Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study

Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究

基本信息

  • 批准号:
    10383447
  • 负责人:
  • 金额:
    $ 11.87万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2019
  • 资助国家:
    美国
  • 起止时间:
    2019-07-15 至 2024-04-30
  • 项目状态:
    已结题

项目摘要

PROJECT SUMMARY The opioid epidemic is inextricably intertwined with our nation’s criminal justice system. At least 20% of people with opioid use disorder (OUD) were involved in the criminal justice system in 2016, and individuals just released from jail have an eight times higher risk of drug overdose compared with the general population after adjustment for age, gender, race, and residential neighborhood. Given this risk, several jails now treat OUD with medications, but these efforts will be ineffective if they fail to connect people to OUD treatment upon release. Housing instability, food insecurity, lack of social support, mistrust in the health system, and co-morbid physical and mental health conditions threaten a person’s ability to engage and remain in community OUD treatment. Prior work has not identified effective strategies to engage justice-involved individuals in OUD care that are feasible and honor patients’ values, preferences, and needs. Until this knowledge gap addressed, it will be difficult to reduce opioid-related morbidity and mortality in the United States. Our long-term goal is to reduce morbidity and mortality from OUD among justice-involved individuals. The overall objective of this study is to assess whether the Transitions Clinic Network (TCN) program, which provides enhanced primary care and OUD treatment for people recently released from incarceration, improves measures in the opioid treatment cascade. In TCN, formerly incarcerated community health workers are embedded within primary care teams and address social determinants of OUD, provide social support, help patients build trust in the health system and advocate in interactions with the criminal justice system. The central hypothesis of Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study is that TCN program participation improves opioid treatment cascade measures among those just released from jails on medications for OUD. The underlying rationale for this study is that social needs must be addressed, in this case through a community health worker, to support OUD treatment engagement, and a primary care home provides an agile structure for people’s shifting priorities, needs, and preferences for OUD treatment following release. We will conduct a hybrid type I effectiveness-implementation trial and randomize 800 people on medications for OUD released from 6 local jails (Minneapolis, MN, Rochester, NY, Bridgeport, CT, Durham, NC, Caguas, PR, and Bronx, NY) to compare the effectiveness of the TCN intervention versus referral to standard primary care on opioid treatment cascade outcomes and whether housing, food access, criminal justice contact, and social support mediate this association. We will also study the cost effectiveness of the TCN, as well as barriers and facilitators to transitioning the care of people with OUD to the TCN. TCN PATHS is highly innovative in its partnership with and prioritization of the values of formerly incarcerated people. Together, the knowledge produced by this proposal will have a positive impact by evaluating the effectiveness of a new primary care-based approach to improving the health of justice-involved individuals with OUD.
项目总结

项目成果

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Emily Ai-hua Wang其他文献

Emily Ai-hua Wang的其他文献

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{{ truncateString('Emily Ai-hua Wang', 18)}}的其他基金

Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    10163016
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    10177211
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    9978016
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    10615699
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    10398827
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    10152577
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
  • 批准号:
    10616925
  • 财政年份:
    2019
  • 资助金额:
    $ 11.87万
  • 项目类别:
JUSTice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE)
涉及正义的个人心血管疾病流行病学 (JUSTICE)
  • 批准号:
    10596244
  • 财政年份:
    2018
  • 资助金额:
    $ 11.87万
  • 项目类别:
JUSTice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE)
涉及正义的个人心血管疾病流行病学 (JUSTICE)
  • 批准号:
    10438539
  • 财政年份:
    2018
  • 资助金额:
    $ 11.87万
  • 项目类别:
JUSTice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE)
涉及正义的个人心血管疾病流行病学 (JUSTICE)
  • 批准号:
    10434473
  • 财政年份:
    2018
  • 资助金额:
    $ 11.87万
  • 项目类别:

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