CT Research Center for Criminal Justice Drug Abuse Treatment Study Center

描述（由申请人提供）： 逮捕和监禁为社区中不存在的戒毒提供了动力。然而，有些成瘾性障碍患者不接受治疗，或过早离开治疗，或不能从治疗中长期获益。最近的证据表明，更好地将治疗社区与刑事司法系统相结合的项目和服务可能会产生更好的临床结果。康涅狄格州刑事司法药物滥用治疗服务（CT CJ-DATS）倡议将建立一个伙伴关系，以经验性地测试康涅狄格州的综合服务和治疗，司法和矫正系统是国家运营的，机构间关系已经发展了几年。该计划将由一个州级指导委员会监督，该委员会由州和社区机构的高级管理人员组成，还有一个研究团队，包括行为健康，经济学和刑事司法方面的专业知识，并具有多地点合作研究的经验。我们提出了两个研究的例子，可以由CT CJ-DATS团队领导。首先，对于合并发生的创伤和药物障碍的女性罪犯，我们提出了一项随机对照试验，比较一种新的药物滥用和创伤治疗的治疗方法，称为目标，相比单独的药物滥用治疗。我们假设，创伤和药物滥用的综合治疗将改善药物滥用和犯罪行为的结果。第二，对于由法院系统转介的药物依赖或滥用药物的被告，包括感化主任，我们建议测试一种称为网络支持的模式治疗，该模式强调建立积极的社会支持网络。将比较四种情况：（1）单独的物质滥用治疗;（2）有应急管理的物质滥用治疗;（3）有网络支持的物质滥用治疗;以及（4）有网络支持和应急管理的物质滥用治疗。我们假设，同时使用网络支持和应急管理将导致最好的结果，减少药物使用和持续禁欲。

DESCRIPTION (provided by applicant): Arrest and incarceration provide motivation for drug treatment not otherwise present in the community. Yet some persons with addictive disorders do not avail themselves of treatment, or leave treatment prematurely, or do not sustain long-term benefit from treatment. Recent evidence suggests that programs and services that better integrate the treatment community with the criminal justice system are likely to yield better clinical outcomes. The Connecticut Criminal Justice Drug Abuse Treatment Service (CT CJ-DATS) Initiative will create a partnership to empirically test integrated services and treatment in Connecticut, where the judicial and correction systems are state-operated, and interagency relationships have been developing for several years. The initiative will be overseen by a state-level steering committee composed of high-level state and community agency managers, and a research team including expertise in behavioral health, economics, and criminal justice, and with experience in multi-site collaborative research. We propose two examples of studies that could be led by the CT CJ-DATS team. First, for women offenders with co-occurring trauma and drug disorders, we propose a randomized controlled trial comparing a novel group treatment approach of substance abuse and trauma treatment called TARGET, compared to substance abuse treatment alone. We hypothesize that integrated treatment for trauma and drug abuse will improve outcomes with regard to substance abuse and criminal behavior. Second, for drug dependent or drug abusing defendants referred by the court system, including probation officers, we propose to test a model treatment called Network Support, which would emphasize the development of a positive social support network. Four conditions will be compared: (1) substance abuse treatment alone; (2) substance abuse treatment with contingency management; (3) substance abuse treatment with network support; and (4) substance abuse treatment with network support and contingency management. We hypothesize that using both network support and contingency management will result in the best outcomes with respect to reduced drug use and continuous abstinence.