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: 7898558
• 负责人: Richard J. Gelles
• 金额: $ 53.47万
• 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 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7898558
• 关键词: Address; Advocacy; Alcohols; Case Management; Client; Clinical; Clinical Data; Communities; Community Integration; County; Crime; Data; Disease; Drug Metabolic Detoxication; Drug abuse; Effectiveness; Effectiveness of Interventions; Evidence based practice; Family; Freedom; Friends; Goals; Growth; Habits; Health Personnel; Healthcare; Homelessness; Hospitals; Housing; Imprisonment; Individual; Intervention; Interview; Jail; Left; Life; Link; Mediating; Medical; Mental disorders; Outcome; Patients; Phase; Population; Prisoner; Prisons; Problem Solving; Process; Psychiatric Hospitals; Randomized; Recovery; Rehabilitation therapy; Relapse; Reporting; Research; Research Personnel; Resources; Role; Services; Shelter facility; Social Problems; Staging; State Hospitals; Stress; Substance Use Disorder; Substance abuse problem; Supervision; System; Testing; Therapeutic; Time; Transportation; Veterans; Veterans Hospitals; Visit; Woman; Work; base; behavioral health; community living; community reentry; cost effectiveness; evidence base; improved; intervention program; men; parole; programs; recidivism; skills; success

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）：估计每年从监狱中释放出100,000名精神疾病的人。这些人经常患有同时发生的药物滥用障碍。他们进入了极端的生活转变，那里很少有（如果有的话）为前囚犯提供康复资源，更不用说患有精神疾病的人或其家人了。在这种压力下所做的事情，与这些人所做的事情可以使新生活之间有所不同。回归促成旧生活的条件。我们提出了关键时间干预（CTI）的随机现场试验。 CTI是九个月的，分阶段的干预措施，对精神限制的案件管理，以支持从机构环境到社区生活的过渡。它为患有精神疾病的个体留下无家可归收容所的人以及在这些环境中的成本效益的证据基础。它已被复制给离开国家精神病医院和退伍军人事务医疗系统的个人。避难所中无家可归妇女对无家可归妇女的有效性的证明为CTI赢得了总统新自由委员会报告中基于证据的做法。 CTI从未对离开监狱或监狱的人们进行过测试。 CTI对监狱的重新进入计划进行了测试，预计将在减少累犯和增加该人群社区融合的机会方面更有效。因为许多人患有药物使用障碍，所以我们提出了一种服务集成支持策略，以解决滥用药物滥用障碍。至少有352名男子离开监狱前往新泽西州卡姆登县，将被随机分配，一半以接受CTI，一半接受重新进入计划干预措施。干预措施的实施和有效性将在发布后的1、3、6、9和18个月的访谈中评估，收集临床数据以及有关治疗参与和社区整合的数据。我们将测试从社区联系中增长在资源中的中介作用。

项目成果

Examining Criminogenic Risk Levels Among People with Mental Illness Incarcerated in US Jails and Prisons.

• DOI: 10.1007/s11414-020-09737-x
• 发表时间: 2020-11-05
• 期刊: JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH
• 影响因子: 1.9
• 作者: Wilson, Amy Blank;Ishler, Karen J.;Morgan, Robert;Phillips, Jonathan;Draine, Jeff;Farkas, Kathleen J.
• 通讯作者: Farkas, Kathleen J.