总部设在监狱的治疗社区:居民建议改善计划.
Jack M Mills1, Kimberly M Davidson1
1College of Criminology & Criminal Justice, Florida State University, Tallahassee, USA.
Journal of substance use and addiction treatment
|May 20, 2024
概括
对物质使用障碍 (SUDs) 的监狱治疗社区 (TCs) 可以通过纳入居民反来改进. 参与者提出了诸如增强结构和个性化治疗等变化的建议,强调了调整TC以适应惩戒环境的挑战.
科学领域:
- 惩戒卫生卫生机构
- 药物成治疗 药物成治疗
- 项目评估 项目评估
背景情况:
- 基于监狱的治疗社区 (TC) 是监狱中物质使用障碍 (SUD) 的常见干预措施.
- 虽然一般有效,但最近的混合发现和正在进行的阿片类药物危机需要仔细研究TC运营和参与者参与.
- 参与者的观点对于理解可变治疗参与度至关重要,但在评估中经常缺失.
研究的目的:
- 探索基于监狱的TC居民的看法和建议,以加强计划.
- 从参与者的角度来看,识别参与障碍和治疗效应异质性的来源.
主要方法:
- 利用了来自治疗社区监狱囚犯网络研究 (TC-PINS) 的数据.
- 分析了来自177名居民的470个回答,回答了一个开放式的问题:"TC能做什么更好?"
- 雇佣了两个独立的编码员来确定七个类别的建议改进.
主要成果:
- 居民们为改善他们的TC计划提出了实际建议.
- 一些建议挑战了核心TC模型,表明监狱内部的实施问题.
- 主要建议包括加强结构,个性化护理,课程扩展,更严格的规则执行,以及更好的员工培训/经验.
结论:
- 居民反揭示了对治疗异质性和参与障碍的关键见解.
- 根据参与者的感知,可以根据参与者的感知进行实质性的程序修改.
- 引起参与者的反对于改善校正性SUD治疗计划至关重要和可行.
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