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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01DA016200-10
Application #
8484798
Study Section
Special Emphasis Panel (ZDA1-MXS-M (11))
Program Officer
Jones, Dionne
Project Start
2002-09-25
Project End
2014-03-31
Budget Start
2013-04-01
Budget End
2014-03-31
Support Year
10
Fiscal Year
2013
Total Cost
$478,894
Indirect Cost
$152,253
Name
National Development & Research Institutes
Department
Type
DUNS #
080481880
City
New York
State
NY
Country
United States
Zip Code
10010
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; Lin, Hsiu-Ju; Peters, Roger H et al. (2015) Effects of a strategy to improve offender assessment practices: Staff perceptions of implementation outcomes. Drug Alcohol Depend 152:230-8
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
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
Visher, Christy A; Hiller, Matthew; Belenko, Steven et al. (2014) The effect of a local change team intervention on staff attitudes towards HIV service delivery in correctional settings: a randomized trial. AIDS Educ Prev 26:411-28
Pearson, Frank S; Shafer, Michael S; Dembo, Richard et al. (2014) Efficacy of a process improvement intervention on delivery of HIV services to offenders: a multisite trial. Am J Public Health 104:2385-91
Friedmann, Peter D; Ducharme, Lori J; Welsh, Wayne et al. (2013) A cluster randomized trial of an organizational linkage intervention for offenders with substance use disorders: study protocol. Health Justice 1:
Belenko, Steven; Hiller, Matthew; Visher, Christy et al. (2013) Policies and practices in the delivery of HIV services in correctional agencies and facilities: results from a multisite survey. J Correct Health Care 19:293-310
Melnick, Gerald; Ulaszek, Wendy R; Lin, Hsiu-Ju et al. (2009) When goals diverge: Staff consensus and the organizational climate. Drug Alcohol Depend 103 Suppl 1:S17-22
Lehman, Wayne E K; Fletcher, Bennett W; Wexler, Harry K et al. (2009) Organizational factors and collaboration and integration activities in criminal justice and drug abuse treatment agencies. Drug Alcohol Depend 103 Suppl 1:S65-72

Showing the most recent 10 out of 15 publications