Advancing Health Disparities Research in Aging: The Aging Research in Criminal Justice & Health (ARCH) Network

推进老龄化领域的健康差异研究：刑事司法中的老龄化研究

基本信息

批准号：
10450148
负责人：
BRIE A WILLIAMS
金额：
$ 33.37万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
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：
2019-09-30 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10450148
关键词：
Address Age Aging Area Arkansas Award Behavioral California Capsicum Collaborations Communities Community Healthcare Consent Criminal Justice Criminology Development Discipline Discipline of Nursing Drug Legislation Elder Abuse Elderly Ensure Epidemiology Evidence based intervention Faculty Funding Future Geography Geriatrics Gerontology Goals Growth Health Health Disparities Research Healthcare Healthcare Systems Homelessness Impaired cognition Imprisonment Institutes Institution Interdisciplinary Study Intervention Jail Knowledge Latino Leadership Life Cycle Stages Measures Medical Medicine Mental Health Mentorship Methods Older Population Onset of illness Outcome Palliative Care Participant Patients Personal Satisfaction Persons Phase Plant Roots Police Policies Polypharmacy Population Population Intervention Prisons Public Health Public Health Nursing Quality of life Reduce health disparities Research Research Design Research Infrastructure Research Personnel Risk Factors San Francisco Science Scientist Social Welfare Social outcome Substance Use Disorder Testing Trauma Universities Work behavioral health black men career community reintegration court disability early onset experience falls functional disability health disparity health disparity populations improved lifetime risk medical vulnerability men multidisciplinary neglect neighborhood safety parole probation programs public health research racial bias response safety net social social health determinants social vulnerability symposium therapy design

项目摘要

Project Summary / Abstract Despite 20 years of unprecedented growth in the number of criminal justice-involved older adults (those under arrest, in court, in prison or jail, on probation or parole), the knowledge needed to develop evidence-based interventions for this population with high rates of early onset disease, disability and behavioral and social risk factors, is deeply under- developed. In particular, research to understand the life course experiences, the social determinants of health, and the drivers of later life health disparities in this population, including criminal justice involvement itself, is limited. Moreover, much of the research about this population has failed to study geriatric conditions (e.g., functional and cognitive impairment, falls, elder abuse, polypharmacy) that are key to understanding the health and wellbeing of older adults at each phase of criminal justice involvement (from arrest through community reintegration after incarceration). This lack of knowledge has profound impacts on public health as over 95% of incarcerated patients are eventually released to the community where they disproportionately rely on community safety net healthcare systems. The relative lack of evidence in this area of aging and health disparities research reflects, in part, professional isolation among the growing number of researchers who study aging and criminal justice involvement – many of them early in their careers – from a range of academic disciplines (e.g. medicine, public health, nursing, epidemiology, social welfare) spread throughout the nation with few centered at any one institution. As a result, vital interdisciplinary research collaborations are limited and junior researchers often lack the mentorship needed to pursue a successful research career in this area. In response, we propose developing The ARCH (Aging Research in Criminal justice & Health) Network to build research capacity in this emerging field and catalyze the impactful research needed to develop evidence-based interventions that meet the needs of this historically overlooked population of older adults. To meet these goals, we propose two specific aims: (1) to establish a multidisciplinary national research network to develop and refine the research agenda, measures, and methods needed to advance research on the health and social drivers of criminal justice involvement and health disparities among older adults over the life course and the consequences of criminal justice involvement on health in later life; and (2) to support new and established scientists to develop and implement life course research on the health of criminal justice-involved older adults by offering a research technical assistance program, creating a national mentorship program for junior investigators, directly funding pilot and exploratory research, and creating formal opportunities for networking to develop new multidisciplinary research collaborations. The ARCH Network will ensure that geriatric principles are front and center in studying the health and healthcare needs of criminal justice-involved older adults and will develop a research agenda that can inform correctional and community healthcare systems of opportunities across the life course where programmatic and policy interventions can be tested to reduce health disparities for this population.

项目摘要 /摘要尽管有20年的刑事司法老年人的数量有20年的前所未有的增长（被捕的老年人在缓刑或假释中，在监狱或监狱中），为此开发基于证据的干预所需的知识早期疾病，残疾，行为和社会危险因素率高的人口深处发达。特别是，了解生活课程经历，健康的社会决定者以及该人群中后来生活差异的驱动因素，包括刑事司法本身，是有限的。而且，关于该人群的许多研究未能研究老年病（例如，功能和认知障碍，跌倒，虐待老人，多药）是了解老年人健康和福祉的关键刑事司法参与的每个阶段（从被监禁后通过社区重返社区的逮捕）。这种缺乏知识对公共卫生产生了深远的影响，因为有时有超过95％的继承患者被释放给他们不成比例地依赖社区安全网络医疗系统的社区。相对缺乏证据在这一衰老和健康差异的领域中，研究部分反映了越来越多的专业隔离研究衰老和刑事司法参与的研究人员 - 其中许多人从事职业生涯的早期 - 在全国范围内分布很少有人以任何一个机构为中心。结果，重要的跨学科研究合作是有限的，初中研究人员通常缺乏从事这一领域成功研究职业所需的心态。作为回应，我们提出开发拱门（刑事司法与健康中的老化研究），以建立这一新兴的研究能力现场并催化开发基于证据的干预措施所需的有影响力的研究，以满足这一需求历史上，老年人被忽视。为了实现这些目标，我们提出了两个具体的目标：（1）建立一个多学科的国家研究网络制定和完善研究议程，措施和方法，以提高对健康和社会的研究老年人在生活过程中的刑事司法参与和健康差异的驱动因素以及后果刑事司法参与后来的健康；（2）支持新的和已建立的科学家发展和通过提供研究技术来实施有关刑事司法老年人健康的健康课程援助计划，为初级调查员创建国家心态计划，直接资助飞行员和探索性研究，并为建立新的多学科研究合作创造正式的机会。 Arch Network将确保老年人原理在研究研究的健康和医疗保健需求方面是刑事司法涉及的老年人，并将开发一个可以告知纠正措施和社区的研究研究在整个生活课程中的医疗保健系统可以测试程序和政策干预措施减少该人群的健康分布。