Intervention for Persons with Co-Occurring Disorders Leaving Residential Tx

对离开德克萨斯州住宅的并发疾病患者的干预

• 批准号: 9267955
• 负责人: Jennifer I Manuel
• 金额: $ 17.79万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9267955
• 关键词: Academia; Advisory Committees; Advocacy; Aftercare; Alcohol or Other Drugs use; Area; Client; Communities; Dace; Data; Data Analyses; Data Collection; Development; Discharge Plannings; Doctor of Philosophy; Effectiveness; Emotional; Evidence based intervention; Family; Friends; Grant; Health Personnel; Health Services Accessibility; Homelessness; Hospitalization; Imprisonment; Individual; Intervention; Interview; Knowledge; Life; Link; Mental Health; Mental disorders; Mentors; Mentorship; Methods; Modeling; Outcome; Persons; Phase; Pilot Projects; Population; Problem Solving; Process; Provider; Psychiatric Hospitals; Qualitative Methods; Relapse; Research; Research Personnel; Residential Treatment; Services; Shelter facility; Structure; Substance abuse problem; Supervision; Support System; Testing; Time; Training; Translating; Translational Research; Virginia; Vulnerable Populations; Writing; base; career; career development; community reentry; community setting; design; dual diagnosis; experience; implementation science; improved; innovation; member; programs; public health relevance; responsible research conduct; secondary analysis; self reliance; severe mental illness; skills; social stigma; substance abuse treatment; symposium

DESCRIPTION (provided by applicant): This revised K01 career development application is designed to prepare Jennifer I. Manuel, Ph.D., for a productive career as an independent investigator who conducts research and advances knowledge in the development/adaptation and implementation of interventions that improve the lives of individuals with co- occurring substance use and mental health disorders. Under the primary mentorship of Dr. Dace Svikis, Dr. Manuel will receive formal mentoring and direct supervision, and complete formal (i.e., coursework) and informal (e.g., seminars, trainings, conferences) didactic training to increase her knowledge and skills in the following areas: (1) adaptation and implementation of evidence-based interventions; (2) participatory planning methods; (3) quantitative and qualitative methods and analyses; (4) grant writing and management; and (5) responsible conduct of research. The proposed research uses a multi-phase approach that strategically dovetails the applicant's training plan. Specifically, the applicant uses participatory planning methods to adapt and implement an established, nationally-recognized intervention, Critical Time Intervention, for a new population and setting among individuals with co-occurring substance use and mental health disorders who are vulnerable to relapse following residential substance abuse treatment. The specific aims are to: (1) identify challenges and strategies of community reentry among individuals with co-occurring disorders in residential substance abuse treatment and their professional (e.g., providers) and nonprofessional (e.g., family, friends, community members) supports; (2) adapt and translate CTI for individuals with co-occurring disorders during the transition from residential substance abuse treatment into the community, utilizing participatory planning methods; and (3) conduct a pilot study to examine the feasibility, acceptability, and preliminary outcomes of the adapted CTI compared to usual discharge planning services. The proposed research contributes to the candidate's career development, as it augments her existing experience in research coordination and secondary analysis through leading a study from the ground up and conducting primary data analysis, and yields pilot data for a subsequent R01 to test the effectiveness of the adapted CTI intervention on a larger scale. The participatory planning framework that guides this application, if successful, could be used to prepare interventions for other vulnerable populations and advance implementation science by developing a systematic approach for helping to close the gap between research and practice.

描述（由申请人提供）：这一修订后的K01职业发展申请旨在为Jennifer I. Manuel博士准备一个富有成效的职业生涯，作为一个独立的研究者，她在发展/适应和实施干预措施方面进行研究，提高知识，改善患有共存物质使用和精神健康障碍的个体的生活。在Dace Svikis博士的主要指导下，Manuel博士将接受正式的指导和直接监督，并完成正式（即课程）和非正式（如研讨会、培训、会议）的教学培训，以增加她在以下领域的知识和技能：(1)适应和实施循证干预措施；(2)参与式规划方法；（三）定量和定性方法与分析；(4)基金的撰写和管理；(5)负责任的研究行为。拟议的研究采用多阶段方法，在战略上与申请人的培训计划相吻合。具体来说，申请人使用参与式规划方法来适应和实施一个既定的，国家认可的干预措施，关键时间干预，针对一个新的人群和环境，在同时发生物质使用和精神健康障碍的个人中，他们很容易在住院药物滥用治疗后复发。具体目标是：(1)确定在住宅药物滥用治疗中同时发生疾病的个人及其专业（例如提供者）和非专业（例如家庭，朋友，社区成员）支持中重新进入社区的挑战和策略；(2)采用参与式规划方法，将CTI应用于从住宅药物滥用治疗过渡到社区的共患障碍患者；(3)进行一项试点研究，以检查与通常的排放计划服务相比，调整后的CTI的可行性、可接受性和初步结果。拟议的研究有助于候选人的职业发展，因为它通过从头开始领导一项研究并进行主要数据分析，增加了她在研究协调和二次分析方面的现有经验，并为随后的R01提供试点数据，以在更大范围内测试适应性CTI干预的有效性。指导这一应用的参与式规划框架如果成功，可以用来为其他弱势群体准备干预措施，并通过制定一种帮助缩小研究与实践之间差距的系统方法来推进实施科学。