Effects of an Organizational Linkage Intervention on Inter-Organizational Service Coordination Between Probation/Parole Agencies and Community Treatment Providers

Abstract Background Opioid use disorder (OUD) is among the most prevalent medical condition experienced by incarcerated persons, yet medication assisted therapy (MAT) is uncommon. Four jail and prison systems partnered with researchers to document their adoption of MAT for incarcerated individuals with opioid use disorders (OUD) using their established treatment protocols. Employing the EPIS (Exploration, Planning, Implementation, and Sustainment) framework, programs report on systematic efforts to expand screening, treatment and provide linkage to community-based care upon release. Results All four systems were engaged with implementation of MAT at the outset of the study. Thus, findings focus more on uptake and penetration as part of implementation and sustainment of medication treatment. The prevalence of OUD during any given month ranged from 28 to 65% of the population in the participating facilities. All programs developed consistent approaches to screen individuals at intake and provided care coordination with community treatment providers at the time of release. The proportion of individuals with OUD who received MAT ranged considerably from 9 to 61%. Despite efforts at all four sites to increase utilization of MAT, only one site achieved sustained growth in the proportion of individuals treated over the course of the project. Government leadership, dedicated funding and collaboration with community treatment providers were deemed essential to adoption of MAT during implementation phases. Facilitators for MAT included increases in staffing and staff training; group education on medication assisted therapies; use of data to drive change processes; coordination with other elements of the criminal justice system to expand care; and ongoing contact with individuals post-release to encourage continued treatment. Barriers included lack of funding and space and institutional design; challenges in changing the cultural perception of all approved treatments; excluding or discontinuing treatment based on patient factors, movement or transfer of individuals; and inability to sustain care coordination at the time of release. Conclusions Adoption of evidence-based medication assisted therapies for OUD in prisons and jails can be accomplished but requires persistent effort to identify and overcome challenges and dedicated funding to sustain programs.

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Developing effective interorganizational relationships between community corrections and community treatment providers

Journal of Offender Rehabilitation ◽

10.1080/10509674.2016.1218401 ◽

2016 ◽

Vol 55 (7) ◽

pp. 484-501 ◽

Cited By ~ 4

Author(s):

Laura B. Monico ◽

Shannon Gwin Mitchell ◽

Wayne Welsh ◽

Nathan Link ◽

Leah Hamilton ◽

...

Keyword(s):

Interorganizational Relationships ◽

Community Corrections ◽

Community Treatment ◽

Treatment Providers

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Bringing Buprenorphine-Naloxone Detoxification to Community Treatment Providers: The NIDA Clinical Trials Network Field Experience

American Journal on Addictions ◽

10.1080/10550490490440807 ◽

2004 ◽

Vol 13 (s1) ◽

pp. S42-S66 ◽

Cited By ~ 93

Author(s):

Leslie Amass ◽

Walter Ling ◽

Thomas E. Freese ◽

Chris Reiber ◽

Jeffrey J. Annon ◽

...

Keyword(s):

Clinical Trials ◽

Field Experience ◽

Community Treatment ◽

Treatment Providers

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Ten years of implementation: Assertive Community Treatment and Integrated Dual Disorder Treatment in a statewide system

Archives of Psychology ◽

10.31296/aop.v3i2.92 ◽

2019 ◽

Vol 3 (2) ◽

Author(s):

Jennifer Ellen Harrison ◽

Holli Taylor

Keyword(s):

Assertive Community Treatment ◽

Research Policy ◽

Systems Of Care ◽

Lessons Learned ◽

Community Treatment ◽

Treatment Providers ◽

Dual Disorder ◽

Disorder Treatment ◽

Integrated Dual Disorder Treatment ◽

Dual Disorder Treatment

The prevalence and seriousness of co-occurring mental health and substance use disorders are significant public health issues facing our communities. Individuals with co-occurring disorders have worse outcomes in important areas, including physical health, employment, incarceration, and housing, and are often more difficult to engage in effective treatment. Equally important, however, are the multiple examples of impressive recovery journeys for individuals with even the most severe co-occurring illnesses, often in collaboration with treatment providers who support that recovery. Implementation and sustainability of evidence-based practices, which are associated with improved outcomes in areas of hospitalization, incarceration, employment, and treatment engagement, is an individual recovery and policy imperative. Yet, the implementation of these complex practices involving multiple practitioners from different disciplines can be challenging for systems of care. Training, systemic changes, and fidelity monitoring can be components to enhance implementation. In one state, the implementation, support, and fidelity measurement of two multi-disciplinary practices for the treatment of co-disorders, Integrated Dual Disorder Treatment (IDDT) and Assertive Community Treatment (ACT), is studied. Iterative steps to implementation over a ten-year period are examined. Lessons learned for research, policy, and training of teams to assist people in achieving recovery are reviewed.

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Community Treatment of Drug Misuse

10.1017/cbo9780511544262 ◽

1999 ◽

Cited By ~ 6

Author(s):

Nicholas Seivewright

Keyword(s):

Community Treatment ◽

Drug Misuse

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An Intervention With Meaning

Crisis ◽

10.1027/0227-5910/a000433 ◽

2017 ◽

Vol 38 (6) ◽

pp. 376-383 ◽

Cited By ~ 2

Author(s):

Brooke A. Levandowski ◽

Constance M. Cass ◽

Stephanie N. Miller ◽

Janet E. Kemp ◽

Kenneth R. Conner

Keyword(s):

High Risk ◽

Qualitative Methodology ◽

Veterans Health Administration ◽

Veterans Health ◽

Safety Planning ◽

Health Administration ◽

Suicide Method ◽

Treatment Providers ◽

Interactive Nature ◽

Behavioral Health Treatment

Abstract. Background: The Veterans Health Administration (VHA) health-care system utilizes a multilevel suicide prevention intervention that features the use of standardized safety plans with veterans considered to be at high risk for suicide. Aims: Little is known about clinician perceptions on the value of safety planning with veterans at high risk for suicide. Method: Audio-recorded interviews with 29 VHA behavioral health treatment providers in a southeastern city were transcribed and analyzed using qualitative methodology. Results: Clinical providers consider safety planning feasible, acceptable, and valuable to veterans at high risk for suicide owing to the collaborative and interactive nature of the intervention. Providers identified the types of veterans who easily engaged in safety planning and those who may experience more difficulty with the process. Conclusion: Additional research with VHA providers in other locations and with veteran consumers is needed.

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Crisis Occurrence and Resolution in Patients with Severe and Persistent Mental Illness

Crisis ◽

10.1027/0227-5910.26.4.160 ◽

2005 ◽

Vol 26 (4) ◽

pp. 160-169 ◽

Cited By ~ 4

Author(s):

Paul S. Links ◽

Rahel Eynan ◽

Jeffrey S. Ball ◽

Aiala Barr ◽

Sean Rourke

Keyword(s):

Mental Illness ◽

Suicide Ideation ◽

Rating Scale ◽

Psychiatric Symptoms ◽

Self Report ◽

Community Treatment ◽

Persistent Mental Illness ◽

Crisis Events ◽

Symptom Distress Scale ◽

Distress Scale

Abstract. Assertive community treatment appears to have limited impact on the risk of suicide in persons with severe and persistent mental illness (SPMI). This exploratory prospective study attempts to understand this observation by studying the contribution of suicidality to the occurrence of crisis events in patients with SPMI. Specifically, an observer-rated measure of the need for hospitalization, the Crisis Triage Rating Scale, was completed at baseline, crisis occurrence, and resolution to determine how much the level of suicidality contributed to the deemed level of crisis. Second, observer-ratings of suicidal ideation, the Modified Scale for Suicide Ideation, and psychopathology and suicidality, Brief Psychiatric Rating Scale, were measured at baseline, crisis occurrence, and resolution. A self-report measure of distress, the Symptom Distress Scale, was completed at baseline, crisis occurrence, and resolution. Finally, the patients' crisis experiences were recorded qualitatively to compare with quantitative measures of suicidality. Almost 40% of the subjects experienced crisis events and more than a quarter of these events were judged to be severe enough to warrant the need for hospitalization. Our findings suggest that elevation of psychiatric symptoms is a major contributor to the crisis occurrences of individuals with SPMI; although the risk of suicide may have to be conceived as somewhat separate from crisis occurrence.

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