Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol
Abstract Introduction: Behavioral health treatment disparities by race and ethnicity are well documented across the criminal legal system. Despite criminal legal settings such as drug treatment courts (DTCs) increasingly adopting evidence-based programs (EBPs) to improve care, there is a dearth of...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Journal of Clinical and Translational Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866123000146/type/journal_article |
| _version_ | 1797856124544745472 |
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| author | Ayorkor Gaba Ashleigh LoVette Bailey Pridgen Marquita Taylor Eva Woodward Milagros C. Rosal Melissa Anderson David Smelson |
| author_facet | Ayorkor Gaba Ashleigh LoVette Bailey Pridgen Marquita Taylor Eva Woodward Milagros C. Rosal Melissa Anderson David Smelson |
| author_sort | Ayorkor Gaba |
| collection | DOAJ |
| description |
Abstract
Introduction:
Behavioral health treatment disparities by race and ethnicity are well documented across the criminal legal system. Despite criminal legal settings such as drug treatment courts (DTCs) increasingly adopting evidence-based programs (EBPs) to improve care, there is a dearth of research identifying strategies to advance equitable implementation of EBPs and reduce racial/ethnic treatment disparities. This paper describes an innovative approach to identify community- and provider-generated strategies to support equitable implementation of an evidence-based co-occurring mental health and substance use disorder intervention, called Maintaining Independence and Sobriety through Systems Integration, Outreach and Networking-Criminal Justice (MISSION-CJ), in DTCs.
Methods/design:
Guided by the Health Equity Implementation Framework, qualitative interviews and surveys will assess factors facilitating and hindering equitable implementation of MISSION-CJ in DTCs among 30 Black/African American and/or Hispanic/Latino persons served and providers. Concept mapping with sixty Black/African American and/or Hispanic/Latino persons served and providers will gather community- and provider-generated strategies to address identified barriers. Finally, an advisory board will offer iterative feedback on the data to guide toolkit development and inform equitable implementation of MISSION-CJ within DTCs.
Conclusions:
The paper illustrates a protocol of a study based in community-engaged research and implementation science to understand multilevel drivers of racial/ethnic disparities in co-occurring disorder treatment and identify opportunities for intervention and improvements within criminal legal settings.
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| first_indexed | 2024-04-09T20:35:18Z |
| format | Article |
| id | doaj.art-0c7a57f28f41478f819edabf01cf340c |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-09T20:35:18Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-0c7a57f28f41478f819edabf01cf340c2023-03-30T08:34:28ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-01-01710.1017/cts.2023.14Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocolAyorkor Gaba0https://orcid.org/0000-0001-5471-8278Ashleigh LoVette1Bailey Pridgen2Marquita Taylor3Eva Woodward4https://orcid.org/0000-0002-7880-0054Milagros C. Rosal5Melissa Anderson6David Smelson7Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA, USASchool of Nursing, Johns Hopkins University, Baltimore, MD, USADepartment of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA, USASchool of Public Health, Yale University, New Haven, CT, USAVA Center for Mental Healthcare and Outcomes Research, North Little Rock, AR, USA Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USADepartment of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA, USADepartment of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA, USA Abstract Introduction: Behavioral health treatment disparities by race and ethnicity are well documented across the criminal legal system. Despite criminal legal settings such as drug treatment courts (DTCs) increasingly adopting evidence-based programs (EBPs) to improve care, there is a dearth of research identifying strategies to advance equitable implementation of EBPs and reduce racial/ethnic treatment disparities. This paper describes an innovative approach to identify community- and provider-generated strategies to support equitable implementation of an evidence-based co-occurring mental health and substance use disorder intervention, called Maintaining Independence and Sobriety through Systems Integration, Outreach and Networking-Criminal Justice (MISSION-CJ), in DTCs. Methods/design: Guided by the Health Equity Implementation Framework, qualitative interviews and surveys will assess factors facilitating and hindering equitable implementation of MISSION-CJ in DTCs among 30 Black/African American and/or Hispanic/Latino persons served and providers. Concept mapping with sixty Black/African American and/or Hispanic/Latino persons served and providers will gather community- and provider-generated strategies to address identified barriers. Finally, an advisory board will offer iterative feedback on the data to guide toolkit development and inform equitable implementation of MISSION-CJ within DTCs. Conclusions: The paper illustrates a protocol of a study based in community-engaged research and implementation science to understand multilevel drivers of racial/ethnic disparities in co-occurring disorder treatment and identify opportunities for intervention and improvements within criminal legal settings. https://www.cambridge.org/core/product/identifier/S2059866123000146/type/journal_articleHealth equitymental healthsubstance usecriminal legalco-occurring disorderimplementationcommunity-engaged |
| spellingShingle | Ayorkor Gaba Ashleigh LoVette Bailey Pridgen Marquita Taylor Eva Woodward Milagros C. Rosal Melissa Anderson David Smelson Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol Journal of Clinical and Translational Science Health equity mental health substance use criminal legal co-occurring disorder implementation community-engaged |
| title | Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol |
| title_full | Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol |
| title_fullStr | Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol |
| title_full_unstemmed | Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol |
| title_short | Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol |
| title_sort | identifying strategies to advance equitable implementation of co occurring mental health and substance use disorder treatment in drug treatment courts a study protocol |
| topic | Health equity mental health substance use criminal legal co-occurring disorder implementation community-engaged |
| url | https://www.cambridge.org/core/product/identifier/S2059866123000146/type/journal_article |
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