ASI-MV Solutions: A Tailored Program for Substance Abusers in Early Recovery

描述（由申请人提供）：总体而言，研究表明，（1）解决与药物滥用和依赖相关的心理社会和医疗问题会带来更好的结果;（2）由于医疗保健费用不断上升，目前治疗时间较短，并且难以在治疗期间有效解决这些问题，因此治疗后的善后护理和早期复发预防干预至关重要;（3）转介到综合服务已被证明是有问题的，病人可能缺乏动机、知识或技能来跟进转介;（4）缺乏容易获得的、基于技能的、激励性的干预措施，以解决药物滥用者在早期康复中面临的心理社会和医疗问题，包括就业问题;（5）互联网是一种可利用的、有前途的、目前利用不足的提供机制，可根据客户的需要提供具有时效性和针对性的干预措施。为了解决这些问题，我们建议开发ASI-MV解决方案，这将是一种在线技能建设和激励干预措施，用于药物滥用者的早期康复。通过将学习模块与ASI-MV的客户结果联系起来，ASI-MV是在治疗环境中管理的ASI的在线互动版本，我们将能够为客户提供重要的工具，以解决恢复的早期心理和医疗挑战。ASI-MV解决方案将利用激励性反馈来激励客户在早期恢复中认识和解决这些问题，包括在需要时寻求专业服务。根据客户的需求，ASI-MV解决方案教授谈判早期恢复挑战所需的实用技能。该计划还将为临床医生提供指导和支持，以解决这些问题，将ASI-MV解决方案整合到他们的客户干预中，并确定良好的转诊。这一干预措施将在第二阶段涉及《农业战略倡议》的所有领域，但我们将在第一阶段的可行性测试中侧重于就业。在第一阶段，我们建议：（1）通过与药物滥用客户和康复/药物滥用治疗专业人员的电话访谈和概念图收集设计和内容输入;（2）确定自我评估就业问题;（3）与药物滥用客户完成可用性/验收测试;（4）与康复和药物滥用专家完成验收测试;（5）完成二期研究设计。公共卫生相关性：事实证明，由于缺乏获得服务的机会、咨询师知识不足以及客户缺乏动机和技能，很难为药物滥用客户转介医疗和心理社会服务。Inflexxion正在提议开发ASI-MV解决方案，该解决方案将教育客户有关就业、法律的、精神病学、预防复发、医疗和家庭问题，并包括咨询师的资源和策略。通过将学习模块与ASI-MV上的客户结果联系起来，ASI-MV是在治疗环境中管理的ASI的在线互动版本，我们将能够为客户提供重要的工具，以解决关键的恢复问题，并鼓励咨询师向医疗和心理社会服务进行适当的转介。

DESCRIPTION (provided by applicant): Overall, research indicates that (1) addressing psychosocial and medical problems associated with substance abuse and dependence leads to better outcomes; (2) treatments are now shorter due in part to rising healthcare costs, and it is difficult to address these issues effectively during treatment, making aftercare and early relapse prevention interventions following treatment essential; (3) making referrals to wraparound services has proven to be problematic and patients may lack the motivation, knowledge, or skills to follow up with the referrals; (4) there is a dearth of easily accessible, skill-based, motivational interventions that address psychosocial and medical issues faced by substance abusers in early recovery, including employment; (5) the Internet is an accessible, promising and currently under-utilized delivery mechanism for providing time- effective, tailored interventions based on client needs. In order to address these deficits, we are proposing the development of ASI-MV Solutions, which will be an online skill-building and motivational intervention for substance abusers in early recovery. By linking learning modules to client results on the ASI-MV, an online interactive version of the ASI administered in treatment settings, we will be able to offer clients important tools to address the early psychosocial and medical challenges of recovery. ASI-MV Solutions will utilize motivational feedback to motivate clients to recognize and address these issues in early recovery, including seeking professional services when needed. Based on client needs, ASI-MV Solutions teaches the practical skills needed to negotiate early recovery challenges. This program will also provide clinicians with guidelines and support for addressing these issues, integrating ASI-MV Solutions into their client interventions, and identifying good referrals. This intervention will address all areas of the ASI in Phase II, but we will focus on employment in the Phase I feasibility test. In Phase I, we propose to: (1) gather design and content input through telephone interviews and concept mapping with substance abuse clients and rehabilitation/substance abuse treatment professionals; (2) determine self-assessment employment questions; (3) complete usability/acceptance testing with substance abuse clients; (4) complete acceptance testing with rehabilitation and substance abuse experts; and (5) complete the Phase II research design. PUBLIC HEALTH RELEVANCE: Making referrals to medical and psychosocial services for substance abuse clients has proven difficult due to lack of access to services, inadequate counselor knowledge, and lack of motivation and skills among clients. Inflexxion is proposing the development of ASI-MV Solutions, which will educate clients about employment, legal, psychiatric, relapse prevention, medical, and family issues, as well as include resources and strategies for counselors. By linking learning modules to client results on the ASI-MV, an online interactive version of the ASI administered in treatment settings, we will be able to offer clients important tools to address key recovery issues and encourage counselors to make appropriate referrals to medical and psychosocial services.