Continuity of Care for Drug-Addicted Offenders in RI

描述（由申请人提供）： 该合作协议申请建议建立一个罗得岛研究中心，以参与NIDA的国家刑事司法药物滥用治疗服务研究系统（CJ-DATS）。CJ-DATS背后的使命是改善公共安全、与毒品有关的公共卫生、涉毒罪犯的健康和心理社会后果。因此，这项申请的目的是发展研究基础设施，以支持对药物滥用或成瘾性疾病患者的综合治疗方法进行严格的多地点研究，包括监狱或监狱中的治疗模式和作为重返社区的一部分;支持研究与吸毒罪犯重返社区方案相结合的护理模式的连续性，包括艾滋病毒、结核病或肝炎感染等健康问题和精神健康问题的服务;并丰富罗得岛刑事司法、治疗和学术界之间的合作。我们的研究中心将建立在强大的，现有的临床和研究伙伴关系之间的寿命医院/布朗大学的调查人员，惩教署和4个社区成瘾治疗计划已经位于罗得岛监狱。这4个项目提供全面的治疗方式和辅助服务。罗得岛研究中心为国家CJ-DATS合作提供至少4个具体优势：（1）在组织和整合药物滥用治疗和保健服务方面具有丰富研究和临床经验的调查人员和治疗伙伴，特别是对患有艾滋病毒、结核病或肝炎感染等健康问题的囚犯重返社区的护理模式的连续性，（2）罗得岛合作伙伴之间现有的强大联系，来自先前的合作研究和临床努力;（3）一个拥有统一的矫正系统的小州，所有部门和设施都在一个校园里，行政部门高度支持研究;以及（4）成瘾者的可接近人群，我们在先前的调查中已经实现了高的登记率和随访率。罗得岛研究中心将领导严格的多地点研究，利用我们在开发、提供和评估与社区卫生服务联系方面的专业知识，最初侧重于丙型肝炎和美沙酮治疗。

DESCRIPTION (provided by applicant): This cooperative agreement application proposes to develop a Rhode Island Research Center to participate in NIDA's National Criminal Justice Drug Abuse Treatment Services Research System (CJ-DATS). The mission behind the CJ-DATS is to improve the public safety, drug-related, public health, health and psychosocial outcomes of drug-involved offenders. Thus, this application aims to develop research infrastructure to support rigorous, multisite studies of integrated approaches to the treatment of individuals with drug abuse or addictive disorders, including models of treatment in jail or prison and as part of community re-entry; to support research on continuity of care models integrated with re-entry programs for drug-involved offenders returning to their communities, including services for health problems such as HIV, tuberculosis, or hepatitis infections and mental health problems; and to enrich the collaborations among the criminal justice, treatment, and academic communities in Rhode Island. Our Research Center will build on the strong, existing clinical and research partnerships among the Lifespan Hospitals/Brown University investigators, the Department of Corrections and 4 community addiction treatment programs already situated in the Rhode Island prison. These 4 programs deliver a comprehensive range of treatment modalities and ancillary services. The Rhode Island Research Center offers at least 4 specific advantages to the National CJ-DATS Cooperative: (1) Investigators and treatment partners with substantial research and clinical experience regarding the organization and integration of substance abuse treatment and health services, especially continuity of care models for community re-entry of inmates afflicted with health problems such as HIV, tuberculosis, or hepatitis infections, and mental health disorders; (2) Strong, existing ties among the Rhode Island partners from prior collaborative research and clinical endeavors; (3) A small state with a unified correctional system, all divisions and facilities on a single campus and an administration highly supportive of research; and (4) An accessible population of addicted persons in which we have achieved high rates of enrollment and follow-up in prior investigations. The Rhode Island Research Center would lead rigorous multisite studies that draw on our expertise in the development, delivery and evaluation of linkages to community health services, with an initial focus on hepatitis C and methadone treatment.