A two-state comparative implementation of peer-support intervention to link veterans to health-related services after incarceration: a study protocol.
A two-state comparative implementation of peer-support intervention to link veterans to health-related services after incarceration: a study protocol.
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DOI：
10.1186/s12913-017-2572-x
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发表时间：
2017-09-12
影响因子：
2.8
通讯作者：
McInnes DK
中科院分区：
文献类型：
--
作者：
Simmons MM;Fincke BG;Drainoni ML;Kim B;Byrne T;Smelson D;Casey K;Ellison ML;Visher C;Blue-Howells J;McInnes DK
美国每年约有 60 万人从监狱释放。相对较少的人获得足够的重返社会服务，并面临失业、无家可归、贫困、药物滥用复发和累犯的风险。患有精神疾病和/或药物滥用障碍的出狱人员尤其面临挑战。该项目旨在创建一个同伴导师计划，以扩大退伍军人事务部 (VA) 提供的重返服务的范围和有效性。我们将依次在两个州为重返社会的退伍军人实施同伴支持。我们的结果衡量标准是 1) 干预的忠诚度，2) 与 VA 医疗保健的联系，3) 持续参与医疗保健。该项目的目标如下：（1）进行情境分析，以确定退伍军人事务部和社区重返资源，并描述重返退伍军人如何使用它们。 (2) 在一个州实施同伴支持，将重返社会的退伍军人与退伍军人健康管理局 (VHA) 的初级保健、心理健康和 SUD 服务联系起来。 (3) 将同伴支持干预转移到另一个地理位置和背景不同的国家。该干预措施涉及使用便利实施策略的两个州顺序实施研究（马萨诸塞州，其次是宾夕法尼亚州）。我们将进行形成性和总结性分析，包括保真度评估和匹配对照组，以评估退伍军人联系和参与 VHA 医疗保健（使用医疗保健利用措施）的干预结果。该研究分三个阶段进行。我们预计，同伴支持计划将有效改善退伍军人的重返社会过程，特别是将他们与健康、心理健康和 SUD 服务联系起来，并帮助他们继续参与这些服务。它将通过为退伍军人提供接触值得信赖的个人的机会来填补这一空白，该个人了解他们作为退伍军人的经历并且经历过司法介入。该项目的成果，包括培训材料、同行指南和实施策略，可以由希望加强为出狱退伍军人（或其他人群）提供服务的其他州和地区进行调整。计划进行更大规模的整群随机实施有效性研究。该方案于 2016 年 11 月 4 日在 ClinicalTrials.gov 注册，编号为 NCT02964897。本文的在线版本 (10.1186/s12913-017-2572-x) 包含补充材料，可供授权用户使用。
Approximately 600,000 persons are released from prison annually in the United States. Relatively few receive sufficient re-entry services and are at risk for unemployment, homelessness, poverty, substance abuse relapse and recidivism. Persons leaving prison who have a mental illness and/or a substance use disorder are particularly challenged. This project aims to create a peer mentor program to extend the reach and effectiveness of reentry services provided by the Department of Veterans’ Affairs (VA). We will implement a peer support for reentry veterans sequentially in two states. Our outcome measures are 1) fidelity of the intervention, 2) linkage to VA health care and, 3) continued engagement in health care. The aims for this project are as follows: (1) Conduct contextual analysis to identify VA and community reentry resources, and describe how reentry veterans use them. (2) Implement peer-support, in one state, to link reentry veterans to Veterans’ Health Administration (VHA) primary care, mental health, and SUD services. (3) Port the peer-support intervention to another, geographically, and contextually different state. This intervention involves a 2-state sequential implementation study (Massachusetts, followed by Pennsylvania) using a Facilitation Implementation strategy. We will conduct formative and summative analyses, including assessment of fidelity, and a matched comparison group to evaluate the intervention’s outcomes of veteran linkage and engagement in VHA health care (using health care utilization measures). The study proceeds in 3 phases. We anticipate that a peer support program will be effective at improving the reentry process for veterans, particularly in linking them to health, mental health, and SUD services and helping them to stay engaged in those services. It will fill a gap by providing veterans with access to a trusted individual, who understands their experience as a veteran and who has experienced justice involvement. The outputs from this project, including training materials, peer guidebooks, and implementation strategies can be adapted by other states and regions that wish to enhance services for veterans (or other populations) leaving incarceration. A larger cluster-randomized implementation-effectiveness study is planned. This protocol is registered with clinicaltrials.gov on November 4, 2016 and was assigned the number NCT02964897. The online version of this article (10.1186/s12913-017-2572-x) contains supplementary material, which is available to authorized users.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
9.7
作者：
Fihn, Stephan D.;Francis, Joseph;Graham, Gail L.
通讯作者：
Graham, Gail L.
影响因子：
3.8
作者：
Chinman, Matthew;George, Preethy;Delphin-Rittmon, Miriam E.
通讯作者：
Delphin-Rittmon, Miriam E.
影响因子：
4.5
作者：
Bagnall AM;South J;Hulme C;Woodall J;Vinall-Collier K;Raine G;Kinsella K;Dixey R;Harris L;Wright NM
通讯作者：
Wright NM
影响因子：
1.7
作者：
Guest, Greg;Bunce, Arwen;Johnson, Laura
通讯作者：
Johnson, Laura