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Development of a psycho-social transition program and transition assessment tools for Veterans with mental illness and/or substance use disorders leaving prison

为出狱的患有精神疾病和/或药物滥用障碍的退伍军人制定心理社会过渡计划和过渡评估工具

基本信息

批准号：
10701761
负责人：
James LePage
金额：
--
依托单位：
VA NORTH TEXAS HEALTH CARE SYSTEM
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2024-08-31
项目状态：
已结题

项目摘要

45,000-50,000 veterans are released annually from state and federal prisons. These Veterans encounter a number of severe negative outcomes following release including homelessness, inpatient psychiatric care, unemployment, divorce, inpatient substance treatment, and reincarceration. There are a number of limitations related to effectively serving these individuals, the primary ones being the limited number of programs available specifically for Veterans leaving incarceration and few assessment tools to assess needs and barriers to successful integration. To develop novel and targeted treatments and assessment tools it is important that we understand the lived experience of those leaving incarceration. This study, conducted in three phases, will develop the tools to assist and assess Veterans’ transition from incarceration with the goal of improving psychosocial outcomes. Phase 1 will be a qualitative analysis of the lived experience of Veterans leaving incarceration using identity theory and an established transition model to conceptualize the transition. Targets will be the experience of transition, barriers and impediments to VA care, perceived needs of those leaving prison, and behaviors that interfere with transition. It is estimated that approximately 30 Veterans will be needed. Phase 2 will use the findings from Phase 1 and a Clinician Counselor Advisory Council to develop a rehabilitation program and assessment tools. The rehabilitation program will be divided into modules focused around facilitating the successful transition from prison. Assessment tools will be for assessing the phases-of- transition, stigma, and interfering behaviors. Items will be developed by the CCAC and the meanings of the items will be confirmed using a sample of 30 Veterans. After items are finalized, understandablity of items will be confirmed with 20 Veterans. The psychometric properties of the assessment tools will then be determined using a sample of 200 Veterans, with subsequent refining. The tools will be piloted on an additional 51 Veterans. Phase 3 will be a pilot intervention using the developed psychosocial rehabilitation tools. Using a cross over design, 30 veterans will receive 8 weeks of no services followed by 8 weeks of the transition intervention. 30 will receive 8 weeks of the transition intervention followed by 8 weeks of no intervention. Outcomes will be, in part, the opinion of the system, willingness to recommend the system, and engagement of the system.

每年有 45,000-50,000 名退伍军人从州和联邦监狱释放。这些退伍军人遇到了释放后严重负面结果的数量，包括无家可归、住院精神科护理、失业、离婚、住院药物治疗和再监禁。有很多限制与有效服务这些人相关的问题，主要是项目数量有限专门为离开监狱的退伍军人提供，并且很少有评估工具来评估需求和成功整合的障碍。开发新颖且有针对性的治疗方法和评估工具重要的是我们要了解那些出狱者的生活经历。这项研究进行于分三个阶段，将开发工具来协助和评估退伍军人从监禁中的过渡，目标是改善社会心理结果。第一阶段将对退伍军人的生活经历进行定性分析使用身份理论和既定的过渡模型来概念化过渡，从而摆脱监禁。目标将是过渡经历、退伍军人事务部护理的障碍和障碍、这些人的感知需求出狱以及干扰过渡的行为。据估计，大约有 30 名退伍军人将被需要。第二阶段将利用第一阶段的研究结果和临床顾问咨询委员会来制定康复计划和评估工具。康复计划将分为多个模块，重点关注围绕促进从监狱成功过渡。评估工具将用于评估以下阶段：转变、耻辱和干扰行为。项目将由廉政公署制定，其含义项目将通过 30 名退伍军人样本进行确认。项目最终确定后，项目的可理解性将提高经 20 名退伍军人确认。然后将确定评估工具的心理测量特性使用 200 名退伍军人作为样本，并进行后续改进。这些工具将在另外 51 个国家/地区进行试点退伍军人。第三阶段将是使用已开发的社会心理康复工具进行试点干预。使用交叉设计，30 名退伍军人将接受 8 周的无服务，然后是 8 周的过渡干涉。 30 人将接受 8 周的过渡干预，随后 8 周不接受干预。结果部分是系统的意见、推荐系统的意愿以及参与度系统。