干预司法涉及的无家可归退伍军人与同时发生的物质使用和精神健康障碍:一个随机控制的混合有效性实施试验的协议
Kathryn Bruzios1,2, Paige M Shaffer1,2, Daniel M Blonigen3,4
1Center for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.
JMIR research protocols
|July 18, 2025
概括
MISSION-CJ的干预可能会减少无家可归退伍军人同时出现疾病的复发. 本研究评估了其有效性和与住院治疗计划一起实施的情况.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 刑事司法干预 刑事司法干预
- 退伍军人健康的医疗服务
背景情况:
- 美国退伍军人事务部的心理健康住房康复治疗计划 (MH RRTPs) 服务于无家可归的退伍军人.
- 退伍军人同时患有精神健康和物质使用障碍以及刑事法律参与,需要有针对性的干预措施来降低复发风险.
研究的目的:
- 通过系统集成,推广和网络刑事司法 (MISSION-CJ) 干预来评估维持独立性和清醒性的刑事司法干预对犯罪复发和健康结果的影响.
- 检查影响这些结果的机制.
- 质量评估"使命-CJ"的实施情况.
主要方法:
- 一个混合型1随机对照试验,涉及226名MHRTP退伍军人,随机分配到增强常规护理 (EUC) 或MISSION-CJ.
- 干预包括6个月的服务 (3个月在MH RRTP中,3个月退院后).
- 在基线,6个月和15个月采用回归模型,调解分析和定性数据的主题分析收集数据.
主要成果:
- 截至2025年3月,已注册的118名退伍军人被随机分为MISSION-CJ (n=58) 或EUC (n=60).
- 完成了23次定性访谈;参与者正在接受治疗和随访.
- 预计到2026年,关于有效性,实施和可扩展性的全部调查结果将公布.
结论:
- 如果MISSION-CJ的干预被证明是有效的,它可能是MH RRTPs的宝贵补充.
- 它可能有助于解决与脆弱的退伍军人人口中复发相关的风险因素.
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