Welsh Wayne N, Lin Hsiu-Ju, Peters Roger H, Stahler Gerald J, Lehman Wayne E K, Stein Lynda A R, Monico Laura, Eggers Michele, Abdel-Salam Sami, Pierce Joshua C, Hunt Elizabeth, Gallagher Colleen, Frisman Linda K
Temple University, United States.
University of Connecticut, United States.
Drug Alcohol Depend. 2015 Jul 1;152:230-8. doi: 10.1016/j.drugalcdep.2015.03.033. Epub 2015 Apr 9.
This implementation study examined the impact of an organizational process improvement intervention (OPII) on a continuum of evidence based practices related to assessment and community reentry of drug-involved offenders: Measurement/Instrumentation, Case Plan Integration, Conveyance/Utility, and Service Activation/Delivery.
To assess implementation outcomes (staff perceptions of evidence-based assessment practices), a survey was administered to correctional and treatment staff (n=1509) at 21 sites randomly assigned to an Early- or Delayed-Start condition. Hierarchical linear models with repeated measures were used to examine changes in evidence-based assessment practices over time, and organizational characteristics were examined as covariates to control for differences across the 21 research sites.
Results demonstrated significant intervention and sustainability effects for three of the four assessment domains examined, although stronger effects were obtained for intra- than inter-agency outcomes. No significant effects were found for Conveyance/Utility.
Implementation interventions such as the OPII represent an important tool to enhance the use of evidence-based assessment practices in large and diverse correctional systems. Intra-agency assessment activities that were more directly under the control of correctional agencies were implemented most effectively. Activities in domains that required cross-systems collaboration were not as successfully implemented, although longer follow-up periods might afford detection of stronger effects.
本实施研究考察了组织流程改进干预措施(OPII)对一系列与涉毒罪犯评估及重新融入社区相关的循证实践的影响:测量/工具使用、个案计划整合、传递/效用以及服务启动/提供。
为评估实施结果(工作人员对循证评估实践的看法),对随机分配到早期启动或延迟启动条件的21个地点的惩教和治疗工作人员(n = 1509)进行了一项调查。使用具有重复测量的分层线性模型来检验循证评估实践随时间的变化,并将组织特征作为协变量进行检验,以控制21个研究地点之间的差异。
在所考察的四个评估领域中的三个领域显示出显著的干预和可持续性效果,尽管机构内的效果比机构间的效果更强。在传递/效用方面未发现显著效果。
诸如OPII这样的实施干预措施是增强大型多样化惩教系统中循证评估实践使用的重要工具。更直接受惩教机构控制的机构内评估活动实施得最为有效。需要跨系统协作的领域中的活动实施得不太成功,尽管更长的随访期可能会发现更强的效果。