Improving retention across the OUD service cascade upon reentry from jail using Recovery Management Checkups-Adaptive (RMC-A) experiment.
Improving retention across the OUD service cascade upon reentry from jail using Recovery Management Checkups-Adaptive (RMC-A) experiment.
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DOI：
10.1016/j.jsat.2020.108245
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发表时间：
2021-09
影响因子：
3.9
通讯作者：
Watson DP
中科院分区：
文献类型：
--
作者：
Scott CK;Dennis ML;Grella CE;Watson DP
需要制定战略，将患有阿片类药物使用障碍（OUD）的被监禁者与释放后的社区药物治疗（MOUD）联系起来，并为他们的持续康复提供支持。RMC-A实验将测试基于证据的恢复管理检查（RMC）的改编版本，该版本提供治疗联系，支持保留和重新联系，如季度检查所示。将从伊利诺伊州的5个县监狱招募总共750名男性和女性个体，并在从监狱释放时随机分配到3组中的1组：a）监测和治疗转诊（MTR），B）季度RMC（RMC-Q），或c）RMC-A，其根据个人在每次检查时评估的治疗需求调整检查的频率和强度。测量包括为期2年的季度研究随访评估，尿检和记录检查（治疗，死亡率，累犯）。该研究旨在评价：（1）RMC-Q/RMC-A对MOUD治疗启动、参与、保留和重新连接的直接影响;（2）RMC-A/RMC-A对MOUD治疗启动、参与、保留和重新连接的间接影响。（通过数月的MOUD）关于公共卫生结果的报告（阿片类药物使用天数、OUD症状、生活质量、医疗保健使用费用）;（3）RMC-Q/RMC-A的间接效应（通过数月的MOUD和公共卫生成果）（非法活动，重新逮捕，重新监禁，犯罪成本）;（4）MTR与RMC-Q与RMC-A在公共卫生和公共安全结果方面的增量成本和成本效益。本实验将确定是否调整RMC模型提高了固定季度RMC的整体效果和成本效益。
Strategies are needed to link incarcerated individuals with opioid use disorders (OUD) to community-based treatment with medications (MOUD) upon their release, as well as to provide support for their ongoing recovery. The RMC-A experiment will test an adapted version of the evidence-based Recovery Management Checkups (RMC), which provides treatment linkage, support for retention, and re-linkage as indicated at quarterly check-ups. A total of 750 male and female individuals will be recruited from 5 county jails in Illinois and randomly assigned to 1 of 3 groups at release from jail: a) Monitoring and Treatment Referral (MTR), b) quarterly RMC (RMC-Q), or c) RMC-A, which adjusts the frequency and intensity of check-ups based on the individual’s assessed need for treatment at each check-up. Measurement includes quarterly research follow-up assessments for 2 years, urine tests, and records checks (treatment, mortality, recidivism). The study aims to evaluate: (1) The direct effects of RMC-Q/RMC-A on MOUD treatment initiation, engagement, retention, and re-linkage; (2) the indirect effects of RMC-A/RMC-A (via months of MOUD) on public health outcomes (days of opioid use, OUD symptoms, quality of life, cost of health-care utilization); (3) the indirect effects of RMC-Q/RMC-A (via months of MOUD and public health outcomes) on public safety outcomes (illegal activity, re-arrest, re-incarceration, cost of crime); and (4) the incremental costs and cost-effectiveness of MTR vs. RMC-Q vs. RMC-A on public health and public safety outcomes. This experiment will determine whether the adapted RMC model improves the overall effectiveness and cost-effectiveness of the fixed quarterly RMC.
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影响因子：
1.4
作者：
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通讯作者：
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通讯作者：
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