CT Research Center for Criminal Justice Drug Abuse Treatment Study Center

描述(由申请人提供)： 逮捕和监禁提供了社区中不存在的药物治疗的动机。然而，一些患有成瘾障碍的人没有得到治疗，或者过早地离开了治疗，或者没有从治疗中获得长期的好处。最近的证据表明，更好地将治疗社区与刑事司法系统结合起来的方案和服务可能会产生更好的临床结果。康涅狄格州刑事司法药物滥用治疗服务(CT CJ-DATS)倡议将建立一个合作伙伴关系，在康涅狄格州对综合服务和治疗进行经验性测试，那里的司法和惩戒系统是国家运营的，机构间关系已经发展了几年。该倡议将由一个由州和社区机构高级管理人员组成的州级指导委员会和一个研究团队监督，该研究团队包括行为健康、经济学和刑事司法方面的专业知识，并具有多地点协作研究的经验。我们提出了两个可以由CT CJ-DATS团队领导的研究的例子。首先，对于同时存在创伤和药物障碍的女性罪犯，我们提出了一项随机对照试验，将药物滥用和创伤治疗的一种新的团体治疗方法称为TARGET，与单独使用药物滥用治疗进行比较。我们假设，创伤和药物滥用的综合治疗将改善药物滥用和犯罪行为的结果。第二，对于经法院转介的药物依赖或滥用药物的被告人，包括感化主任，我们建议测试一种名为网络支持的治疗模式，强调发展积极的社会支持网络。将比较四种情况：(1)单独治疗药物滥用；(2)有应急管理的药物滥用治疗；(3)有网络支持的药物滥用治疗；(4)有网络支持和应急管理的药物滥用治疗。我们假设，同时使用网络支持和应急管理将在减少药物使用和持续戒除方面产生最好的结果。

DESCRIPTION (provided by applicant): Arrest and incarceration provide motivation for drug treatment not otherwise present in the community. Yet some persons with addictive disorders do not avail themselves of treatment, or leave treatment prematurely, or do not sustain long-term benefit from treatment. Recent evidence suggests that programs and services that better integrate the treatment community with the criminal justice system are likely to yield better clinical outcomes. The Connecticut Criminal Justice Drug Abuse Treatment Service (CT CJ-DATS) Initiative will create a partnership to empirically test integrated services and treatment in Connecticut, where the judicial and correction systems are state-operated, and interagency relationships have been developing for several years. The initiative will be overseen by a state-level steering committee composed of high-level state and community agency managers, and a research team including expertise in behavioral health, economics, and criminal justice, and with experience in multi-site collaborative research. We propose two examples of studies that could be led by the CT CJ-DATS team. First, for women offenders with co-occurring trauma and drug disorders, we propose a randomized controlled trial comparing a novel group treatment approach of substance abuse and trauma treatment called TARGET, compared to substance abuse treatment alone. We hypothesize that integrated treatment for trauma and drug abuse will improve outcomes with regard to substance abuse and criminal behavior. Second, for drug dependent or drug abusing defendants referred by the court system, including probation officers, we propose to test a model treatment called Network Support, which would emphasize the development of a positive social support network. Four conditions will be compared: (1) substance abuse treatment alone; (2) substance abuse treatment with contingency management; (3) substance abuse treatment with network support; and (4) substance abuse treatment with network support and contingency management. We hypothesize that using both network support and contingency management will result in the best outcomes with respect to reduced drug use and continuous abstinence.