Computerized Psychosocial Treatment for Offenders with Substance Use Disorders

对患有药物滥用障碍的罪犯进行计算机化心理社会治疗

• 批准号: 7855764
• 负责人: Stanley Sacks
• 金额: $ 188.26万
• 依托单位: NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7855764
• 关键词: AIDS prevention; Abstinence; Achievement; Active Learning; Adopted; Adoption; Alcohol or Other Drugs use; Arts; Behavioral; California; Communication; Communities; Complex; Computers; Cost Analysis; Crime; Criminal Justice; Data; Drug abuse; Drug usage; Economics; Education; Employment; Ensure; Evidence based intervention; Evidence based practice; Female; Funding; Future; HIV; Imprisonment; Individual; Intervention; Intervention Studies; Investments; Kentucky; Learning; Life; Los Angeles; Measures; Mental Health; Modeling; Multimedia; Nature; Opioid; Outcome; Outpatients; Patients; Persons; Pharmaceutical Preparations; Population; Preventive Intervention; Prisons; Professional counselor; Psychological reinforcement; Public Health; Quality of life; Quality-Adjusted Life Years; Randomized; Records; Relative (related person); Research; Research Personnel; Research Project Grants; Resources; Risk Behaviors; Sampling; Science; Site; Substance Use Disorder; Substance abuse problem; System; Technology; Testing; Therapeutic; Time; Training; Treatment Cost; U-Series Cooperative Agreements; Universities; Woman; base; clinical efficacy; cognitive behavior therapy; comparative effectiveness; computerized; cost; cost effective; cost effectiveness; criminal thinking; dissemination research; economic cost; efficacy trial; evidence base; improved; innovation; male; meetings; men; multi-site trial; offender; programs; psychosocial; public health relevance; reincarceration; sex; skill acquisition; skills; social; standard care; systems research; tool; treatment program

DESCRIPTION (provided by applicant): The majority of individuals in criminal justice settings across the U.S. have a critical need for science- based, psychosocial treatment that targets substance use and HIV risk behavior. The investigative team has developed and demonstrated the efficacy of an interactive, computer-based, psychosocial treatment program, the Therapeutic Education System (TES), which can answer this need. TES is theoretically grounded in evidence-based psychosocial treatments (Community Reinforcement Approach and Cognitive Behavioral Therapy), and employs state-of-the-art, proven informational technologies and multimedia learning tools to promote skills acquisition, experiential learning and behavioral change. This computer-based therapeutic tool allows complex interventions to be delivered with fidelity to the evidence-based model and at low cost due to its self-directed nature (e.g., minimal staff time/training needed), thus offering considerable potential for future sustainability and dissemination within criminal justice systems. The study employs random assignment of incarcerated male and female offenders with substance use disorders (N=526) to either (1) TES (N=263), or (2) Standard Care (N=263), in a multi-site trial conducted in 8 prison substance abuse programs. Along with NDRI (the applicant organization), the collaborating study sites (University of California Los Angeles, Temple University, and the University of Kentucky) operate Research Centers that belong to the Criminal Justice Drug Abuse Treatment Studies (CJDATS) network, a NIDA-funded cooperative agreement, which has established relationships with criminal justice partners from Departments of Corrections across the U.S. Aim 1 is to test the comparative effectiveness of TES vs. Standard Care on measures of drug use (e.g., weeks of abstinence) and HIV risk behavior (both sex-related and drug-related HIV risk behavior) at 3- and 6-months post prison discharge, as well as on reincarceration rates using official Department of Corrections records. Aim 2 is to evaluate the cost and cost-effectiveness of TES relative to standard care. The investigators predict that TES will be significantly more effective and cost effective than Standard Care. The project is significant in its use of an innovative, computer-based technology and in its potential to produce a major increase in the effective and cost-effective delivery of science-based psychosocial treatment to substance-abusing offenders in prison, and thereby make a considerable public health contribution. Thus, funding the proposed 2-year project can markedly accelerate the pace and achievement of research and dissemination efforts to meet the needs of the U.S. correctional community by providing effective and practical treatment interventions for its large substance-abusing population. PUBLIC HEALTH RELEVANCE: The proposed project is significant in its use of an innovative computer-based technology (of demonstrated efficacy with a related population of substance users) to produce a dramatic increase in the effective and cost- effective delivery of psychosocial treatment for male and female substance-abusing offenders, and thereby have a substantial impact on public health. Funding the proposed 2-year research project has the potential to accelerate research and dissemination efforts to enable widespread reach of science-based psychosocial treatment to individuals in criminal justice settings across the U.S.

描述（由申请人提供）：美国刑事司法环境中的大多数人都迫切需要基于科学的心理社会治疗，以药物使用和艾滋病毒风险行为为目标。调查小组已经开发并证明了一种互动式、基于计算机的心理社会治疗方案——治疗教育系统（TES）的有效性，它可以满足这一需求。TES的理论基础是基于证据的社会心理治疗（社区强化疗法和认知行为疗法），并采用最先进的、经过验证的信息技术和多媒体学习工具来促进技能习得、体验式学习和行为改变。这种基于计算机的治疗工具使复杂的干预措施能够忠实于循证模式，并且由于其自我导向的性质（例如，所需的工作人员时间/培训最少），成本较低，因此为未来的可持续性和在刑事司法系统内传播提供了相当大的潜力。该研究在8个监狱药物滥用项目中进行了多地点试验，随机分配了有药物使用障碍的在押男女罪犯（N=526）到(1)TES （N=263）或(2)标准护理（N=263）。与NDRI（申请组织）一起，合作研究地点（加州大学洛杉矶分校、天普大学和肯塔基大学）运营着属于刑事司法药物滥用治疗研究（CJDATS）网络的研究中心，这是nida资助的合作协议。它已经与美国各地的惩教部门的刑事司法合作伙伴建立了关系。目标1是测试TES与标准护理在出狱后3个月和6个月的药物使用（例如，戒断数周）和艾滋病毒风险行为（包括与性有关的和与毒品有关的艾滋病毒风险行为）方面的比较有效性，以及使用官方惩教部门记录的再监禁率。目的2是评估TES相对于标准治疗的成本和成本效益。研究人员预测TES将明显比标准护理更有效，成本更低。该项目具有重要意义，因为它使用了一种创新的计算机技术，并有可能大大增加向监狱中滥用药物的罪犯提供有效和具有成本效益的科学心理治疗，从而对公共卫生作出重大贡献。因此，资助拟议的为期两年的项目可以显著加快研究和传播工作的步伐和成果，通过为其大量滥用药物的人群提供有效和实际的治疗干预来满足美国惩教社区的需求。