Effects of Manualized Treatment in a Seamless System

描述(由申请人提供)： 无缝系统中的机械化治疗的影响建立在现有的工作机构的基础上，以审查缓刑监督服务范围内的治疗提供问题。这项专门研究的目的是评估采用专门的手工治疗课程(自我改进和改变战略--SSIC)的无缝服务提供系统对罪犯结果(如减少惯犯和技术违规、改善社会适应、改善治疗进展等)的效果。罪犯将根据以下三种条件之一被随机分组：监督办公室现场授课的无缝系统(SM)、治疗转介的无缝系统(SR)和传统的刑事司法监督方法(TS)。将对罪犯风险进行阻断，以了解干预措施对不同类型罪犯(高风险或中等风险)的不同影响，从而检验关于向罪犯提供治疗服务的不同做法的不同影响的假设。分析中将包括系统和服务集成的衡量标准，以了解这些功能对罪犯结果的影响。将收集关于计划程序和计划有效性之间关系的潜在调节因素的数据，包括背景和人口因素(例如，成瘾严重程度、犯罪行为、对改变的准备程度、先前的治疗史、先前的刑事司法史)和客户的心理社会特征(例如，抑郁、改变的动机、治疗进展、自我效能等)。研究地点在马里兰州巴尔的摩县。研究对象将是患有药物滥用障碍的缓刑人员。这项研究将使用随机区组实验设计来测试关于无缝系统与接受传统监督服务(TS)相比，采用指定临床规划(SM)和传统社区门诊规划(SR)对罪犯和系统结果(包括治疗进展)的影响的假设。这项研究将大大促进我们对改善向社区罪犯提供治疗服务的做法的了解，从而对这一领域做出重大贡献。此外，这项研究将解决该领域在使用整体方法处理药物滥用和犯罪思维行为的治疗服务方面的一个空白。

DESCRIPTION (provided by applicant): The Effects of Manualized Treatment in a Seamless System builds on an existing body of work to examine treatment delivery issues within the context of probation supervision services. This particular study is designed to assess the efficacy of a seamless service delivery system with a specialized manualized treatment curriculum (the Strategies for Self-Improvement and Change-- SSIC) on offender outcomes (e.g. reduced recidivism and technical violations, improved social adjustment, improved treatment progress, and so on). Offenders will be randomized according to one of three conditions: seamless system with a manualized curriculum delivered on-site at the supervision office (SM), seamless system with treatment referral (SR), and traditional criminal justice supervision approach (TS). Blocking will occur on a measure of offender risk to understand the differential impact of the interventions on different types of offenders (high or moderate-risk) which allows for the testing of hypotheses about differential impact of the different practices for providing treatment services to offenders. Included in the analysis will be measures of system and service integration to understand the impact of these features on offender outcomes. Data will be collected on potential moderators of the relationship between program procedures and program effectiveness, including background and demographic factors (e.g., addiction severity, criminality, readiness for change, prior treatment history, prior criminal justice history) and psychosocial characteristics of the client (e.g., depression, motivation to change, treatment progress, self-efficacy, etc.). The study site is in Baltimore County Maryland. Study subjects will be probationers with substance abuse disorders. The study will use the randomized block experimental design to test hypotheses about the impact of the seamless system, with designated clinical programming (SM) and with traditional community outpatient programming (SR), in comparison to receiving traditional supervision services (TS), on offender and system outcomes including treatment progress. The study will contribute to the field significantly by advancing our knowledge of practices that improve the delivery of treatment services to offenders in the community. Further the study will address a gap in the field regarding the use of holistic approach to treatment services that addresses both substance abuse and criminal thinking behaviors.