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

项目摘要 患有阿片类药物使用障碍（OUD）的囚犯死亡风险不成比例地高 从社区释放过量-一个关键的机会窗口，干预措施，旨在 参与并留住个人进行拯救生命的OUD治疗。我们的父母补助金（PRISM）正在评估一个 同伴恢复专家提供的行为激活干预，以解决多种物质的使用， OUD治疗保留的主要障碍。本补充的总体目标是了解如何 对等角色可以支持从监狱到MTU的联系，以及刑事和法律的系统如何参与 (CLI)可能影响母研究结果。我们的具体目标是：（SA 1）理解观点 （i）CLI对多种物质使用和OUD治疗的影响 保留;以及（ii）调整PRISM同行提供的干预措施以满足 （战略支助领域2）就如何加强国家一级的 从监狱释放和MTU之间的联系，以及同行（和PRISM干预）如何可以 最好地支持这种联系;并在探索性目标（SA 3）中，描述和评价 刑事司法系统参与多物质使用和治疗依从性和保留。通过 收集患者和关键利益相关者的意见，我们将了解PRISM如何适应 在出狱和重返社会的关键时期提供。此外，这项研究 将告知CLI对多物质使用和OUD的母公司奖励主要结果的影响 治疗依从性和保留。

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.