PROTOCOL TO IMPROVE THERAPEUTIC COMMUNITY TREATMENT

描述：申请者摘要 衡量患者在治疗中的进展对于理解这些要素至关重要 有效的药物滥用治疗。为了提高治疗效果， 在实际项目中实施基于研究的治疗干预措施的必要性 设置并评估它们对实践的好处。此应用程序将 通过实施和评估治疗社区(TC)治疗 集成基于研究的仪器测量客户进度的协议 在3个住院医生和8个住院医生中接受治疗 门诊TC设置。本《改进临床实践议定书》(PICP)， 其使用的可行性已在#年的四个TCS的现场试验中确定 社区和监狱环境，有三个组成部分：a)工作人员在 以理论为基础的实践者验证的TC治疗目标的课程； B)每月反复评估工作人员/客户在实现这些目标方面的进展情况 使用三种独特的、新的心理测量工具，由 调查人员，并作为五年K21(科学家发展)的一部分进行验证 获奖。这些仪器与记录/跟踪系统一起使用 客户进度；以及c)将该进度信息集成到已建立的 使从业者能够识别和解决治疗问题的计划例程 与个人客户相关。该项目由一个正在进行的 形成性评价以评估和改进这一操作的经验性 试验方案，三种治疗条件的总结性比较 准实验设计，回顾性对照，记录方案 对项目工作人员、客户和机构的好处。这三个条件是： 1)基线对照组，照常接受治疗；2) 只接受员工培训；以及3)接受员工培训加 完整的协议。研究之间的剂量工作协作努力 NDRI的团队，一家全国知名的一流研究机构，和Daytop 村庄，美国最大和最知名的技术中心之一，将记录 将研究与临床实践相结合带来的互惠互利。 在实践中实施PICP将改善治疗并提供 为继续科学调查这一关系奠定了基础 治疗进展和治疗结果之间的关系。

DESCRIPTION: Applicant's Abstract Measuring client progress in treatment is crucial to understanding the elements of effective drug abuse treatment. To improve treatment effectiveness it is necessary to implement research-based treatment interventions in actual program settings and evaluate their benefits for practice. This application will improve therapeutic community (TC) treatment by implementing and evaluating a protocol that integrates research based instruments measuring client progress in treatment into established clinical practices in three residential and eight outpatient TC settings. This Protocol for Improving Clinical Practice (PICP), whose feasibility for use has been established in field tests at four TCs in community and prison settings, has three components: a) Staff braining in a curriculum of theoretically-based practitioner-validated goals of TC treatment; b) Monthly repeated staff/client evaluation of progress toward these goals using three unique, new psychometrically tested instruments developed by the investigator and validated as part of a five-year K21 (scientist development) award. These instruments are utilized with a system for recording/tracking client progress; and c) Integrating this progress information into established program routine enabling practitioners to identify and address treatment issues relevant to individual clients. The project is comprised of an ongoing formative evaluation to assess and improve the operation of this empirically tested protocol, a summative comparison of three treatment conditions in a quasi-experimental design, and a retrospective comparison, documenting protocol benefits to program staff, clients, and the agency. The three conditions are: 1) A baseline control group that receives treatment as usual; 2) A group that receives staff training only; and 3) A group that receives staff training plus the full protocol. The dose working collaborative effort between the research team at NDRI, a nationally-known, premiere research institution, and Daytop Village, one of the largest and best-known TCs in America, will document the mutual benefits that result from merging research with clinical practice. Implementing the PICP in practice will improve treatment and provide a foundation for the continued scientific investigation of the relationship between progress in treatment and treatment outcome.