CJ-PRISM: Understanding the Impact of Criminolegal System Involvement on a Peer-Delivered Intervention to Improve Retention and Polysubstance Use

CJ-PRISM：了解刑事法律系统的参与对同行提供的干预措施的影响，以改善保留和多物质使用

• 批准号: 10841123
• 负责人: Sarah M. Kattakuzhy
• 金额: $ 14.56万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10841123
• 关键词: Acute; Address; Adherence; Affect; Award; Behavioral; Buprenorphine; Cessation of life; Communities; County; Data; Disease; Ensure; Equity; Focus Groups; Geographic Locations; Goals; Health; Healthcare; Imprisonment; Individual; Infrastructure; Intervention; Interview; Jail; Knowledge; Legal system; Life; Maryland; Measures; Opioid; Outcome; Outcome Study; Overdose; Parents; Participant; Patients; Persons; Pharmaceutical Preparations; Prisons; Research; Resources; Role; Rural; Services; Site; Specialist; Structure; Substance Use Disorder; System; Telemedicine; Therapeutic; Treatment outcome; Vulnerable Populations; Work; acceptability and feasibility; addiction; behavioral health; cohort; critical period; detention center; high risk; improved; interest; member; opioid overdose; opioid use disorder; overdose death; overdose risk; parent grant; patient population; peer; peer recovery; polysubstance use; primary outcome; programs; rural area; stakeholder perspectives; treatment adherence; treatment program

Project Summary Incarcerated individuals with opioid use disorder (OUD) are at disproportionately high risk of death from overdose upon community release—a key window of opportunity for interventions aiming to engage and retain individuals in life-saving OUD treatment. Our parent grant (PRISM) is evaluating a peer recovery specialist-delivered behavioral activation intervention to address polysubstance use as a primary barrier to OUD treatment retention. The overall goal of this supplement is to understand how the peer role may support linkage from jail to the MTU and how criminal and legal system involvement (CLI) may affect the parent study outcomes. Our specific aims are: (SA1) to understand perspectives of recently incarcerated individuals on (i) the impact of CLI on polysubstance use and OUD treatment retention; and (ii) considerations for adaptation of the PRISM peer-delivered intervention to meet the needs of people with CLI; (SA2) to obtain key stakeholder perspectives on how to strengthen the linkage between discharge from jail and the MTU, and how a peer (and the PRISM intervention) could best support that linkage; and in an exploratory aim (SA3), to characterize and evaluate the impact of criminolegal system involvement on polysubstance use and treatment adherence and retention. By gathering patient and key stakeholder input, we will understand how PRISM may be adapted to be delivered during the critical period of jail discharge and re-entry into the community. Further, this study will inform on the impact of CLI on the parent award primary outcomes of polysubstance use and OUD treatment adherence and retention.

项目总结