Moore Kelly E, Johnson Jennifer E, Luoma Jason B, Taxman Faye, Pack Robert, Corrigan Patrick, Hart Jim, Slone Judge Duane
Department of Psychology, East Tennessee State University, 420 Rogers-Stout Hall, P.O. Box 70649, Johnson City, TN, 37614, USA.
College of Human Medicine, Division of Public Health, Michigan State University, 200 E. 1St Street, Flint, MI, 48502, USA.
Health Justice. 2023 May 15;11(1):24. doi: 10.1186/s40352-023-00224-x.
Stigma associated with substance use and criminal involvement is pervasive and creates a barrier to evidence-based addiction care within the criminal legal system. Research has yet to examine a multi-level stigma intervention which targets the intersection of these stigmas among both criminal legal staff and legally-involved clients.
This paper presents the protocol for a non-randomized trial of a multi-level stigma intervention called Combatting Stigma to Aid Reentry and Recovery (CSTARR) that involves two interventions: (1) training for criminal legal staff to address public stigma and (2) group-based acceptance and commitment therapy to address self-stigma among legally-involved adults enrolled in substance use treatment. Staff and client participants are engaged with a program called the Tennessee Recovery Oriented Compliance Strategy in 6 East Tennessee counties. This study examines the feasibility, acceptability, and preliminary effectiveness of CSTARR using a type 1 hybrid implementation/effectiveness trial with pre to post follow-up.
Stigma must be addressed in the criminal legal system to facilitate the uptake of evidence-based addiction care. This study is the first to evaluate a stigma intervention designed for the criminal legal setting and results will be used to inform a larger, randomized controlled trial. The rationale for this study, research design and measures, as well as potential implications for the field are described.
This clinical trial is registered at clinicaltrials.gov with the identifier NCT05152342. Registered 11/5/2021 at https://register.
gov/prs/app/action/SelectProtocol?sid=S000BIN8&selectaction=Edit&uid=U0005X4C&ts=2&cx=-u3wsbx .
与物质使用和犯罪参与相关的耻辱感普遍存在，为刑事法律系统内基于证据的成瘾治疗造成了障碍。尚未有研究考察针对刑事法律工作人员和涉法客户中这些耻辱感交集的多层次耻辱感干预措施。
本文介绍了一项名为“抗击耻辱以促进重新融入和康复”（CSTARR）的多层次耻辱感干预非随机试验的方案，该干预包括两项措施：（1）对刑事法律工作人员进行培训以应对公众耻辱感；（2）为参加物质使用治疗的涉法成年人开展基于团体的接纳与承诺疗法以应对自我耻辱感。工作人员和客户参与者参与田纳西州六个东田纳西县的一项名为“以康复为导向的合规策略”的项目。本研究采用1型混合实施/有效性试验，进行前后随访，考察CSTARR的可行性、可接受性和初步有效性。
必须在刑事法律系统中解决耻辱感问题，以促进基于证据的成瘾治疗的采用。本研究首次评估了针对刑事法律环境设计的耻辱感干预措施，研究结果将用于为一项更大规模的随机对照试验提供信息。描述了本研究的基本原理、研究设计和测量方法，以及对该领域的潜在影响。
本临床试验已在clinicaltrials.gov注册，标识符为NCT05152342。于2021年11月5日在https://register. 注册。
gov/prs/app/action/SelectProtocol?sid=S000BIN8&selectaction=Edit&uid=U0005X4C&ts=2&cx=-u3wsbx 。
