PARCA (a digital tool) to improve Justice and Health

PARCA（数字工具）改善司法和健康

• 批准号: 10483296
• 负责人: Faye S Taxman
• 金额: $ 25.6万
• 依托单位: Q2I, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10483296
• 关键词: Address; Analgesics; Appointment; Area; Awareness; Caring; Case Manager; Client; Clinical; Communication; Communities; County; Data; Development; Disease; Disparate; Effectiveness; Environment; Event; Failure; General Population; Goals; Health; Health Technology; Heroin; Housing; Individual; Intervention; Interview; Investments; Justice; Learning; Legal patent; Length; Letters; Link; Location; Measures; Medical; Naloxone; Opioid; Outcome; Oxycodone; Persons; Phase; Population; Positioning Attribute; Process; Progress Reports; Public Health; Randomized; Research; Resources; Self Management; Services; Small Business Technology Transfer Research; Substance Addiction; Supervision; Support Groups; System; Technology; Testing; Texas; Time; United States; Work; acceptability and feasibility; cost; cost comparison; criminal behavior; dashboard; design; digital health; digital tool; effectiveness evaluation; effectiveness study; experience; follow-up; improved; insight; medication for opioid use disorder; mobile application; novel; opioid use; opioid use disorder; overdose prevention; parole; parolee; primary outcome; probation; probationer; rearrest; recidivism; recruit; relapse prevention; retention rate; secondary outcome; service providers; sharing platform; social health determinants; substance use; substance use treatment; success; treatment program; treatment services; user centered design

PROJECT SUMMARY/ABSTRACT Nearly 4.4 million individuals are on community supervision in the United States, with the majority (about 80%) being supervised under probation.1 Justice involved persons (JIPs) have a 474% increased lifetime experience with heroin, a 303% increased use of OxyContin in the last 12 months, and a 256% increased use in pain medication in the last 12 months, compared to the general population.3 One important step in addressing substance use and addiction is getting individuals engaged in the treatment process, as initiation and retention rates are very low for substance use treatment among this population. Q2i successfully developed the Probation/Parole And Reentry Coach Application (PARCA) technology, which includes a Justice Team (JT) Dashboard connected to a mobile app designed for JIPs. The platform enables JIPs to set and manage their personal goals while assisting them in addressing the social determinants of health (SDOH) in order to facilitate and supplement the substance use treatment process. It provides a step-by-step guide and identifies local services and resources that the JIPs can connect with to accomplish these goals. At the same time, it gives the JT a dashboard that enables greater insight on how a JIP is managing their plan. This increased connection and communication between the JT and the JIP is designed to improve the community supervision process. In this Phase 1/Phase 2 Fast Track STTR application, Q2i’s PARCA platform will be refined and implemented in Dallas and Hidalgo Counties to test its efficacy. The primary goal of Phase I is to enhance the PARCA platform for JIP. The study team will accomplish this by recruiting three sets of 2 PPOs/Case Managers willing to use PARCA with five of their clients who have used any opioids in the last 12 months (total JIPs = 30) for 2- weeks. The team will conduct interviews with PPOs and their clients that will inform our user-centered design iterations. Initial interviews will describe barriers and challenges to successful community supervision including accessing MOUD treatment and how PARCA can be improved to address these challenges. Follow- up interviews will describe feasibility (use of the PARCA platform features) and acceptability (engagement with PARCA platform through user engagement logs) of using PARCA platform to locate and access MOUD treatment. The overall goal of Phase II is to test the relative efficacy of supervision as usual (SAU) and PARCA in helping JIPs under community supervision engage in substance use treatment process and reduce subsequent involvement in criminal behavior. Using a stepped wedge effectiveness design, we will evaluate the PARCA platform across probation/parole officers (PPOs) (N=60), probationers/parolees (N=600). PPOs will be randomized in three clusters of 20 people to utilize PARCA. Lastly, we will assess the acceptability and feasibility of PARCA platform by supervision officers and justice-involved persons (JIPs) and whether PARCA improves the working alliance between supervisors and JIPs.

项目总结/摘要 在美国，近440万人接受社区监督，其中大多数（约 司法参与者（JIP）的寿命增加了474% 海洛因的使用经验，在过去12个月内奥施康定的使用增加了303%， 与一般人群相比，在过去12个月内使用止痛药的人数。 物质使用和成瘾是让个人参与治疗过程，作为启动和保留 在这一人群中，接受药物使用治疗的比例非常低。Q2 i成功开发了 缓刑/假释和重返社会教练应用（PARCA）技术，其中包括一个司法团队（JT） 仪表板连接到专为JIP设计的移动的应用程序。该平台使JIP能够设置和管理其 个人目标，同时帮助他们解决健康的社会决定因素， 促进和补充物质使用处理过程。它提供了一个分步指南，并确定了 JIP可以连接以实现这些目标的本地服务和资源。与此同时， JT是一个仪表板，可以更深入地了解JIP如何管理他们的计划。这种增加的联系 JT和JIP之间的沟通旨在改善社区监督过程。在 在第一阶段/第二阶段的快速通道STTR应用中，Q2 i的PARCA平台将在 达拉斯和伊达尔戈县测试其功效。第一阶段的主要目标是加强PARCA JIP平台研究团队将通过招募三组（每组2名）愿意 在过去12个月内使用任何阿片类药物的5名客户（JIP总数= 30）中使用PARCA 2- 周该团队将与PPO及其客户进行访谈，以告知我们以用户为中心的设计 迭代。最初的访谈将描述成功的社区监督的障碍和挑战 包括获得MOUD治疗以及如何改进PARCA以应对这些挑战。关注- 向上访谈将描述可行性（PARCA平台功能的使用）和可接受性（参与 使用PARCA平台定位和访问MOUD 治疗第二阶段的总体目标是测试常规监管的相对功效， PARCA帮助社区监督下的JIP参与物质使用治疗过程， 随后参与犯罪行为。使用阶梯楔有效性设计，我们将评估 PARCA平台跨缓刑/假释官（PPO）（N=60），缓刑犯/假释犯（N=600）。PPO将 随机分为三组，每组20人，使用PARCA。最后，我们将评估可接受性， 监管人员和司法参与者（JIPs）是否可以使用PARCA平台，以及 PARCA改善了主管和JIP之间的工作联盟。