Re-Entry MTC for Offenders with MICA Disorders

患有 MICA 疾病的罪犯重新进入 MTC

• 批准号: 7106372
• 负责人: Stanley Sacks
• 金额: $ 60.87万
• 依托单位: NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7106372
• 关键词: behavior modification; behavior therapy; behavioral /social science research tag; clinical research; community mental health services; comorbidity; correctional institutions; criminal behavior; data collection methodology /evaluation; drug abuse; health care model; human subject; human therapy evaluation; longitudinal human study; mathematical model; mental health; outcomes research; patient care management; psychosocial rehabilitation; social behavior disorders

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.

描述（由申请人提供）： 同时患有精神疾病和化学滥用（MICA）障碍的罪犯是一个令人感兴趣的人群，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。拟议的研究探讨了从监狱到社区过渡的关键点，在社区中，对罪犯的持续治疗被普遍认为是维持监狱治疗努力取得的成果并取得成功结果所必需的。选择参与本研究的患有 MICA 疾病的男性罪犯 (N = 332) 出狱后，将被置于实验条件 (E) 再入改良治疗社区 (Re-entry MTC) 或对照条件 (C) 目前提供的假释监督和案件管理，使用随机分组分配程序。该研究采用前瞻性、纵向、重复测量评估，有五个数据收集点：对应于进入社区惩教设施的基线（时间 1 或 T1）以及基线后 3 (T2)、6 (T3)、12 (T4) 和 18 (T5) 个月。主要的研究假设是，E 条件（与 C 条件相比）将显着改善研究参与者目前的问题，通过物质使用、心理健康症状和犯罪活动来衡量。 该项目将通过对 MTC 模型有效性的对照研究来推进科学知识，并在社区环境中取得了成功，作为患有 MICA 疾病的罪犯的重新进入策略，从而扩大了社区中此类客户可用的治疗模型的范围。此外，该研究还将考察先前的监狱待遇对重返 MTC 有效性的影响程度，或者积极结果在多大程度上独立于先前监禁期间接受的治疗类型。这种区别将通过确定监狱中的 MTC 治疗加上重返监狱期间的 MTC 与单独的 MTC 再入治疗的价值来为规划规划提供信息。最后，该研究测试了一个具体的假设，即重返社会 MTC 治疗的有效性在多大程度上是由客户在重返社会期间的进展所介导的，这将增加我们对患有 MICA 疾病的罪犯的治疗进展与治疗后结果之间关系的理解。