OPERATIONS ORE

运营核心（主任：南希·沃尔夫博士） 核心路线图：运营核心提供了行为健康中心的广泛概述 服务与刑事司法研究（简称"中心"），包括以下部分：介绍 （A部分）;研究和哲学的意义（B部分）;进展和向高级 中心（C部分）;管理结构（D部分）;以及核心的简要概述（E部分）。 a.介绍 据估计，监狱和看守所中大约每两名囚犯中就有一名有心理健康问题。 在过去的十年里，倡导者和专业协会一直在游说扩大MH服务， 防止监禁，为被监禁者提供适当的治疗，并促进重返社会 3 "6作为回应，联邦和州立法以及法院 裁决，改变了法律的结构，推动了替代刑事处理的发展 备选方案，7如监狱分流8'9和卫生部法院，10 "12以及监狱内的治疗能力， 但是，在过去20年里，严厉的犯罪立法取得了进展，使其更难获得 远离刑事司法（CJ）系统，特别是对那些被判与毒品有关的犯罪的人。是 据估计，超过50%的精神疾病患者（PMI）在监狱或监狱中受到非法药物的影响， 1这些人也更有可能居住在 集中的社会混乱1415，从监狱或监狱释放后，很可能回到最贫穷的地方， 最有问题的社区。贫困和药物使用问题和疾病" 使社区和CJ系统中治疗精神疾病的努力复杂化。心理健康的社会背景 疾病及其与SU的重叠是犯罪行为的部分原因。到目前为止，消除PMI的努力 来自监狱和监狱的人都把重点放在治疗上，主要是MH治疗， 使这两种情况变得更糟。虽然研究界一直在努力为清除政策提供信息， 严格和相关的卫生服务研究，卫生部和CJ的大多数主要政策发展都有 153此外，服务和干预研究， 所做的往往没有从犯罪学中学习，很少涉及积极的合作， 犯罪学家、成瘾研究人员、城市社会学家和社区开发者/规划者。 本申请要求继续为该中心提供资金，该中心于2001年成立，资金来自DCISIR赠款 (P20 MH66170）。从那时起，该中心的基础设施一直在发展的方向， 南希·沃尔夫博士，杰弗里·德莱恩和威廉·费舍尔以支持发展一种 刑事学知情的卫生部服务研究和培训议程。该中心专注于MH 和SU的问题，出现时，PMI有遇到CJ系统，并在一个生态和 社会复杂系统框架。我们的先进中心的建议是通知和说话的方法 以及在过去五年中被确定为问题的研究问题。其中包括：缺乏 整体概念化;结果评价方法的误用;过分强调个体特异性 在解释模型和设计和研究干预措施的因素;和很少注意的问题 与性别，SU和贫困有关。这些问题在方法和主要研究核心中得到了解决。 该中心的主要目标是推进研究，以最大限度地减少 这将有助于减少治疗中断，并最大限度地发挥他们的潜力，过上富有成效和有意义的生活。 为此，我们中心的基本理念是建立能力， 进行研究以实现这一目标。它包括培养研究人员的能力， 与利益相关者的合作。该中心，作为一个实践社区，努力建立人类和 研究人员和利益攸关方的社会资本，并通过其资源提供机会， 研究能力，推进政策和实践，并在这样做，提高PMI和社会的福利。

OPERATIONS CORE (Director: Dr. Nancy Wolff) Core Roadmap: The Operations Core provides a broad overview of the Center for Behavioral Health Services & Criminal Justice Research (referred to as the "Center") with these sections: introduction (Section A); significance of research and philosophy (Section B); progress and transition plan to an advanced center (Section C); administration structure (Section D); and brief summaries of the Cores (Section E). A. INTRODUCTION Roughly one in two inmates in prisons and jails is estimated to have a mental health (MH) problem.1'' Over the past decade, advocates and professional associations have lobbied for the expansion of MH services to prevent incarceration, provide appropriate treatment for those who are incarcerated, and develop reentry strategies for those leaving jails and prisons.3"6 In response, federal and state legislation, as well as court rulings, have changed legal structures in ways that advance the development of alternative criminal processing options,7 such as jail diversion8'9 and MH courts,10"12 as well as treatment capabilities within jails and prisons.1313a But, tough on crime legislation has advanced over the past 20 years making it more difficult to get out and stay out of the criminal justice (CJ) system, especially for people convicted of drug-related crimes. It is estimated that over 50% of people with mental illness (PMI) in jail or prison were under the influence of illegal drugs or alcohol at the time of their offense.1 These individuals are also more likely to reside in areas of concentrated social disadvantage1415 and when released from prison or jail are likely to return to the poorest, most problematic communities. Poverty and substance use (SU) problems (SUP) and disorders (SUD)" complicate efforts to treat mental illness in the community and in the CJ system. The social context of mental illness and its overlap with SU are part of the reason for criminal behavior. To date, the efforts to remove PMI from jails and prisons have focused on treatment, primarily MH treatment, even while untreated SUP/D is likely to make both conditions worse. While the research community has struggled to inform removal policies with rigorous and relevant MH services research, most of the major policy developments in MH and CJ have occurred with minimal empirical grounding.153 Moreover, the services and intervention research that has been done often proceeds without learning from criminology and rarely involves active collaborations with criminologists, addictions researchers, urban sociologists, and community developers/planners. This application requests continued funding for the Center, instituted in 2001 with funding from a DCISIR grant (P20 MH66170) from the NIMH. Since then the Center's infrastructure has been developed under the direction of Drs. Nancy Wolff, Jeffrey Draine, and William Fisher in ways that support the development of a criminologically-informed MH services research and training agenda. The Center focuses exclusively on MH and SU issues that arise when PMI have encounters with the CJ system and does so within an ecological and socially complex systems framework. Our advanced center proposal is informed by and speaks to methods and research issues that have been identified as problems over the past five years. They include: lack of integrative conceptualization; misapplication of outcome evaluation methods; overemphasis on individualspecific factors in explanatory models and in designing and studying interventions; and little attention to issues related to gender, SU, and poverty. These issues are addressed in the methods and principal research cores. The Center's primary goal is to advance research that will improve the welfare of PMI in ways that minimize the disruption in the delivery of treatment and maximize their potential to lead productive and rewarding lives. Towards this end, the underpinning philosophy of our Center is one that builds the capability and capacity to conduct research that achieves this goal. It includes building the capabilities of researchers and their collaborations with stakeholders. The Center, as a community of practice, endeavors to build the human and social capital of researchers and stakeholders and to provide opportunities, through its resources, to build research capacity that advances policy and practice and, in so doing, improves the welfare of PMI and society.