Effects of Manualized Treatment in a Seamless System

描述（由申请人提供）： 在一个无缝系统中的手动治疗的影响建立在现有的工作机构，以审查缓刑监督服务的背景下提供治疗的问题。这项研究旨在评估一个无缝的服务提供系统与一个专门的手册化的治疗课程（自我改善和变化的战略- SSIC）对罪犯的结果（例如，减少累犯和技术性违法行为，改善社会适应，改善治疗进展，等等）的功效。罪犯将根据以下三个条件之一进行随机分配：在监督办公室现场提供手动课程的无缝系统（SM），治疗转诊的无缝系统（SR）和传统的刑事司法监督方法（TS）。将对罪犯风险进行衡量，以了解干预措施对不同类型罪犯（高风险或中等风险）的不同影响，从而可以检验关于向罪犯提供治疗服务的不同做法的不同影响的假设。包括在分析将系统和服务集成的措施，以了解这些功能对罪犯的结果的影响。将收集有关计划程序和计划有效性之间关系的潜在调节者的数据，包括背景和人口统计因素（例如，成瘾严重程度、犯罪性、改变的准备程度、先前的治疗史、先前的刑事司法史）和客户的心理社会特征（例如，抑郁、改变动机、治疗进展、自我效能等）。研究中心位于马里兰州的巴尔的摩县。研究受试者将是患有物质滥用障碍的缓刑者。该研究将使用随机区组实验设计来测试有关无缝系统的影响的假设，与指定的临床规划（SM）和传统的社区门诊规划（SR）相比，接受传统的监督服务（TS），对罪犯和系统的结果，包括治疗进展。这项研究将通过提高我们对改善社区罪犯治疗服务的做法的认识，对该领域作出重大贡献。此外，这项研究将解决该领域的差距，关于使用整体方法来治疗服务，解决药物滥用和犯罪思维行为。

DESCRIPTION (provided by applicant): The Effects of Manualized Treatment in a Seamless System builds on an existing body of work to examine treatment delivery issues within the context of probation supervision services. This particular study is designed to assess the efficacy of a seamless service delivery system with a specialized manualized treatment curriculum (the Strategies for Self-Improvement and Change-- SSIC) on offender outcomes (e.g. reduced recidivism and technical violations, improved social adjustment, improved treatment progress, and so on). Offenders will be randomized according to one of three conditions: seamless system with a manualized curriculum delivered on-site at the supervision office (SM), seamless system with treatment referral (SR), and traditional criminal justice supervision approach (TS). Blocking will occur on a measure of offender risk to understand the differential impact of the interventions on different types of offenders (high or moderate-risk) which allows for the testing of hypotheses about differential impact of the different practices for providing treatment services to offenders. Included in the analysis will be measures of system and service integration to understand the impact of these features on offender outcomes. Data will be collected on potential moderators of the relationship between program procedures and program effectiveness, including background and demographic factors (e.g., addiction severity, criminality, readiness for change, prior treatment history, prior criminal justice history) and psychosocial characteristics of the client (e.g., depression, motivation to change, treatment progress, self-efficacy, etc.). The study site is in Baltimore County Maryland. Study subjects will be probationers with substance abuse disorders. The study will use the randomized block experimental design to test hypotheses about the impact of the seamless system, with designated clinical programming (SM) and with traditional community outpatient programming (SR), in comparison to receiving traditional supervision services (TS), on offender and system outcomes including treatment progress. The study will contribute to the field significantly by advancing our knowledge of practices that improve the delivery of treatment services to offenders in the community. Further the study will address a gap in the field regarding the use of holistic approach to treatment services that addresses both substance abuse and criminal thinking behaviors.