Washington Circle Performance Measures and Criminal Justice Outcomes

华盛顿圈绩效衡量和刑事司法结果

• 批准号: 8127664
• 负责人: Deborah W. Garnick
• 金额: $ 42.94万
• 依托单位: BRANDEIS UNIVERSITY
• 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 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8127664
• 关键词: Abstinence; Accounting; Achievement; Address; Aftercare; Age; Alcohol abuse; Alcohol or Other Drugs use; Area; Caring; Characteristics; Client; Communities; Connecticut; Consensus; Continuity of Patient Care; Criminal Justice; Data; Data Collection; Drug Metabolic Detoxication; Drug abuse; Employment; Ethnic Origin; Facility Controls; Gender; Goals; Grant; Health; Health Personnel; Health Planning; Health Services Research; Imprisonment; Individual; Inpatients; Link; Massachusetts; Measures; Monitor; National Institute on Alcohol Abuse and Alcoholism; New York; North Carolina; Oklahoma; Outcome; Outcome Measure; Outpatients; Patient Self-Report; Performance; Population; Prevention; Probability; Process; Process Measure; Provider; Public Sector; Quality Indicator; Race; Research; Research Personnel; Research Support; Services; Sex Characteristics; Source; Specific qualifier value; Subgroup; Survival Analysis; System; Techniques; Testing; Time; Washington; Work; abstracting; alcohol and other drug; base; follow-up; improved; innovation; inpatient service; interest; male; meetings; multidisciplinary; racial and ethnic; tool

DESCRIPTION (provided by applicant): Washington Circle Performance Measures and Criminal Justice Outcomes Garnick, D.W. Abstract This is a resubmission of an application building on previous work conducted under an R21 grant from NIAAA (Grant #R21 AA14229) examining the association between Washington Circle (WC) performance measures and outcomes in Oklahoma and exploring the feasibility of conducting similar analyses in other states. In this application, we plan to extend that research by conducting further client-level analyses, focused on WC process measures, for additional client populations (adding measures of continuity of care after detoxification and residential/inpatient services) while controlling for facility level and community level factors. Collaborating with five additional states (MA, CT, NC, WA, and NY) along with Oklahoma's more recent data, the specific aims are to: 1) Evaluate the relationship between client achievement of Washington Circle AOD performance measures and subsequent outcomes regarding criminal justice involvement, employment, and substance use. We will use measures specified by the WC Public Sector Workgroup: initiation and engagement after outpatient treatment, continuity of treatment after detoxification, and continuity of treatment after discharge from residential/inpatient treatment. We will examine their predictive validity with respect to: (1) criminal justice involvement (e.g., any arrest, felony arrest, any conviction, felony conviction, and incarceration, (2) employment at discharge and (3) substance use at discharge. 2) Examine moderating differences - by gender, race/ethnicity and age -- in the relationship between WC AOD performance measures and subsequent outcomes. We will explore whether the predictive validity of the WC performance measures differ by client subgroups, including interactions among the subgroups, e.g., younger Black males. 3) Examine whether prior criminal justice involvement moderates the relationship between WC AOD performance measures and subsequent criminal justice outcomes. Establishing the predictive validity of the WC process measures is a key step in ongoing assessments of their suitability and acceptability as tools for measuring quality. In planning quality improvement activities, it is vitally important for states and providers to understand whether initiation, engagement and continuity of treatment are linked to key outcomes. PUBLIC HEALTH RELEVANCE: Project Relevance. Establishing the predictive validity of the WC process measures is a key step in ongoing assessments of their suitability and acceptability as tools for measuring quality. In planning quality improvement activities, it is vitally important for states and providers to understand whether initiation, engagement and continuity of treatment are linked to key outcomes.

描述（由申请人提供）：华盛顿圈绩效衡量和刑事司法结果 Garnick, D.W.摘要：这是在 NIAAA 的 R21 拨款（拨款 #R21 AA14229）下进行的先前工作的基础上重新提交的申请，该申请审查了华盛顿圈 (WC) 绩效衡量指标与俄克拉荷马州结果之间的关联，并探讨了在其他州进行类似分析的可行性。在此应用中，我们计划通过进行进一步的客户级别分析来扩展该研究，重点关注卫生间流程措施，针对其他客户群体（增加戒毒后连续性护理措施和住院/住院服务），同时控制设施级别和社区级别因素。与另外五个州（马萨诸塞州、康涅狄格州、北卡罗来纳州、华盛顿州和纽约州）以及俄克拉荷马州的最新数据合作，具体目标是： 1) 评估华盛顿圈 AOD 绩效衡量指标的客户成就与刑事司法参与、就业和药物使用方面的后续结果之间的关系。我们将采用 WC 公共部门工作组指定的措施：门诊治疗后启动和参与、戒毒后继续治疗以及住院/住院治疗出院后继续治疗。我们将检查其在以下方面的预测有效性：(1) 刑事司法参与（例如任何逮捕、重罪逮捕、任何定罪、重罪定罪和监禁，(2) 出院时就业和 (3) 出院时药物使用。2) 按性别、种族/族裔和年龄检查 WC AOD 绩效指标与后续结果之间关系的调节差异。我们将探讨 WC 绩效测量的预测有效性是否因客户亚组而异，包括亚组之间的相互作用，例如年轻的黑人男性。 3) 检查先前的刑事司法参与是否调节了 WC AOD 绩效指标与后续刑事司法结果之间的关系。建立 WC 过程测量的预测有效性是持续评估其作为质量测量工具的适用性和可接受性的关键步骤。在规划质量改进活动时，州和提供者必须了解治疗的启动、参与和连续性是否与关键结果相关。 公共卫生相关性：项目相关性。建立 WC 过程测量的预测有效性是持续评估其作为质量测量工具的适用性和可接受性的关键步骤。在规划质量改进活动时，州和提供者必须了解治疗的启动、参与和连续性是否与关键结果相关。

项目成果

A performance measure for continuity of care after detoxification: relationship with outcomes.

• DOI: 10.1016/j.jsat.2014.04.002
• 发表时间: 2014-08
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Lee MT;Horgan CM;Garnick DW;Acevedo A;Panas L;Ritter GA;Dunigan R;Babakhanlou-Chase H;Bidorini A;Campbell K;Haberlin K;Huber A;Lambert-Wacey D;Leeper T;Reynolds M
• 通讯作者: Reynolds M

Criminal justice outcomes after engagement in outpatient substance abuse treatment.

• DOI: 10.1016/j.jsat.2013.10.005
• 发表时间: 2014-03
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Garnick DW;Horgan CM;Acevedo A;Lee MT;Panas L;Ritter GA;Dunigan R;Bidorini A;Campbell K;Haberlin K;Huber A;Lambert-Wacey D;Leeper T;Reynolds M;Wright D
• 通讯作者: Wright D