Developing SUPPORT, a Community-Driven, Recovery-Oriented System of Care

项目总结/摘要 缺乏针对返回囚犯的循证单一用途药物治疗和服务。物质使用 以人为本的恢复规划（SUPPORT）是一种社区驱动的、以恢复为导向的方法 药物滥用治疗有可能解决这一服务缺口。支持是仿照 印第安纳州的“获得康复”（ATR）计划，尽管取得了积极的进展，但由于缺乏联邦支持而关闭。 改善客户的康复结果。支持建立在ATR的局限性之上，因为它将： 特别是对重返监狱人口;由社区驱动，而不是由国家管理;要求直接 服务人员必须是经认证的同伴康复教练;为客户提供全年的服务，而不是6个月;以及 利用电子数据采集系统，而不是纸质调查，以改善数据驱动的决策。 该项目的最终目标是建立一个有效和可扩展的恢复支持- 导向的护理体系。在开展大型临床试验之前，我们必须采取的一个必要步骤是， 开发和试点测试支助干预措施。与此相对应，本研究有三个目的 初始任务。目标1是提供支持。我们将利用从过去的印第安纳州ATR收集的定性数据 客户和供应商以及与顾问的学习会议，以确定如何最好地制定和修订正式的 干预的政策、程序和忠诚指南。目标2是进行试点测试， R 01研究的可行性。我们将在中央印第安纳州的一个机构进行试点测试，该机构为以下人员提供服务： 返回的囚犯，使用随机分配比较支持客户端接收通常 治疗我们将在多个点收集两组的定量数据，同时也收集定性数据 以更好地了解他们的计划体验。目标3是确定 执行方面的障碍，以便为今后的传播活动提供信息。我们将进行半结构化电话 与该模型的潜在采用者进行访谈，以通过确定可能的 在印第安纳州之外的可复制性的障碍和促进因素。为了实现这些目标，研究的发展 评价框架采用持续的数据收集和快速反应。由此产生的研究将调查 与类似的SUD计划相比， 缺少模型的关键要素。该项目将增加与面向恢复的 这是目前缺乏的一个研究领域。这种模式的发展也将是 鉴于目前政策和政策的重点是以恢复为导向的护理， 治疗

PROJECT SUMMARY/ABSTRACT There is a lack of evidence-based SUD treatment and services targeting returning inmates. Substance Use Programming for Person-Oriented Recovery (SUPPORT) is a community-driven, recovery-oriented approach to substance abuse care which has the potential to address this service gap. SUPPORT is modeled after Indiana’s Access to Recovery (ATR) program, which was closed due to lack of federal support despite positive improvements in clients’ recovery outcomes. SUPPORT builds on the limitations of ATR in that it will: focus specifically on a prison reentry population; be community-driven, rather than state administered; require direct service staff be certified peer recovery coaches; provide clients a full year of services instead of 6-months; and utilize an electronic data capture system, rather than paper surveys, to improve data-driven decision making. The ultimate goal of this project is the establishment of SUPPORT as an effective and scalable recovery- oriented system of care. A necessary step we must take before launching a large clinical trial is the development and pilot testing of the SUPPORT intervention. This study has three aims corresponding to this initial task. Aim 1 is to develop SUPPORT. We will utilize qualitative data collected from past Indiana ATR clients and providers and learning meetings with advisors to determine how to best develop and revise formal policies, procedures, and fidelity guidelines for the intervention. Aim 2 is to conduct a pilot test to assess feasibility for an R01 study. We will conduct a pilot test at a Central Indiana agency that provides services to returning inmates, using random assignment to compare SUPPORT clients to clients receiving usual treatment. We will collect quantitative data for both groups at multiple points and also collect qualitative data from SUPPORT clients to better understand their program experiences. Aim 3 is the identification of implementation barriers to inform future dissemination activities. We will conduct semi-structured phone interviews with potential adopters of the model to improve SUPPORT’s transferability by identifying possible barriers and facilitators to replicability beyond Indiana. To accomplish these aims, the study’s developmental evaluation framework uses continuous data collection and rapid response. The resulting study will investigate the effectiveness of SUPPORT for improving client recovery outcomes to a similar SUD program that is missing key elements of the model. This project will increase scientific knowledge related to recovery-oriented services, an area of research that is currently lacking. The development of such a model will also be of interests to a variety of stakeholder groups given the current focus on recovery-oriented care in policy and treatment.