Developing SUPPORT, a Community-Driven, Recovery-Oriented System of Care

开发 SUPPORT，一个社区驱动、以康复为导向的护理系统

• 批准号: 9360094
• 负责人: Bradley Ray
• 金额: $ 27.26万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-30 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9360094
• 关键词: Address; Alcohol or Other Drugs use; Area; Award; Capital; Caring; Client; Clinical Trials; Communities; Criminal Justice; Data; Data Collection; Decision Making; Development; Effectiveness; Elements; Emotional; Employment; Evaluation; Focus Groups; Funding; Future; Goals; Grant; Guidelines; Income; Indiana; Individual; Intake; Intervention; Interview; Investments; Knowledge; Learning; Light; Mental Health; Modeling; Nature; Outcome; Paper; Persons; Phonation; Policies; Population; Population Intervention; Prisons; Procedures; Program Evaluation; Provider; Public Health; Publishing; Randomized Clinical Trials; Recovery; Reporting; Research; Research Infrastructure; Services; Structure; Substance Use Disorder; Substance abuse problem; Surveys; System; Telephone; Testing; Time; Training; United States Substance Abuse and Mental Health Services Administration; addiction; base; care systems; electronic data; electronic data capture system; evidence base; experience; flexibility; improved; innovation; interest; meetings; peer; programs; response

PROJECT SUMMARY/ABSTRACT There is a lack of evidence-based SUD treatment and services targeting returning inmates. Substance Use Programming for Person-Oriented Recovery (SUPPORT) is a community-driven, recovery-oriented approach to substance abuse care which has the potential to address this service gap. SUPPORT is modeled after Indiana’s Access to Recovery (ATR) program, which was closed due to lack of federal support despite positive improvements in clients’ recovery outcomes. SUPPORT builds on the limitations of ATR in that it will: focus specifically on a prison reentry population; be community-driven, rather than state administered; require direct service staff be certified peer recovery coaches; provide clients a full year of services instead of 6-months; and utilize an electronic data capture system, rather than paper surveys, to improve data-driven decision making. The ultimate goal of this project is the establishment of SUPPORT as an effective and scalable recovery- oriented system of care. A necessary step we must take before launching a large clinical trial is the development and pilot testing of the SUPPORT intervention. This study has three aims corresponding to this initial task. Aim 1 is to develop SUPPORT. We will utilize qualitative data collected from past Indiana ATR clients and providers and learning meetings with advisors to determine how to best develop and revise formal policies, procedures, and fidelity guidelines for the intervention. Aim 2 is to conduct a pilot test to assess feasibility for an R01 study. We will conduct a pilot test at a Central Indiana agency that provides services to returning inmates, using random assignment to compare SUPPORT clients to clients receiving usual treatment. We will collect quantitative data for both groups at multiple points and also collect qualitative data from SUPPORT clients to better understand their program experiences. Aim 3 is the identification of implementation barriers to inform future dissemination activities. We will conduct semi-structured phone interviews with potential adopters of the model to improve SUPPORT’s transferability by identifying possible barriers and facilitators to replicability beyond Indiana. To accomplish these aims, the study’s developmental evaluation framework uses continuous data collection and rapid response. The resulting study will investigate the effectiveness of SUPPORT for improving client recovery outcomes to a similar SUD program that is missing key elements of the model. This project will increase scientific knowledge related to recovery-oriented services, an area of research that is currently lacking. The development of such a model will also be of interests to a variety of stakeholder groups given the current focus on recovery-oriented care in policy and treatment.

项目概要/摘要 缺乏针对返回囚犯的循证 SUD 治疗和服务。物质使用 以人为本的恢复规划 (SUPPORT) 是一种社区驱动、面向恢复的方法 药物滥用护理有可能弥补这一服务差距。 SUPPORT 仿照 印第安纳州的恢复通道 (ATR) 计划尽管取得了积极进展，但由于缺乏联邦支持而被关闭 改善客户的康复结果。 SUPPORT 建立在 ATR 的局限性之上，因为它将： 重点 特别是关于重返监狱的人口；由社区驱动，而不是由国家管理；需要直接 服务人员经过认证的同伴康复教练；为客户提供一整年的服务，而不是六个月；和 利用电子数据采集系统而不是纸质调查来改进数据驱动的决策。 该项目的最终目标是建立支持作为有效且可扩展的恢复- 定向护理体系。在开展大型临床试验之前我们必须采取的一个必要步骤是 支持干预的开发和试点测试。与此相对应，本研究有三个目标 初始任务。目标 1 是发展支持。我们将利用从过去印第安纳州 ATR 收集的定性数据 客户和提供商以及与顾问的学习会议，以确定如何最好地制定和修订正式的 干预的政策、程序和忠诚度指南。目标 2 是进行试点测试以评估 R01 研究的可行性。我们将在印第安纳州中部的一家机构进行试点测试，该机构为 返回的囚犯，使用随机分配将支持客户与接受常规服务的客户进行比较 治疗。我们将在多个点收集两组的定量数据，并收集定性数据 来自支持客户，以更好地了解他们的计划体验。目标 3 是确定 为未来传播活动提供信息的实施障碍。我们将进行半结构化手机 与该模型的潜在采用者进行访谈，通过识别可能的情况来提高 SUPPORT 的可转移性 印第安纳州以外的可复制性的障碍和促进因素。为了实现这些目标，该研究的发展 评估框架采用连续数据收集和快速响应。由此产生的研究将调查 与类似的 SUD 计划相比，SUPPORT 在改善客户恢复结果方面的有效性 缺少模型的关键要素。该项目将增加与恢复相关的科学知识 服务，这是目前缺乏的研究领域。这种模式的发展也将是 鉴于当前政策和政策的重点是以康复为导向的护理，不同利益攸关方群体都感兴趣 治疗。