Effects of Manualized Treatment in a Seamless System

无缝系统中的机械化处理的效果建立在要检查的现有工作主体上 缓刑监督服务范围内的治疗交付问题。这项特别的研究是 旨在评估无缝服务交付系统的效率，该系统具有专门的手动 关于罪犯结果的治疗课程(自我完善和改变的策略--SSIC)(例如 减少累犯率和技术违法行为，改善社会适应，改善治疗进展，以及 等等)。违规者将根据以下三种条件之一被随机分组：具有 在监理处现场授课(SM)，无缝系统与治疗 移送(SR)和传统的刑事司法监督方法(TS)。阻止将在一定程度上发生 罪犯风险了解干预措施对不同类型罪犯(高或低)的不同影响 中等风险)，这允许测试关于不同做法的不同影响的假设 为罪犯提供治疗服务。分析中将包括系统和 服务集成，以了解这些功能对犯罪者结果的影响。将收集数据 关于计划程序和计划有效性之间关系的潜在调解人， 包括背景和人口因素(例如，成瘾严重程度、犯罪行为、变化的准备程度、 既往治疗史、既往刑事司法史)和当事人的心理社会特征(例如， 抑郁、改变的动机、治疗进展、自我效能等)。研究地点在巴尔的摩 马里兰州郡。研究对象将是患有药物滥用障碍的缓刑人员。这项研究将使用 随机区组实验设计，用来测试关于无缝系统影响的假设， 指定临床规划(SM)和传统社区门诊规划(SR)，在 与接受传统监管服务(TS)相比，违法者和系统结果包括 治疗进展。这项研究将极大地促进我们对该领域的了解 改善向社区罪犯提供治疗服务的做法。此外，这项研究将 解决该领域在使用整体治疗服务方法方面的空白，该方法既解决了 物质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.