Borderline Personality and Inmates' Post-release Substance Abuse and HIV Risk Behavior

边缘人格与囚犯出狱后药物滥用和艾滋病毒危险行为

• 批准号: 9052163
• 负责人: JUNE P TANGNEY
• 金额: $ 19.19万
• 依托单位: GEORGE MASON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-15 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9052163
• 关键词: Alcohol or Other Drugs use; Awareness; Borderline Personality Disorder; Clinical; Cognition; Communities; Crime; Criminal Justice; Dependence; Development; Disease; Employment; Family; Feeling suicidal; Female; Forensic Medicine; Frequencies; General Population; Goals; HIV Infections; HIV risk; Health; Human; Imprisonment; Individual; Intervention; Jail; Link; Literature; Longitudinal Studies; Mediator of activation protein; Mental Depression; Modeling; Nature; Outcome; Pattern; Personality; Policies; Policy Maker; Preparation; Prisoner; Research; Research Personnel; Risk Behaviors; Shame; Societies; Subgroup; Substance Addiction; Substance abuse problem; Symptoms; System; Testing; Time; Treatment outcome; Unemployment; base; clinical practice; clinically relevant; clinically significant; community reentry; coping; criminal behavior; disabling symptom; economic cost; effective therapy; enhancing factor; experience; gender difference; high risk; improved; male; men; offender; peer; recidivism; reduced substance use; risk perception; substance misuse; symptomatology; treatment planning

 DESCRIPTION (provided by applicant): Borderline personality disorder (BPD) is rarely discussed in the correctional literature, but a remarkably high percentage of "general population" inmates suffer from this debilitating disorder. Virtually nothing is known about crimes that bring people with BPD into the criminal justice system, how people with BPD fare while incarcerated, and the treatment and criminal justice outcomes of those with BPD. Equally unknown are the factors that enhance vs. jeopardize successful post-release reintegration into the community. To reduce substance use, HIV risk, and recidivism, and to enhance post-release adjustment, this project aims capitalize on a 10 year longitudinal study of 508 "general population" jail inmates to: 1. Provide Clinically-Relevant Descriptive Information on Inmates with BPD regarding (a) the nature of BPD symptoms among inmates; pre-incarceration (b) substance misuse, (c) HIV risk behavior, and (d) criminal behavior; (e) adjustment during incarceration, (f) preparation for community re-entry, (g) treatment seeking and engagement associated with symptoms of BPD, and (h) post-release outcomes (e.g., substance misuse, HIV risk, recidivism) at 1, 4, and 7 years post-release. 2. Test Trajectories in BPD Symptomatology and Post Release Substance Misuse, HIV Risk, and Recidivism by (a) examining changes in symptoms of BPD over the period of incarceration and (b) the trajectory of BPD symptoms post-release, evaluating hypothesized predictors of change; (c) modeling the dynamic relationship between BPD symptoms and substance misuse over time; and by evaluating hypothesized (d) mediators and (e) moderators of the link between BPD symptoms and substance misuse and recidivism. 3. Greatly Expand Our Understanding of the Phenomenon of BPD among Men by (a) conducting an IRT analysis of the PAI BPD scales, and (b) examining gender differences in the precursors, correlates, and consequences of BPD as part of analyses for Specific Aims 1 and 2. The proposed project would disseminate information to researchers, practitioners, and policy makers to both enhance awareness and improve intervention.

 描述（由申请人提供）：边缘型人格障碍（BPD）很少在矫正文献中讨论，但“一般人群”囚犯中有很高比例患有这种使人衰弱的疾病。事实上，人们对将BPD患者带入刑事司法系统的犯罪行为、BPD患者在监禁期间的表现以及BPD患者的治疗和刑事司法结果一无所知。同样不清楚的是，哪些因素会促进或危害释放后成功地重返社区。为了减少物质使用、艾滋病风险和累犯，并加强释放后的适应，本项目旨在利用对508名“普通人群”监狱囚犯的10年纵向研究：1。提供关于BPD囚犯的临床相关描述性信息，包括：（a）囚犯中BPD症状的性质;监禁前（B）物质滥用;（c）HIV风险行为;（d）犯罪行为;（e）监禁期间的调整;（f）重返社区的准备;（g）与BPD症状相关的治疗寻求和参与;以及（h）释放后的结果（例如，药物滥用、艾滋病毒风险、累犯）。2. BPD症状学和释放后物质滥用、HIV风险和累犯的测试轨迹，通过（a）检查监禁期间BPD症状的变化和（B）释放后BPD症状的轨迹，评估变化的假设预测因子;（c）模拟BPD症状和物质滥用之间随时间的动态关系;并通过评估BPD症状与物质滥用和累犯之间联系的假设（d）介导者和（e）调节者。3.通过（a）对派BPD量表进行IRT分析，以及（B）作为具体目标1和2分析的一部分，检查BPD的前体、相关因素和后果中的性别差异，极大地扩展我们对男性BPD现象的理解。拟议的项目将向研究人员、从业人员和决策者传播信息，以提高认识和改进干预。