Intervention for Persons with Co-Occurring Disorders Leaving Residential Tx

对离开德克萨斯州住宅的并发疾病患者的干预

• 批准号: 8635541
• 负责人: Jennifer I Manuel
• 金额: $ 3.97万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2014-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8635541
• 关键词: Academia; Advocacy; Aftercare; Alcohol or Other Drugs use; Area; Client; Communities; Dace; Data; Data Analyses; Data Collection; Development; Doctor of Philosophy; Effectiveness; Emotional; Evidence based intervention; Family; Friends; Grant; Health Personnel; Homelessness; Hospitalization; Imprisonment; Individual; Intervention; Interview; Knowledge; Left; Life; Link; Mental Health; Mental disorders; Mentors; Mentorship; Methods; Modeling; Outcome; Persons; Phase; Pilot Projects; Population; Problem Solving; Process; Provider; Psychiatric Hospitals; Qualitative Methods; Relapse; Research; Research Personnel; Residential Treatment; Services; Shelter facility; Structure; Substance abuse problem; Supervision; Support System; Testing; Time; Training; Translating; Translational Research; Virginia; Vulnerable Populations; Writing; base; career; career development; community reentry; community setting; design; dual diagnosis; experience; implementation science; improved; innovation; member; programs; public health relevance; responsible research conduct; self reliance; severe mental illness; skills; social stigma; substance abuse treatment; symposium

PROJECT SUMMARY This revised K01 career development application is designed to prepare Jennifer I. Manuel, Ph.D., for a productive career as an independent investigator who conducts research and advances knowledge in the development/adaptation and implementation of interventions that improve the lives of individuals with co- occurring substance use and mental health disorders. Under the primary mentorship of Dr. Dace Svikis, Dr. Manuel will receive formal mentoring and direct supervision, and complete formal (i.e., coursework) and informal (e.g., seminars, trainings, conferences) didactic training to increase her knowledge and skills in the following areas: (1) adaptation and implementation of evidence-based interventions; (2) participatory planning methods; (3) quantitative and qualitative methods and analyses; (4) grant writing and management; and (5) responsible conduct of research. The proposed research uses a multi-phase approach that strategically dovetails the applicant's training plan. Specifically, the applicant uses participatory planning methods to adapt and implement an established, nationally-recognized intervention, Critical Time Intervention, for a new population and setting among individuals with co-occurring substance use and mental health disorders who are vulnerable to relapse following residential substance abuse treatment. The specific aims are to: (1) identify challenges and strategies of community reentry among individuals with co-occurring disorders in residential substance abuse treatment and their professional (e.g., providers) and nonprofessional (e.g., family, friends, community members) supports; (2) adapt and translate CTI for individuals with co-occurring disorders during the transition from residential substance abuse treatment into the community, utilizing participatory planning methods; and (3) conduct a pilot study to examine the feasibility, acceptability, and preliminary outcomes of the adapted CTI compared to usual discharge planning services. The proposed research contributes to the candidate's career development, as it augments her existing experience in research coordination and secondary analysis through leading a study from the ground up and conducting primary data analysis, and yields pilot data for a subsequent R01 to test the effectiveness of the adapted CTI intervention on a larger scale. The participatory planning framework that guides this application, if successful, could be used to prepare interventions for other vulnerable populations and advance implementation science by developing a systematic approach for helping to close the gap between research and practice.

项目概要 此修订版 K01 职业发展申请旨在帮助 Jennifer I. Manuel 博士做好准备， 作为一名独立调查员，他在该领域进行研究并增进知识，取得了富有成效的职业生涯 制定/调整和实施干预措施，改善患有共同疾病的个人的生活 发生的药物滥用和精神健康障碍。在 Dace Svikis 博士的主要指导下，Dr. 曼努埃尔将接受正式的指导和直接监督，并完成正式的（即课程作业）和 非正式（例如研讨会、培训、会议）教学培训，以增加她在以下方面的知识和技能 以下领域：(1) 适应和实施循证干预措施； (2)参与式规划 方法; (3) 定量和定性方法及分析； （4）拨款的撰写和管理；和（5） 负责任地进行研究。拟议的研究采用多阶段方法，从战略上 符合申请人的培训计划。具体来说，申请人使用参与式规划方法来适应 并实施既定的、全国认可的干预措施，即关键时间干预措施，以实现新的 同时存在药物滥用和精神健康障碍的人群和环境 住院药物滥用治疗后容易复发。具体目标是： (1) 确定 住宅中并发疾病患者重返社区的挑战和策略 药物滥用治疗及其专业人士（例如提供者）和非专业人士（例如家人、朋友、 社区成员）支持； (2) 针对在治疗期间同时发生疾病的个体调整和翻译 CTI 利用参与式规划，从住宅药物滥用治疗过渡到社区 方法; (3) 开展试点研究，检验项目的可行性、可接受性和初步结果 与通常的出院计划服务相比，调整了 CTI。拟议的研究有助于 候选人的职业发展，因为它增强了她在研究协调和 通过从头开始进行研究并进行主要数据分析来进行二次分析，以及 产生后续 R01 的试点数据，以测试调整后的 CTI 干预对更大范围的有效性 规模。如果成功的话，指导该应用的参与式规划框架可用于准备 对其他弱势群体的干预措施并通过制定系统的方法来推进实施科学 有助于缩小研究与实践之间差距的方法。