A multi-level intervention to reduce the stigma of substance use and criminal involvement: a pilot feasibility trial protocol.

Autor: Moore KE; Department of Psychology, East Tennessee State University, 420 Rogers-Stout Hall, P.O. Box 70649, Johnson City, TN, 37614, USA. mooreke2@etsu.edu., Johnson JE; College of Human Medicine, Division of Public Health, Michigan State University, 200 E. 1St Street, Flint, MI, 48502, USA., Luoma JB; Portland Psychotherapy Institute, 3700 N Williams Ave., Portland, OR, 97227, USA., Taxman F; Schar School of Policy and Government, George Mason University, 3351 Fairfax Drive Van Metre Hall, Arlington, VA, 22201, USA., Pack R; College of Public Health, East Tennessee State University, 277 Lamb Hall, P.O. Box 70623, Johnson City, TN, 37614, USA., Corrigan P; Department of Psychology, Llinois Institute of Technology, 3424 S State St., Chicago, IL, 60616, USA., Hart J; Tennessee Institute for Public Service, 1610 University Avenue, Knoxville, TN, 37921, USA., Slone JD; Fourth Judicial District of Tennessee, 854 South Hwy. 92, P.O. Box 858, Dandridge, TN, 37725, USA.
Jazyk: angličtina
Zdroj: Health & justice [Health Justice] 2023 May 15; Vol. 11 (1), pp. 24. Date of Electronic Publication: 2023 May 15.
DOI: 10.1186/s40352-023-00224-x
Abstrakt: Background: 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.
Methods: 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.
Discussion: 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.
Trial Registration: This clinical trial is registered at clinicaltrials.gov with the identifier NCT05152342. Registered 11/5/2021 at https://register.
Clinicaltrials: gov/prs/app/action/SelectProtocol?sid=S000BIN8&selectaction=Edit&uid=U0005X4C&ts=2&cx=-u3wsbx .
(© 2023. The Author(s).)
Databáze: MEDLINE
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