Effects of Manualized Treatment in a Seamless System

无缝系统中手动治疗的效果建立在现有的工作基础上， 在缓刑监督服务范围内的治疗提供问题。这项研究是 旨在评估无缝服务提供系统的有效性， 关于罪犯结果的治疗课程（自我提高和改变策略-- SSIC）（例如 减少累犯和技术违规，改善社会适应，改善治疗进展， 等等）。罪犯将根据以下三个条件之一进行随机分配： 在监督办公室（SM）现场提供手动课程，无缝系统与治疗 转介（SR）和传统的刑事司法监督方法（TS）。阻塞将发生在 罪犯风险，以了解干预措施对不同类型的罪犯（高或低）的不同影响。 中等风险），允许测试关于不同实践的不同影响的假设 为罪犯提供治疗服务。分析中将包括系统的措施， 服务整合，以了解这些特征对罪犯结果的影响。数据将被收集 关于项目程序和项目有效性之间关系的潜在调节者， 包括背景和人口因素（例如，成瘾严重程度、犯罪率、改变意愿， 先前的治疗史、先前的刑事司法史）和客户的心理社会特征（例如， 抑郁、改变动机、治疗进展、自我效能等）。研究中心位于巴尔的摩 马里兰州。研究受试者将是患有物质滥用障碍的缓刑者。本研究将使用 随机区组实验设计，以检验有关无缝系统影响的假设， 指定临床规划（SM）和传统的社区门诊规划（SR）， 与接受传统监管服务（TS）相比，罪犯和系统的结果包括 治疗进展。这项研究将通过提高我们对以下方面的认识，为该领域做出重大贡献： 改善社区罪犯治疗服务的做法。此外，研究将 解决实地在采用综合治疗服务方法方面存在的差距， 药物滥用和犯罪思维行为。

The Effects of Manualized Treatment in a Seamless System builds on an existing body of work to examine treatment delivery issues within the context of probation supervision services. This particularly study is designed to assess the efficacy of a seamless service delivery system with a specialized manualized treatment curriculum (the Strategies for Self-Improvement and Change-- SSIC) on offender outcomes (e.g. reduced recidivism and technical violations, improved social adjustment, improved treatment progress, and so on). Offenders will be randomized according to one of three conditions: seamless system with a manualized curriculum delivered on-site at the supervision office (SM), seamless system with treatment referral (SR), and traditional criminal justice supervision approach (TS). Blocking will occur on a measure of offender risk to understand the differential impact of the interventions on different types of offenders (high or moderate-risk) which allows for the testing of hypotheses about differential impact of the different practices for providing treatment services to offenders. Included in the analysis will be measures of system and service integration to understand the impact of these features on offender outcomes. Data will be collected on potential moderators of the relationship between program procedures and program effectiveness, including background and demographic factors (e.g., addiction severity, criminality, readiness for change, prior treatment history, prior criminal justice history) and psychosocial characteristics of the client (e.g., depression, motivation to change, treatment progress, self-efficacy, etc.). The study site is in Baltimore County Maryland. Study subjects will be probationers with substance abuse disorders. The study will use the randomized block experimental design to test hypotheses about the impact of the seamless system, with designated clinical programming (SM) and with traditional community outpatient programming (SR), in comparison to receiving traditional supervision services (TS), on offender and system outcomes including treatment progress. The study will contribute to the field significantly by advancing our knowledge of practices that improve the delivery of treatment services to offenders in the community. Further the study will address a gap in the field regarding the use of holistic approach to treatment services that addresses both substance abuse and criminal thinking behaviors.