Intervention for Persons with Co-Occurring Disorders Leaving Residential Tx

对离开德克萨斯州住宅的并发疾病患者的干预

• 批准号: 9062406
• 负责人: Jennifer I Manuel
• 金额: $ 17.82万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9062406
• 关键词: Academia; Advisory Committees; Advocacy; Aftercare; Alcohol or Other Drugs use; Area; Client; Communities; Dace; Data; Data Analyses; Data Collection; Development; Doctor of Philosophy; Effectiveness; Emotional; Evidence based intervention; Family; Friends; Grant; Health; Health Personnel; Homelessness; Hospitalization; Imprisonment; Individual; Intervention; Interview; Knowledge; Left; Life; Link; Mental Health; Mental disorders; Mentors; Mentorship; Methods; Modeling; Outcome; Persons; Phase; Pilot Projects; Population; Problem Solving; Process; Provider; Psychiatric Hospitals; Qualitative Methods; Relapse; Research; Research Personnel; Residential Treatment; Services; Shelter facility; Structure; Substance abuse problem; Supervision; Support System; Testing; Time; Training; Translating; Translational Research; Virginia; Vulnerable Populations; Writing; base; career; career development; community reentry; community setting; design; dual diagnosis; experience; implementation science; improved; innovation; member; programs; responsible research conduct; self reliance; severe mental illness; skills; social stigma; substance abuse treatment; symposium

DESCRIPTION (provided by applicant): This revised K01 career development application is designed to prepare Jennifer I. Manuel, Ph.D., for a productive career as an independent investigator who conducts research and advances knowledge in the development/adaptation and implementation of interventions that improve the lives of individuals with co- occurring substance use and mental health disorders. Under the primary mentorship of Dr. Dace Svikis, Dr. Manuel will receive formal mentoring and direct supervision, and complete formal (i.e., coursework) and informal (e.g., seminars, trainings, conferences) didactic training to increase her knowledge and skills in the following areas: (1) adaptation and implementation of evidence-based interventions; (2) participatory planning methods; (3) quantitative and qualitative methods and analyses; (4) grant writing and management; and (5) responsible conduct of research. The proposed research uses a multi-phase approach that strategically dovetails the applicant's training plan. Specifically, the applicant uses participatory planning methods to adapt and implement an established, nationally-recognized intervention, Critical Time Intervention, for a new population and setting among individuals with co-occurring substance use and mental health disorders who are vulnerable to relapse following residential substance abuse treatment. The specific aims are to: (1) identify challenges and strategies of community reentry among individuals with co-occurring disorders in residential substance abuse treatment and their professional (e.g., providers) and nonprofessional (e.g., family, friends, community members) supports; (2) adapt and translate CTI for individuals with co-occurring disorders during the transition from residential substance abuse treatment into the community, utilizing participatory planning methods; and (3) conduct a pilot study to examine the feasibility, acceptability, and preliminary outcomes of the adapted CTI compared to usual discharge planning services. The proposed research contributes to the candidate's career development, as it augments her existing experience in research coordination and secondary analysis through leading a study from the ground up and conducting primary data analysis, and yields pilot data for a subsequent R01 to test the effectiveness of the adapted CTI intervention on a larger scale. The participatory planning framework that guides this application, if successful, could be used to prepare interventions for other vulnerable populations and advance implementation science by developing a systematic approach for helping to close the gap between research and practice.

描述（由申请人提供）：此修订后的K 01职业发展应用程序的目的是准备詹妮弗我。Manuel博士，作为一名独立的调查员，从事研究，并在开发/适应和实施干预措施方面提高知识，以改善同时发生物质使用和精神健康障碍的个人的生活。在Dace Svikis博士的主要指导下，Manuel博士将接受正式的指导和直接监督，并完成正式的（即，课程作业）和非正式（例如，她还参加了（包括研讨会、培训、会议）教学培训，以增加她在以下领域的知识和技能：（1）调整和实施循证干预措施;（2）参与性规划方法;（3）定量和定性方法和分析;（4）赠款撰写和管理;（5）负责任地开展研究。拟议的研究采用多阶段的方法，从战略上完善申请人的培训计划。具体而言，申请人使用参与式规划方法，以适应和实施一个既定的，国家认可的干预，关键时间干预，为新的人口和个人之间的设置与共同发生的物质使用和精神健康障碍谁是容易复发住宅物质滥用治疗。具体目标是：（1）确定在住院药物滥用治疗中患有并发症的个人及其专业人员（例如，提供者）和非专业人员（例如，家庭，朋友，社区成员）的支持;（2）适应和翻译CTI的个人共存的障碍，从住宅药物滥用治疗过渡到社区，利用参与式规划方法;和（3）进行试点研究，以检查可行性，可接受性，和初步成果的适应CTI相比，通常的出院规划服务。拟议的研究有助于候选人的职业发展，因为它增加了她在研究协调和二级分析方面的现有经验，通过从头开始进行研究和进行初级数据分析，并为随后的R 01产生试点数据，以测试更大规模的适应CTI干预的有效性。指导这一应用的参与性规划框架如果成功，可用于为其他弱势群体制定干预措施，并通过制定一种系统的方法来帮助缩小研究与实践之间的差距，从而推进实施科学。