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

Health & Justice

Study Protocol

Jennifer E. Johnson¹  Robert Pack²  Kelly E. Moore³  Patrick Corrigan⁴  Judge Duane Slone⁵  Jason B. Luoma⁶  Faye Taxman⁷  Jim Hart⁸ 

[1] College of Human Medicine, Division of Public Health, Michigan State University, 200 E. 1St Street, 48502, Flint, MI, USA;College of Public Health, East Tennessee State University, P.O. Box 70623, 277 Lamb Hall, 37614, Johnson City, TN, USA;Department of Psychology, East Tennessee State University, P.O. Box 70649, 420 Rogers-Stout Hall, 37614, Johnson City, TN, USA;Department of Psychology, Llinois Institute of Technology, 3424 S State St., 60616, Chicago, IL, USA;Fourth Judicial District of Tennessee, P.O. Box 858, 854 South Hwy. 92, 37725, Dandridge, TN, USA;Portland Psychotherapy Institute, 3700 N Williams Ave., 97227, Portland, OR, USA;Schar School of Policy and Government, George Mason University, 3351 Fairfax Drive Van Metre Hall, 22201, Arlington, VA, USA;Tennessee Institute for Public Service, 1610 University Avenue, 37921, Knoxville, TN, USA;

关键词: Stigma;    Criminal legal system;    Multi-level intervention;    Staff;    Drug court;    Clinical trial;    Protocol;    Substance use disorder;   

DOI  :  10.1186/s40352-023-00224-x

 received in 2022-11-11, accepted in 2023-04-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundStigma 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.MethodsThis 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.DiscussionStigma 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 registrationThis 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.

【 授权许可】

CC BY   
© The Author(s) 2023