Re-Entry MTC for Offenders with MICA Disorders

描述(由申请人提供)： 同时患有精神疾病和化学品滥用(MICA)障碍的罪犯是一个令人感兴趣的群体，部分原因是他们的特殊需求对刑事司法和治疗系统以及个人和家庭提出了特殊要求。拟议的研究审查了从监狱向社区过渡的关键点，在这一点上，对罪犯的持续治疗通常被认为是维持监狱治疗努力所取得的成果和取得成功结果所必需的。在出狱后，选择参加这项研究的患有MICA障碍的男性罪犯(N=332人)将被置于实验条件，(E)重新进入改良治疗社区(重新进入MTC)或对照条件，(C)目前提供的假释监督和病例管理，使用随机区组分配程序。这项研究采用了前瞻性、纵向、重复的措施评估，包括五个数据收集点：基线(时间1或T1)对应于进入社区惩教设施以及基线后3(T2)、6(T3)、12(T4)和18(T5)个月。主要的研究假设是，从物质使用、精神健康症状和犯罪活动来衡量，E状态(与C状态相比)将显著地改善研究参与者的呈现问题。 该项目将通过对MTC模式的有效性进行对照研究来促进科学知识，该模式在社区环境中证明是成功的，作为MICA障碍罪犯的重新进入战略，从而扩大了社区这类客户可获得的治疗模式的范围。此外，这项研究将审查以前的监狱待遇在多大程度上缓和了重返MTC的有效性，或者在多大程度上积极的结果与先前监禁期间接受的治疗类型无关。这种区别将通过确定监狱中的MTC治疗加上重新进入期间的MTC与单独使用MTC重新进入治疗的价值来为计划规划提供信息。最后，这项研究检验了一个关于再入MTC治疗的有效性在多大程度上受到再入期间客户进展的调节的具体假设，这将增加我们对患有MICA障碍的罪犯的治疗进展和治疗后结果之间的关系的理解。

DESCRIPTION (provided by applicant): Offenders having both mental illness and chemical abuse (MICA) disorders are a population of interest, in part because their special needs place exceptional demands on criminal justice and treatment systems, as well as on individuals and families. The proposed study examines the crucial point of transition from prison to the community, where continued treatment for offenders is generally considered necessary to sustain gains made by prison treatment efforts, and to achieve successful outcomes. On their release from prison, male offenders with MICA disorders who elect to participate in this study (N = 332), will be placed in either the experimental condition, (E) Re-entry Modified Therapeutic Community (Re-entry MTC) or the control condition, (C) Parole Supervision and Case Management currently provided, using a randomized block assignment procedure. The research employs a prospective, longitudinal, repeated measures assessment with five data collection points: baseline (Time 1, or T1) corresponding to entry into the Community Corrections facility and at 3 (T2), 6 (T3), 12 (T4), and 18 (T5) months post-baseline. The major study hypothesis is that the E condition (compared to the C condition) will produce significantly greater improvement in the presenting problems of the study participants, as measured by substance use, mental health symptoms, and criminal activities. This project will advance scientific knowledge through a controlled study of the effectiveness of the MTC model, with demonstrated success in community settings, as a re-entry strategy for offenders with MICA disorders, thereby expanding the range of treatment models available to such clients in the community. In addition, the study will examine the degree to which prior prison treatment moderates the effectiveness of the Re-entry MTC, or the extent to which positive outcomes are independent of the type of treatment received during the prior incarceration. This distinction will inform program planning by establishing the value of MTC treatment in prison plus MTC during re-entry versus MTC re-entry treatment alone. Finally, the study tests a specific hypothesis about the degree to which the effectiveness of Re-entry MTC treatment is mediated by client progress during reentry, which will increase our understanding of the relationship between progress in treatment and post-treatment outcomes for offenders with MICA disorders.