理长期康复。检查的组成部分将包括：通过重新进入会议和季度评估进行3年的持续监控，有关药物使用和高风险行为的个性化反馈，与社区滥用疗法治疗的链接（需要），现场HIV助推器助推器会议（需要）以及治疗和保留订婚和保留支持。动机访谈将为从变化过程的一个步骤到另一个步骤提供过渡女性的治疗方法。这些组件和治疗环境合并为与社区治疗和预防艾滋病毒的治疗以及正在进行的监测，以便对物质使用和艾滋病毒风险行为（均为公共卫生优先事项）立即联系起来。研究小组将招募425名具有药物使用问题的女性罪犯，从连续入院到基于监狱的药物滥用治疗计划。在监狱期间，所有妇女都将获得基线评估，药物滥用治疗，艾滋病毒测试，咨询和教育，并在释放基于社区的治疗前。在基线评估之后，大约一半的妇女将被随机分配到恢复管理检查人员（RMCWO）状态，而另一半则为控制条件。所有妇女将在3年内完成12次季度评估（5525个总观测值）。所有RMC-WO干预措施都将在发布后进行，并提供对物质使用和HIV风险行为的立即和持续监测的工具，早期重新干预，基于社区治疗的访问和保留率。该实验的具体目的是检查以下原因的影响：1）RMC-WO在从监狱中释放后的前90天，在3年的时间内访问和留住基于社区的治疗； 2）RMC-WO和药物滥用治疗在3年内对药物使用和HIV风险行为的治疗； 3）RMC-WO，药物滥用治疗以及对精神病的合并症，人际暴力，非法活动以及逮捕和重新监禁的药物使用和艾滋病毒风险行为的减少。