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

为出狱的患有精神疾病和/或药物滥用障碍的退伍军人制定心理社会过渡计划和过渡评估工具

• 批准号: 10552526
• 负责人: James LePage
• 金额: --
• 依托单位: VA NORTH TEXAS HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10552526
• 关键词: Achievement; Address; Affect; Area; Assessment tool; Behavior; Caring; Communicable Diseases; Crossover Design; Development; Divorce; Employment; Evaluation; Family; Feedback; Focus Groups; Goals; Health; Homelessness; Imprisonment; Individual; Inpatients; Intervention; Jail; Life; Measures; Medical; Mental disorders; Methods; Military Personnel; Modeling; Motivation; Outcome; Phase; Phase Transition; Pilot Projects; Population Research; Prisons; Problem Solving; Process; Professional counselor; Property; Psychometrics; Randomized; Recording of previous events; Rehabilitation therapy; Sampling; Services; Societies; Substance Use Disorder; System; Techniques; Time; Underserved Population; Unemployment; Veterans; Vulnerable Populations; Work; base; behavior change; expectation; experience; improved; inpatient psychiatric treatment; internalized stigma; military veteran; novel; preference; programs; psychosocial; psychosocial rehabilitation; rehabilitation research; reincarceration; research and development; social; social stigma; sound; standard of care; success; theories; tool; usability; willingness

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.

每年有45,000-50,000名退伍军人从州和联邦监狱获释。这些退伍军人遇到了一个 释放后的严重负面后果的数量，包括无家可归，住院精神治疗， 失业、离婚、住院药物治疗和重新监禁。有一些限制 与有效地为这些人提供服务有关，主要的是有限的计划数量 专门为出狱的退伍军人提供，几乎没有评估工具来评估需求和 成功整合的障碍。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狱的人的生活经历。这项研究是在 三个阶段，将开发工具来协助和评估退伍军人从监禁中过渡，目标是 改善心理社会结果。第一阶段将对退伍军人的生活经历进行定性分析 离开监禁使用身份理论和建立的过渡模型来概念化过渡。 目标将是过渡的经历、退伍军人管理局护理的障碍和障碍、 出狱，以及干扰过渡的行为。据估计，大约30名退伍军人将 被需要。第二阶段将使用第一阶段的发现和临床医生顾问咨询委员会来开发 康复计划和评估工具。康复计划将被分成专注于 围绕着促进监狱的成功过渡。评估工具将用于评估- 转变、污名和干扰行为。项目将由CCAC制定， 项目将使用30名退伍军人的样本进行确认。在项目最终确定后，项目的可理解性将 与20名退伍军人确认。然后将确定评估工具的心理测量学属性 使用了200名退伍军人的样本，随后进行了提炼。这些工具将在另外51个项目上试行 退伍军人。第三阶段将是使用开发的心理社会康复工具的试点干预。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 干预。30人将接受8周的过渡干预，然后是8周的不干预。 结果将在一定程度上取决于系统的意见、推荐系统的意愿以及 这个系统。