Continuity of Care for Drug-Addicted Offenders in RI

描述(由申请人提供)： 这项合作协议申请建议开发一个罗德岛研究中心，以参与NIDA的国家刑事司法药物滥用治疗服务研究系统(CJ-DATS)。CJ-DATS背后的使命是改善涉及毒品的罪犯的公共安全、与毒品有关的公共卫生、健康和心理社会结果。因此，本申请旨在开发研究基础设施，以支持对患有药物滥用或成瘾障碍的个人的综合治疗方法进行严格的多地点研究，包括在监狱或监狱中的治疗模式，并作为社区重返社会的一部分；支持针对重返社区的涉毒罪犯的连续性护理模式的研究，包括针对艾滋病毒、结核病或肝炎感染和精神健康问题的服务；并丰富罗德岛州刑事司法、治疗和学术界之间的合作。我们的研究中心将建立在生命医院/布朗大学调查人员、惩教部和罗德岛监狱现有的4个社区成瘾治疗项目之间强大的现有临床和研究伙伴关系的基础上。这4个方案提供全面的治疗方式和辅助服务。罗德岛研究中心为全国CJ-DATS合作社提供了至少4个具体优势：(1)在组织和整合药物滥用治疗和卫生服务方面拥有大量研究和临床经验的调查人员和治疗伙伴，特别是为患有艾滋病毒、结核病或肝炎感染和精神健康障碍等健康问题的囚犯重新进入社区提供连续性的护理模式；(2)罗德岛合作伙伴之间通过先前的合作研究和临床努力建立了牢固的现有联系；(3)一个拥有统一惩教系统的小州，所有部门和设施都在一个校园内，管理部门高度支持研究；以及(4)可接触到的成瘾者群体，在这一群体中，我们在以前的调查中取得了很高的入学率和后续行动。罗德岛研究中心将领导严格的多点研究，利用我们在开发、提供和评估与社区卫生服务的联系方面的专业知识，最初重点是丙型肝炎和美沙酮治疗。

DESCRIPTION (provided by applicant): This cooperative agreement application proposes to develop a Rhode Island Research Center to participate in NIDA's National Criminal Justice Drug Abuse Treatment Services Research System (CJ-DATS). The mission behind the CJ-DATS is to improve the public safety, drug-related, public health, health and psychosocial outcomes of drug-involved offenders. Thus, this application aims to develop research infrastructure to support rigorous, multisite studies of integrated approaches to the treatment of individuals with drug abuse or addictive disorders, including models of treatment in jail or prison and as part of community re-entry; to support research on continuity of care models integrated with re-entry programs for drug-involved offenders returning to their communities, including services for health problems such as HIV, tuberculosis, or hepatitis infections and mental health problems; and to enrich the collaborations among the criminal justice, treatment, and academic communities in Rhode Island. Our Research Center will build on the strong, existing clinical and research partnerships among the Lifespan Hospitals/Brown University investigators, the Department of Corrections and 4 community addiction treatment programs already situated in the Rhode Island prison. These 4 programs deliver a comprehensive range of treatment modalities and ancillary services. The Rhode Island Research Center offers at least 4 specific advantages to the National CJ-DATS Cooperative: (1) Investigators and treatment partners with substantial research and clinical experience regarding the organization and integration of substance abuse treatment and health services, especially continuity of care models for community re-entry of inmates afflicted with health problems such as HIV, tuberculosis, or hepatitis infections, and mental health disorders; (2) Strong, existing ties among the Rhode Island partners from prior collaborative research and clinical endeavors; (3) A small state with a unified correctional system, all divisions and facilities on a single campus and an administration highly supportive of research; and (4) An accessible population of addicted persons in which we have achieved high rates of enrollment and follow-up in prior investigations. The Rhode Island Research Center would lead rigorous multisite studies that draw on our expertise in the development, delivery and evaluation of linkages to community health services, with an initial focus on hepatitis C and methadone treatment.