Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision

在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果

基本信息

  • 批准号:
    10385716
  • 负责人:
  • 金额:
    $ 208.4万
  • 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:
    2019-08-01 至 2024-04-30
  • 项目状态:
    已结题

项目摘要

Abstract Individuals who have been previously incarcerated have a significantly higher risk of dying from overdose; particularly in the first two weeks after release. More than 4.5 million people is the US are supervised in the community setting and nearly half have a substance use disorder but few receive services. There is a critical need for linkage to medication for opioid use disorder (MOUD) for individuals on community supervision. Providing medication for opioid use disorder (MOUD) to individuals on probation or parole decreases the rate of relapse and recidivism, and increases retention in substance abuse treatment. In 2016, RIDOC introduced the first correctional system-wide MOUD program in the country to initiate a comprehensive program to offer all three FDA approved medications (in all prison or jail settings) to all eligible individuals. As a result of the RIDOC program, we have expanded MOUD linkage to treatment in the community that is associated with a significant drop in statewide overdose deaths post-release. This work is the foundation from which we have built the current proposal. Our proposed research is to rigorously test a systems-change approach for increasing use of MOUD using a randomized type 1 hybrid implementation-effectiveness design in probation and parole sites. We propose a unique network of 7 geographically distinct community supervision (probation and parole) performance sites from Rhode Island, North Carolina, and Pennsylvania. After a 6-month period of baseline for comparison, the Exploration, Preparation, Implementation, Sustainability framework is used to guide systems-change through facilitated local change teams consisting of justice and community service providers. A core set of implementation strategies is provided to all sites. The overall objective is to improve linkage to the continuum of evidence-based care for justice-involved individuals. Organizational assessments are timed with EPIS stages. At the end of Implementation, N=680 probation/parolee clients will be randomly assigned to receive peer support specialists vs. no peer support with follow-up at 3, 6 and 12 months. Implementation outcomes include program acceptability, adoption, penetration, sustainability and costs. Client-level effectiveness outcomes include retention, satisfaction, opioid use, opioid overdoses, recidivism, linkage to OUD treatment, and utilization of recovery services. This research team is uniquely poised to evaluate the implementation and impact of MOUD among justice-involved individuals, to answer questions of urgent public health significance, inform implementation science, and improve service delivery.
摘要

项目成果

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Lauren Brinkley-Rubinstein其他文献

Lauren Brinkley-Rubinstein的其他文献

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{{ truncateString('Lauren Brinkley-Rubinstein', 18)}}的其他基金

Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    10628540
  • 财政年份:
    2022
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    10188053
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    9917204
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    10731633
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    10438018
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    10462315
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    9978802
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision
在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果
  • 批准号:
    10615660
  • 财政年份:
    2019
  • 资助金额:
    $ 208.4万
  • 项目类别:
The Southern Pre-Exposure Prophylaxis Cohort Study: Longitudinal PrEP Initiation and Adherence among Parolees
南方暴露前预防队列研究:假释者的纵向 PrEP 启动和遵守情况
  • 批准号:
    9892887
  • 财政年份:
    2018
  • 资助金额:
    $ 208.4万
  • 项目类别:
The Southern Pre-Exposure Prophylaxis Cohort Study: Longitudinal PrEP Initiation and Adherence among Parolees
南方暴露前预防队列研究:假释者的纵向 PrEP 启动和遵守情况
  • 批准号:
    9765391
  • 财政年份:
    2018
  • 资助金额:
    $ 208.4万
  • 项目类别:

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