This application proposes a continuation of our participation as a research center in the second phase of the national Criminal Justice Drug Abuse Treatment Studies (CJ-DATS 2). The goal is to develop and test systems-level models that integrate public health and public safety approaches for criminal justice-involved adults and adolescents with substance use disorders;perform multi-site studies concerning the implementation of evidence-based practices (EBPs) involved in the assessment and treatment of drug abuse in criminal justice contexts;develop collaborative organizational- and systems-level studies on implementing and sustaining a coordinated continuum of services for adolescents and adults with substance use disorders who are returning to the community after detention or incarceration. Our unique contribution to CJ-DATS 2 will include organizational and clinical expertise in the linkage of inmates to community services, especially continuity of care models for health problems such as HIV/AIDS or hepatitis. Our partners remain highly supportive of improvements in service delivery and research. Building on successful collaborations among the criminal justice, treatment, and academic communities in CJ-DATS, the Rhode Island Unified Research Center of CJ-DATS 2 will add capacity to perform both adult and adolescent projects, as well as diversity and experienced collaborators in Puerto Rico. We propose to use CJ-DATS 2's network and resources as infrastructure for National Improvement Collaboratives across corrections, treatment and public health. CJ-DATS 2 Collaboratives would engage leaders and multidisciplinary teams across local agencies in rapid cycle quality improvement projects to implement evidence-based practices. CJ-DATS 2 researchers would provide technical expertise, coaching and improvement advice. Although we will accede to the priorities of the Steering Committee, NIDA and stakeholders, our research concepts highlight our strengths in the translation and evaluation of evidence-based health and behavioral service interventions: (1) Dissemination of a continuum of testing and care for HIV/AIDS;and (2) Implementation of evidence-based Motivational Enhancement Therapy-Cognitive Behavioral Therapy (MET-CBT5) in juvenile probation. Implementation research will provide generalizable knowledge about whether the Improvement Collaboratives at the nexus of corrections, addiction treatment and public health improve organizational functioning, process quality and delivery of evidence-based services to drug-involved offenders.
Examination of whether and how CJ-DATS 2 Improvement Collaboratives lead to successful organizational change at the nexus of corrections, addiction treatment and public health will inform quality improvement efforts that seek to implement high-quality, evidence-based services for drug-involved offenders. Such initiatives hold great promise in improving both public safety and public health.
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|Prendergast, Michael; Welsh, Wayne N; Stein, Lynda et al. (2017) Influence of Organizational Characteristics on Success in Implementing Process Improvement Goals in Correctional Treatment Settings. J Behav Health Serv Res 44:625-646|
|Belenko, Steven; Dembo, Richard; Copenhaver, Michael et al. (2016) HIV Stigma in Prisons and Jails: Results from a Staff Survey. AIDS Behav 20:71-84|
|Welsh, Wayne N; Knudsen, Hannah K; Knight, Kevin et al. (2016) Effects of an Organizational Linkage Intervention on Inter-Organizational Service Coordination Between Probation/Parole Agencies and Community Treatment Providers. Adm Policy Ment Health 43:105-21|
|Welsh, Wayne N; Prendergast, Michael; Knight, Kevin et al. (2016) CORRELATES OF INTERORGANIZATIONAL SERVICE COORDINATION IN COMMUNITY CORRECTIONS. Crim Justice Behav 43:483-505|
|Mitchell, Shannon Gwin; Willet, Jennifer; Monico, Laura B et al. (2016) Community correctional agents' views of medication-assisted treatment: Examining their influence on treatment referrals and community supervision practices. Subst Abus 37:127-33|
|Mitchell, Shannon Gwin; Willett, Jennifer; Swan, Holly et al. (2015) Defining Success: Insights From a Random Assignment, Multisite Study of Implementing HIV Prevention, Testing, and Linkage to Care in U.S. Jails and Prisons. AIDS Educ Prev 27:432-45|
|Swan, Holly; Hiller, Matthew L; Albizu-García, Carmen E et al. (2015) Efficacy of a Process Improvement Intervention on Inmate Awareness of HIV Services: A Multi-Site Trial. Health Justice 3:11|
|Friedmann, Peter D; Wilson, Donna; Knudsen, Hannah K et al. (2015) Effect of an organizational linkage intervention on staff perceptions of medication-assisted treatment and referral intentions in community corrections. J Subst Abuse Treat 50:50-8|
|Visher, Christy A; Yang, Yang; Mitchell, Shannon G et al. (2015) Understanding the sustainability of implementing HIV services in criminal justice settings. Health Justice 3:5|
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