Continuing Care App for Probationers and Parolees with Substance Use Disorders

 描述（由申请人提供）：物质使用障碍（SUD）仍然是美国最严重的公共卫生问题之一。研究一致记录了刑事司法监督下的个体中SUD的患病率显著较高。截至2013年底，约有475万成年人处于缓刑或假释期（每51名成年人中就有1名）。非裔美国人缓刑犯和假释与SUD特别容易受到非法药物使用和艾滋病毒感染，因为他们通常生活在以高失业率，吸毒和贫困为特征的社区，他们很可能在社区从事与毒品和性有关的艾滋病毒风险行为。研究表明，已发现持续护理干预措施在减少药物使用、复发和犯罪活动方面扩大了初级治疗的收益。我们建议为完成药物滥用治疗的受感化者和假释犯开发一个持续护理移动的应用程序，这些受感化者和假释犯具有药物滥用复发、艾滋病毒相关风险因素以及重新被捕和重新监禁的高风险。缓刑犯和假释犯，其中许多是低收入的城市非洲裔美国人，是一个重要的健康差距人口，将受益于持续的护理技术。这项研究将与全面保健（THC），一个联邦合格的健康中心和马里兰州最大的少数民族经营的非营利社区健康中心合作进行。如果发现有效，拟议的应用程序可以部署在全国网络的门诊药物滥用治疗提供者/方案，有可能改善传播的持续护理服务以外的传统护理系统，并在其对公共卫生的直接影响是非常显着的个人参与刑事司法系统。

 DESCRIPTION (provided by applicant): Substance use disorders (SUDs) continue to be one of the most serious public health problems in the US. Studies have consistently documented a substantially higher prevalence of SUDs among individuals under criminal justice supervision. At year-end 2013, approximately 4.75 million adults were on probation or parole (1 in 51 adults). African American probationers and parolees with SUDs are particularly vulnerable to illicit substance use and HIV infection as they typically live in neighborhoods characterized by high rates of joblessness, drug use, and poverty and they are likely to engage in drug-and sex-related HIV risk behaviors in the community. Studies have shown that continuing care interventions have been found to extend primary treatment gains with respect to reductions in substance use, relapse, and criminal activity. We propose to develop a continuing care mobile application for probationers and parolees completing substance abuse treatment who are at high risk of substance abuse relapse, HIV related risk factors, and re-arrest and re- incarceration. Probationers and parolees, many of whom are low-income urban African Americans, are an important health disparity population that stands to benefit from continuing care technologies. This research will be conducted in collaboration with Total Health Care (THC), a federally qualified health center and Maryland's largest minority-operated non-profit community health center. If found effective, the proposed application could be deployed across the national network of outpatient substance abuse treatment providers/programs, potentially improving the dissemination of continuing care services outside of traditional systems of care and be highly significant in its direct impact on public health for individuals involved in the criminal justice system.