Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
基本信息
- 批准号:10610536
- 负责人:
- 金额:$ 12.12万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-09-30 至 2024-04-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdolescentAffectBiological ModelsCaringCenters for Disease Control and Prevention (U.S.)Cessation of lifeChargeClimateClinical TrialsCollaborationsCommunitiesCommunity HealthCommunity Mental Health CentersContinuity of Patient CareCost effectiveness researchCountyDataDecision MakingEducational InterventionEmergency department visitEnsureEvidence based interventionFutureGoalsHealthHealth PersonnelHealth Services AccessibilityHealth systemHuman ResourcesHybridsIndianaIndividualInfrastructureInstitutionInterdisciplinary StudyInterventionJusticeLearningLinkMethodologyMethodsMidwestern United StatesNational Institute of Drug AbuseOpioidOutcomeOverdosePharmaceutical PreparationsPoliciesPopulationPreventionPublic HealthRandomizedRandomized Clinical TrialsReportingResearchResearch SupportResource AllocationResource-limited settingRiskRoleRuralRural CommunitySequential Multiple Assignment Randomized TrialServicesSiteSubstance Use DisorderSystemTestingTimeTrainingTreatment CostVulnerable PopulationsWorkWorkforce DevelopmentYouthaddictionadministrative databasebasebehavioral healthcommunity based researchcomparative effectivenessdisorder riskevidence baseexperienceimplementation costimplementation evaluationimplementation outcomesimplementation processimplementation scienceimprovedjuvenile justice systemnovelopioid epidemicopioid misuseopioid overdoseopioid useopioid use disorderoverdose deathprogramsrecidivismreduced substance userural countiessafety outcomesscreeningsubstance usesuccesstrial design
项目摘要
PROJECT SUMMARY
Indiana ranks 14th nationally in drug overdose deaths and, from 2016 to 2017, experienced the 3rd largest
increase (22.5%) in overdose deaths. The CDC recently reported Indiana as one of only six states with a
significant increase in emergency department visits for suspected opioid overdose. Yet, Hoosiers at risk for
opioid misuse and other substance use disorders (SUDs) are unlikely to receive necessary services; Indiana -
a largely rural state - ranks 46th in number of behavioral health treatment providers per individuals suffering
addictions. By targeting rural counties in a Midwest state, our research team seeks to address the national
opioid crisis at its epicenter. We will also focus on a population among those at greatest risk for opioid-related
harms: youth involved in the juvenile justice system (YJJ). Among arrested youth, 78% have recently used illicit
substances. Our research has shown that YJJ die at 1.5 times the rate of youth who have never been arrested,
and a leading cause of YJJ death is drug overdose. The primary goal of our proposed project, Alliances to
Disseminate Addiction Prevention and Treatment (ADAPT), is to address barriers to effective SUDs treatment
of YJJ as identified by the substance use care cascade. We will accomplish our goal by creating alliances
between the juvenile justice system (JJ) and community mental health centers (CMHCs) in 10 rural Indiana
counties. These collaborative JJ-CMHC partnerships will facilitate SUD risk identification and service
connection by JJ and enable timely initiation and engagement in evidence-based SUD treatment provided by
CMHCs. ADAPT takes a two-pronged approach. First, we will employ a Learning Health System (LHS) model
to develop alliances between JJ and CMHCs. Second, we will maximize opioid use prevention efforts by
implementing a bundled treatment approach to improve screening, resource allocation, workforce development
and evidence-based interventions (EBIs) that target a range of SUD risk levels. We hypothesize that ADAPT –
a combination of the LHS alliances and dissemination of targeted SUD EBIs – will positively affect SUD and
recidivism outcomes over time. We will conduct a hybrid type II comparative effectiveness, cluster randomized
clinical trial to compare the LHS to the EBI interventions. In addition, we will employ sophisticated
methodology, such as a sequential multiple assignment randomized trial (SMART) design, and leverage our
expertise in linking administrative data from multiple health and justice systems, to assess these outcomes. We
will utilize our expertise in implementation science, community-based research, clinical trials, cost-
effectiveness research, and linking administrative databases, for research to assess the impact of these
interventions on criminal recidivism and substance use outcomes, including transition to opiate use disorders
and opiate overdose. We expect this project will guide future community-based efforts targeting the substance
use care cascade among vulnerable populations.
项目摘要
印第安纳州在全国药物过量死亡人数中排名第14位,从2016年到2017年,
过量死亡增加(22.5%)。疾病预防控制中心最近报告说,印第安纳州是仅有的六个州之一,
因疑似阿片类药物过量而到急诊室就诊的人数显著增加。然而,胡赛尔人面临着
阿片类药物滥用和其他物质使用障碍(SUD)不太可能获得必要的服务;印第安纳州-
一个主要是农村的州-在每个遭受痛苦的人的行为健康治疗提供者数量方面排名第46位
上瘾通过针对中西部州的农村县,我们的研究团队寻求解决全国性的
阿片类药物危机的中心。我们还将重点关注阿片类药物相关风险最高的人群。
危害:青少年司法系统中的青少年(YJJ)。在被捕的青少年中,78%最近使用非法药物,
物质.我们的研究表明,YJJ的死亡率是从未被捕的年轻人的1.5倍,
YJJ的死因之一是吸毒过量我们提议的项目的主要目标是,
传播成瘾预防和治疗(ADAPT),旨在解决有效SUD治疗的障碍
的YJJ,如通过物质使用护理级联确定的。我们将通过建立联盟来实现目标
在印第安纳州的10个农村地区,
个县这些合作的JJ-CMHC伙伴关系将促进SUD风险识别和服务
JJ的连接,并能够及时启动和参与由JJ提供的循证SUD治疗
CMHC。ADAPT采取双管齐下的办法。首先,我们将采用学习健康系统(LHS)模型
建立强生和CMHC之间的联盟。第二,我们将最大限度地预防阿片类药物的使用,
实施捆绑治疗方法,以改善筛查、资源分配、劳动力发展
以及针对一系列SUD风险水平的循证干预措施(EBI)。我们假设adapt -
LHS联盟和有针对性的SUD EBI的传播相结合-将对SUD产生积极影响,
随着时间的推移,累犯的结果。我们将进行混合II型比较有效性,随机分组
临床试验,以比较LHS的EBI干预。此外,我们将采用先进的
方法,如序贯多分配随机试验(SMART)设计,并利用我们的
在将来自多个卫生和司法系统的行政数据联系起来以评估这些结果方面,我们
将利用我们在实施科学,基于社区的研究,临床试验,成本,
有效性研究,并连接行政数据库,以研究评估这些影响
对犯罪累犯和药物使用结果的干预,包括向阿片类药物使用障碍的过渡
和鸦片过量我们希望该项目将指导今后针对该物质的社区努力
在弱势群体中使用护理级联。
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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Matthew Aalsma其他文献
Matthew Aalsma的其他文献
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{{ truncateString('Matthew Aalsma', 18)}}的其他基金
Workforce and System Change to Treat Adolescent Opioid Use Disorder within Integrated Pediatric Primary Care
在综合儿科初级保健中治疗青少年阿片类药物使用障碍的劳动力和系统变革
- 批准号:
10812631 - 财政年份:2023
- 资助金额:
$ 12.12万 - 项目类别:
Scaling up eConnect in Juvenile Probation Settings: a hybrid implementation-effectiveness trial of a digital suicide risk/behavior identification and linkage-to-treatment system
在青少年缓刑环境中扩大 eConnect:数字自杀风险/行为识别和与治疗系统联系的混合实施有效性试验
- 批准号:
10516385 - 财政年份:2022
- 资助金额:
$ 12.12万 - 项目类别:
Fatal Overdose Review Teams - Research to Enhance Surveillance Systems (FORTRESS)
致命过量用药审查小组 - 加强监测系统的研究 (FORTRESS)
- 批准号:
10590303 - 财政年份:2022
- 资助金额:
$ 12.12万 - 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
- 批准号:
10747060 - 财政年份:2019
- 资助金额:
$ 12.12万 - 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
- 批准号:
10388161 - 财政年份:2019
- 资助金额:
$ 12.12万 - 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
- 批准号:
10621857 - 财政年份:2019
- 资助金额:
$ 12.12万 - 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
- 批准号:
10403069 - 财政年份:2019
- 资助金额:
$ 12.12万 - 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
- 批准号:
10442044 - 财政年份:2019
- 资助金额:
$ 12.12万 - 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
- 批准号:
10026085 - 财政年份:2019
- 资助金额:
$ 12.12万 - 项目类别:
The Impact of Behavioral Health Treatment Among Adolescent Offenders
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- 批准号:
9307704 - 财政年份:2016
- 资助金额:
$ 12.12万 - 项目类别:
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