NDRI Rocky Mountain Research Center for CJDATS 2

描述（由申请人提供）：CJ-DATS 2呼吁研究扩散过程（即采用，实施和维持新的治疗干预措施），以及创新实施策略的有效性。本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的一支经验丰富、富有成效的调查团队，二十年来一直致力于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方案变更模型作为其概念框架，因为该模型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，拟议的研究采用与TCU模型一致的组织措施（例如，变革准备，组织文化和气候）以及实施的程度，保真度和维护措施，以了解所引入的实施战略的有效性。提出的两项研究都侧重于CJ-DATS 1的循证实践：(1)由调查小组开发和验证的共同发生障碍筛查工具（CODSIs），以及(2)过渡性病例管理（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，这些研究采用并测试（使用随机实验）针对每个研究概念的创新实施干预措施。对于CODSI，将采用建立共识的讲习班，使所有组织人员参与共同的理解和行动计划。对于中医而言，纵向战略规划将用于促进对纳入变革问题的持续关注。如果成功，对实施科学的特殊意义将是积累支持使用这些战略以促进实施循证实践的证据。公共卫生相关性：提高教养和行为健康治疗机构使用更有效的执行战略的能力，对于减少药物使用复发、精神健康症状复发、从事艾滋病毒风险行为、犯下新的罪行和随后再次监禁的社会和个人影响具有相当大的潜力。

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.