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
- 来源:
- 关键词:AddressAdoptionAdultAttitudeCaringClientCollaborationsCommunicationCommunitiesCommunity ServicesContinuity of Patient CareCost-Benefit AnalysisCountryCriminal JusticeDropsExploration Preparation Implementation and SustainmentFDA approvedFoundationsGeographyHealthHealth PersonnelImprisonmentIndividualInterventionInterviewJailJusticeKnowledgeLinkMeasuresMedicineModelingMonitorMotivationNorth CarolinaOpiate AddictionOpioidOutcomeOverdosePenetrationPennsylvaniaPersonsPharmaceutical PreparationsPoliciesPopulationPrisonsProgram AcceptabilityPublic HealthRandomizedReadinessRecording of previous eventsRecoveryRecovery SupportRelapseResearchResearch DesignRhode IslandSeminalServicesSiteSpecialistStructureSubstance Use DisorderSupervisionSystemTestingTrainingTranslationsTreatment outcomeUnited StatesWorkcommunity based carecommunity settingcorrectional systemcostcost effectivenessdesigneffective therapyeffectiveness implementation studyeffectiveness outcomeeffectiveness researcheffectiveness testingeffectiveness trialevidence baseexpectationfollow-uphigh riskillicit opioidimplementation evaluationimplementation frameworkimplementation interventionimplementation outcomesimplementation researchimplementation scienceimplementation strategyimprovedinterestoffenderopioid epidemicopioid overdoseopioid useopioid use disorderorganizational readinessoverdose deathparoleparoleepeerpeer supportperformance siteprobationprobationerprogramsrecidivismrelapse risksafety outcomessatisfactionscreeningservice deliveryservice providerssobrietysocietal costssubstance abuse treatmentsubstance usesustainability frameworktreatment as usual
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
期刊论文数量(0)
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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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