Development of a psycho-social transition program and transition assessment tools for Veterans with mental illness and/or substance use disorders leaving prison

每年有45，000 - 50，000名退伍军人从州和联邦监狱获释。这些退伍军人遇到一个 释放后严重负面后果的数量，包括无家可归、精神病住院治疗， 失业、离婚、住院药物治疗和重新监禁。有一些限制 与有效地为这些人服务有关，主要的问题是项目数量有限 专门为退伍军人提供离开监禁，很少有评估工具来评估需求， 成功融合的障碍。为了开发新的和有针对性的治疗和评估工具， 重要的是，我们要了解那些离开监禁的人的生活经历。这项研究，在 三个阶段，将开发工具，以协助和评估退伍军人从监禁过渡的目标， 改善心理社会结果。第一阶段将是对退伍军人生活经历的定性分析 离开监禁使用身份理论和一个既定的过渡模式，概念化的过渡。 目标将是过渡的经验，VA护理的障碍和障碍， 离开监狱，以及干扰过渡的行为。据估计，大约30名退伍军人将 需要设置第2阶段将使用第1阶段的研究结果和临床医生顾问咨询理事会， 康复计划和评估工具。康复计划将分为几个模块， 帮助他们顺利出狱评估工具将用于评估 过渡、污名和干扰行为。项目将由廉政公署自行制定， 将使用30名退伍军人的样本确认项目。项目完成后，项目的可理解性将 20名退伍军人确认。然后将确定评估工具的心理测量特性 使用200名退伍军人的样本，随后进行精炼。这些工具将在另外51个国家试用 老兵第三阶段将是一项试点干预措施，使用已开发的心理社会康复工具。使用 交叉设计，30名退伍军人将接受8周的无服务，然后是8周的过渡期 干预30人将接受8周的过渡干预，然后8周不干预。 结果将部分是系统的意见、推荐系统的意愿和参与度。 the system.

45,000-50,000 veterans are released annually from state and federal prisons. These Veterans encounter a number of severe negative outcomes following release including homelessness, inpatient psychiatric care, unemployment, divorce, inpatient substance treatment, and reincarceration. There are a number of limitations related to effectively serving these individuals, the primary ones being the limited number of programs available specifically for Veterans leaving incarceration and few assessment tools to assess needs and barriers to successful integration. To develop novel and targeted treatments and assessment tools it is important that we understand the lived experience of those leaving incarceration. This study, conducted in three phases, will develop the tools to assist and assess Veterans’ transition from incarceration with the goal of improving psychosocial outcomes. Phase 1 will be a qualitative analysis of the lived experience of Veterans leaving incarceration using identity theory and an established transition model to conceptualize the transition. Targets will be the experience of transition, barriers and impediments to VA care, perceived needs of those leaving prison, and behaviors that interfere with transition. It is estimated that approximately 30 Veterans will be needed. Phase 2 will use the findings from Phase 1 and a Clinician Counselor Advisory Council to develop a rehabilitation program and assessment tools. The rehabilitation program will be divided into modules focused around facilitating the successful transition from prison. Assessment tools will be for assessing the phases-of- transition, stigma, and interfering behaviors. Items will be developed by the CCAC and the meanings of the items will be confirmed using a sample of 30 Veterans. After items are finalized, understandablity of items will be confirmed with 20 Veterans. The psychometric properties of the assessment tools will then be determined using a sample of 200 Veterans, with subsequent refining. The tools will be piloted on an additional 51 Veterans. Phase 3 will be a pilot intervention using the developed psychosocial rehabilitation tools. Using a cross over design, 30 veterans will receive 8 weeks of no services followed by 8 weeks of the transition intervention. 30 will receive 8 weeks of the transition intervention followed by 8 weeks of no intervention. Outcomes will be, in part, the opinion of the system, willingness to recommend the system, and engagement of the system.