NDRI Rocky Mountain Research Center for CJDATS 2

描述（由申请人提供）：CJ-DATS 2要求对扩散过程进行研究（即，采用、实施和维持新的治疗干预措施），以及创新实施战略的效力。该应用程序的目标是提供有关在刑事司法环境中实施循证药物滥用服务的知识。调查人员是来自CJ-DATS 1的经验丰富和富有成效的调查团队，二十年来一直从事研究，以改善基于研究的实践的实施和药物滥用治疗的整体质量。调查小组将使用TCU方案改革模式作为其概念框架，因为该模式特别关注将药物滥用治疗研究转化为实践。认识到需要了解实现组织变革的问题，拟议的研究采用了与TCU模型一致的组织措施（例如，（a）对变革的准备程度、组织文化和氛围的评估，以及对实施程度、忠诚度和持续性的衡量，以便了解所介绍的实施战略的效力。提出的两项研究中的每一项都侧重于CJ-DATS 1的循证实践：（1）由调查小组开发和验证的共同障碍筛查工具（CODSI），以及（2）过渡性案例管理（TCM），旨在鼓励罪犯客户成功重返社会。这两种基于证据的做法都面临着广泛实施的障碍。因此，研究采用和测试（使用随机实验）创新的实施干预措施，具体到每个研究概念。就CODSI而言，将举办建立共识讲习班，使所有组织工作人员达成共识并制定行动计划。对于TCM，将使用纵向战略规划来促进对纳入变革问题的持续关注。如果成功的话，对实施科学的特别意义将是积累证据，支持使用这些战略，以促进实施循证实践。公共卫生相关性：提高惩教和行为健康治疗机构的能力，以使用更有效的实施战略，有相当大的潜力，减少社会和个人的影响，复发药物使用，精神健康症状的复发，从事艾滋病毒的风险行为，新的犯罪和随后的重新监禁的委员会。

DESCRIPTION (provided by applicant): CJ-DATS 2 calls for research on the process of diffusion (i.e., adopting, implementing and sustaining new treatment interventions), and on the efficacy of innovative implementation strategies. The goal of this application is to provide knowledge about the implementation of evidence-based drug abuse services in criminal justice settings. The investigators, an experienced and productive investigative team from CJ-DATS 1, have been engaged in studies to improve the implementation of research-based practices and the overall quality of drug abuse treatment for two decades. The investigative team will use the TCU Program Change model as its conceptual framework since this model is specifically concerned with transferring research on substance abuse treatment into practice. Recognizing the need to understand issues in achieving organizational change, the proposed research employs organizational measures consistent with the TCU model (e.g., readiness to change, organizational culture and climate) as well as measures of extent, fidelity and maintenance of implementation in order to understand the efficacy of the implementation strategy introduced. Each of the two studies proposed focuses on an evidence-based practice from CJ-DATS 1: (1) the Co-Occurring Disorders Screening Instruments (CODSIs) developed and validated by the investigative team, and (2) Transitional Case Management (TCM), designed to encourage successful reentry of offender clients. Both of these evidence-based practices face barriers to being widely implemented. Thus, the studies employ and test (using randomized experiments) innovative implementation interventions specific to each research concept. For CODSI, consensus building workshops will be employed to engage all organization staff in a common understanding and plan for action. For TCM, longitudinal strategic planning will be used to foster continuing attention to issues of incorporating change. If successful, the particular significance to implementation science will be the accumulation of evidence supporting the use of these strategies to promote the implementation of evidence-based practice. PUBLIC HEALTH RELEVANCE: Improving the ability of correctional and behavioral health treatment agencies to use more effective implementation strategies has considerable potential for reducing the societal and personal effects of relapse to substance use, recurrence of mental health symptoms, engaging in HIV risk behaviors, the commission of new crimes and subsequent re-incarceration.