Improving Mental Health Services for Prisoners with Serious Mental Illnesses
改善患有严重精神疾病的囚犯的心理健康服务
基本信息
- 批准号:9228569
- 负责人:
- 金额:$ 27.58万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-04-04 至 2020-03-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdoptionAffectAggressive behaviorAttitudeBehavioralClinical TreatmentCommunitiesCriminal JusticeDataEffectivenessEvidence based interventionFaceFibrinogenFrequenciesFundingFutureGoalsIllness impactImpairmentImprisonmentImpulsivityInterventionJusticeLiteratureManualsMediatingMediator of activation proteinMental HealthMental Health ServicesMental disordersMissionNational Institute of Mental HealthNeurocognitiveOutcomeParticipantPersonsPhasePilot ProjectsPopulationPreventive InterventionPrisonerPrisonsProblem SolvingPublic HealthPunishmentRandomized Controlled TrialsResearchResearch PersonnelRisk FactorsSafetyServicesSymptomsSystemTestingThinkingTimeTraumaTreatment outcomeViolencebehavioral healthcommunity reentrycostcriminal offendingdesigneffectiveness trialevidence baseexperienceimprovedimproved outcomeinnovationpreventprogramssegregationservice interventionsevere mental illnessskillssocialtherapy designtreatment effect
项目摘要
Project Summary
Interventions are urgently needed to improve the delivery and impact of mental health services for persons with
serious mental illnesses (SMI) in prison. Treatments addressing the symptoms of mental illness form a critical
component of the continuum of services needed by prisoners with SMI. However, a growing body of literature
shows that mental health treatments need to be combined with treatments that directly address criminogenic
risk factors (i.e., those factors most closely associated with criminal activities). Despite their promising
evidence, interventions that address criminogenic risk factors, such as Thinking for a Change (T4C), are not
used with prisoners with SMI because of the neurocognitive and social impairments associated with SMI. This
R34 involves a 2-phase pilot study that examines the effectiveness of a criminogenic intervention that
incorporates a modified delivery system designed specifically to address the unique needs of persons with SMI
in prison. Phase 1 consists of an open trial (n=16) in which we will finalize the T4C-SMI treatment manual. In
Phase 2, we will conduct a small-scale RCT (n=60) to explore the potential effectiveness of T4C-SMI towards
improving impulsivity, criminal attitudes, and interpersonal problem solving (treatment targets) and levels of
aggression, and the amount of behavioral infractions and time spent in administrative segregation in prison
(outcomes). Phase 2 will also examine whether the treatment targets for T4C-SMI mediate the intervention's
impact on outcomes. Our long-term goal is to grow the evidence-base for interventions with the capacity to
improve prison and community-reentry outcomes for persons with SMI. This R34 project will provide the data
needed to implement a rigorous RCT in a future study and supports NIMH's mission to develop innovative
interventions in mental health services.
项目摘要
迫切需要采取干预措施,以改善为患有精神疾病的人提供的精神卫生服务及其影响。
严重精神疾病(SMI)。针对精神疾病症状的治疗形成了一个关键的
这是重度精神障碍囚犯所需的连续服务的一部分。然而,越来越多的文学作品
精神健康治疗需要与直接解决犯罪原因的治疗相结合,
风险因素(即,这些因素与犯罪活动密切相关)。尽管他们承诺
证据表明,解决犯罪风险因素的干预措施,如改变思维(T4 C),
用于患有重度精神分裂症的囚犯,因为神经认知和社交障碍与重度精神分裂症有关。这
R34涉及一项两阶段试点研究,审查犯罪干预措施的有效性,
结合了专门设计的改良输送系统,以满足SMI患者的独特需求
有期徒刑第1阶段包括一项开放试验(n=16),我们将最终确定T4 C-SMI治疗手册。在
第2阶段,我们将进行一项小规模随机对照试验(n=60),以探索T4 C-SMI对
改善冲动,犯罪态度和人际问题解决(治疗目标)和水平,
攻击性,以及行为违规的数量和在监狱行政隔离中花费的时间
(成果)。第2阶段还将检查T4 C-SMI的治疗靶点是否介导了干预作用。
对结果的影响。我们的长期目标是扩大干预措施的证据基础,
改善重度精神障碍患者重返监狱和社区结果。这个R34项目将提供数据
需要在未来的研究中实施严格的RCT,并支持NIMH的使命,
心理健康服务干预。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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AMY Blank Wilson的其他文献
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{{ truncateString('AMY Blank Wilson', 18)}}的其他基金
Forging New Paths: Building Interventions to Treat Criminogenic Needs in Community Based Mental Health Settings
开辟新道路:在社区心理健康环境中制定干预措施来治疗犯罪需求
- 批准号:
10509138 - 财政年份:2022
- 资助金额:
$ 27.58万 - 项目类别:
Forging New Paths: Building Interventions to Treat Criminogenic Needs in Community Based Mental Health Settings
开辟新道路:在社区心理健康环境中制定干预措施来治疗犯罪需求
- 批准号:
10689140 - 财政年份:2022
- 资助金额:
$ 27.58万 - 项目类别:
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