Group Behavioral Activation for Incarcerated Substance Users

被监禁药物使用者的群体行为激活

• 批准号: 9051000
• 负责人: Christopher Jonathan Seitz-Brown
• 金额: $ 4.36万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-15 至 2018-08-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9051000
• 关键词: Address; Aftercare; Alcohol or Other Drugs use; Attention; Behavior Therapy; Behavioral; Behavioral trial; Caring; Clinical; Counseling; Criminal Justice; Data; Daughter; Depressed mood; Development; Diagnosis; Disease remission; Drug Addiction; Drug abuse; Environment; Event; Frequencies; Funding; Future; Goals; Grant; Health Services Accessibility; Imprisonment; Individual; Intervention; Jail; Link; Low income; Measures; Mediator of activation protein; Mental Depression; Mental Health; Mental disorders; National Institute of Drug Abuse; Nature; Outcome; Outcome Measure; Participant; Patient Self-Report; Pilot Projects; Population; Populations at Risk; Positive Reinforcer; Prisons; Psychopathology; Public Health; Randomized Controlled Trials; Relapse; Research; Research Personnel; Residential Treatment; Risk; Series; Societies; Staging; Substance Use Disorder; Supervision; Surveys; System; Testing; Training; United States; Work; base; cost effective; depressive symptoms; design; dual diagnosis; efficacy testing; evidence base; follow-up; high risk; meetings; offender; parole; probation; programs; public health relevance; recidivism; reduced substance use; response; substance abuse treatment; substance use prevention; success; treatment as usual; treatment center; treatment group; treatment program

 DESCRIPTION (provided by applicant): Substance use disorders (SUDs) are a highly prevalent and often untreated problem for incarcerated individuals in the United States, and they are associated with eventual relapse, recidivism, and repeated incarceration. Although SUDs are clearly linked to negative outcomes post-release, the vast majority of inmates do not have access to treatment during their incarceration. Complicating the clinical picture, incarcerated substance users also suffer from higher rates of co-occurring depression and other psychopathology. Inmates with these co-occurring disorders are at even higher risk of multiple incarcerations, and require a more integrated treatment approach. Behavioral Activation (BA) may be well equipped to address the unique needs of this population. It is an efficient, straightforward, and cost-effective treatment that has been adapted for a variety of settings and populations, including a group version called LETS ACT designed for depressed low-income substance users. This approach, however, has yet to be tested with substance users in a correctional setting. The current study will compare LETS ACT to treatment as usual in longitudinal outcomes of substance use, depression, and objective measures such as probation violations, arrests, and future incarceration among incarcerated substance users. It is hypothesized that LETS ACT will be associated with a decrease in depression at the conclusion of treatment, and reductions in all other outcomes in the year following release with particular attention to substance use relapse and recidivism. The work proposed in this application will provide a much-needed test of a targeted intervention for this at risk population. Moreover, this research will provide important data on LETS ACT's efficacy in a correctional environment, and if successful, will set the stage for future work in disseminating the intervention. The main training goal for this project is to develop a line of research to better understand and treat factors related to repeated criminal justice involvement among incarcerated substance users and ultimately impact society through limiting substance use and repeated incarceration.

 描述(由申请人提供)：物质使用障碍(SODS)在美国是一个非常普遍的问题，对于被监禁的人来说往往得不到治疗，它们与最终的复发、再次犯罪和反复监禁有关。虽然肥皂水显然与释放后的负面后果有关，但绝大多数囚犯在监禁期间得不到治疗。使临床情况变得复杂的是，监禁药物使用者还患有更高的共生抑郁症和其他精神病理疾病。患有这些共病的囚犯被多次监禁的风险更高，需要更综合的治疗方法。行为激活(BA)可以很好地满足这一群体的独特需求。这是一种有效、直接和成本效益高的治疗方法，已被适应于各种环境和人群，包括为抑郁的低收入药物使用者设计的名为Lets ACT的团体版本。然而，这一方法尚未在惩教环境中与吸毒者进行测试。目前的研究将比较LET ACT和常规治疗在药物使用、抑郁和客观措施方面的纵向结果，如违反缓刑、逮捕和未来对被监禁药物使用者的监禁。假设让ACT与治疗结束时抑郁的减少以及释放后一年所有其他结果的减少有关，并特别关注药物使用复发和复发。本申请中提出的工作将为这一高危人群提供亟需的定向干预测试。此外，这项研究将提供关于让ACT在教养环境中的有效性的重要数据，如果成功，将为未来传播干预措施的工作奠定基础。该项目的主要培训目标是开展一系列研究，以便更好地了解和处理与被监禁药物使用者反复参与刑事司法有关的因素，并通过限制药物使用和反复监禁最终影响社会。