Washington Circle Performance Measures and Criminal Justice Outcomes

描述（由申请人提供）：华盛顿圈绩效指标和刑事司法结果Garnick， D.W.摘要这是在NIAAA （grant #R21 AA14229）的R21资助下进行的先前工作的基础上重新提交的申请，该工作研究了俄克拉何马州华盛顿圈（WC）绩效指标与结果之间的关系，并探索了在其他州进行类似分析的可行性。在本应用程序中，我们计划通过进一步的客户层面分析来扩展该研究，重点关注WC过程措施，针对额外的客户群体（增加戒毒后护理连续性和住院/住院服务的措施），同时控制设施水平和社区水平的因素。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绩效指标的客户成就与刑事司法参与、就业和药物使用等后续结果之间的关系。我们将采用世界卫生组织公共部门工作组指定的措施：门诊治疗后的开始和参与，戒毒后的持续治疗，以及从住院治疗出院后的持续治疗。我们将从以下方面检验它们的预测有效性：(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)出院时的就业；(3)出院时的物质使用。2)检查WC AOD绩效指标与后续结果之间关系的调节差异（按性别、种族/民族和年龄）。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，年轻黑人男性。3)检验先前的刑事司法参与是否调节了WC AOD绩效测量与随后的刑事司法结果之间的关系。建立WC过程度量的预测有效性是持续评估其作为度量质量的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，至关重要的是，国家和提供者要了解治疗的开始、参与和连续性是否与关键结果有关。公共卫生相关性：项目相关性。建立WC过程度量的预测有效性是持续评估其作为度量质量的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，至关重要的是，国家和提供者要了解治疗的开始、参与和连续性是否与关键结果有关。

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.