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: 8973938
• 负责人: Jennifer I Manuel
• 金额: $ 10.23万
• 依托单位: NEW YORK 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 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8973938
• 关键词: Intervention; Persons; Co; Occurring; Disorders

DESCRIPTION (provided by candidate): The proposed K01 career development and research plans will 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 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 candidate's training plan. Specifically, the candidate uses participatory planning methods to adapt and implement an established, nationally-recognized intervention, Critical Time Intervention (CTI), 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.

描述（由候选人提供）：拟议的 K01 职业发展和研究计划将为 Jennifer I. Manuel 博士做好准备，作为一名独立调查员，她将从事富有成效的职业生涯，她在开发/适应和实施干预措施方面进行研究并增进知识，以改善同时发生的药物滥用和精神健康障碍患者的生活。在Dace Svikis博士的指导下，Manuel博士将接受正式指导和直接监督，并完成正式（即课程作业）和非正式（例如研讨会、培训、会议）教学培训，以增加她在以下领域的知识和技能：（1）循证干预措施的适应和实施； (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； (5) 负责任地进行研究。拟议的研究采用多阶段方法，从战略上与候选人的培训计划相吻合。具体来说，候选人使用参与式规划方法来适应和实施一项既定的、全国认可的干预措施，即关键时间干预（CTI），针对新的人群和环境，其中的个体同时发生药物滥用和精神健康障碍，这些疾病在住院药物滥用治疗后容易复发。具体目标是：(1) 确定住院药物滥用治疗中同时发生疾病的个体及其专业（例如提供者）和非专业（例如家人、朋友、社区成员）支持的社区重返社区的挑战和策略； (2) 利用参与式规划方法，针对从住宅药物滥用治疗过渡到社区期间同时发生疾病的个体调整和翻译 CTI； (3) 进行试点研究，以检验调整后的 CTI 与通常的出院计划服务相比的可行性和可接受性以及初步结果。拟议的研究有助于候选人的职业发展，因为它通过从头开始进行研究并进行初级数据分析，增强了她在研究协调和二次分析方面的现有经验，并为后续的 R01 提供了试点数据，以在更大范围内测试改编后的 CTI 干预措施的有效性。如果成功的话，指导这一应用的参与式规划框架可用于为其他弱势群体准备干预措施，并通过开发有助于缩小研究与实践之间差距的系统方法来推进实施科学。