St. Francis College, Dept. of Criminal Justice, Sociology & Social Studies
Background: The proposed secondary analysis of the Health Link database aims to build on lessons from the Health Link evaluation, a randomized controlled trial comparing levels of substance use disorder treatment. A number of pre- and post-release factors affected rates of substance use and other outcomes. Education was particularly important to young men. The analysis will focus on the 706 adolescent male consumers in the Health Link database and will look at how the structure of Health Link and its network of treatment agencies facilitated the use of evidence-based approaches, particularly psychosocial interventions, multi-systemic treatment, and follow-up care. Specific Aims: This project is a response to the Foundation’s Addiction, Prevention and Treatment Team. In response to two of the Team’s objectives, this project will develop measures to track the use of evidence-based treatment approaches, and will demonstrate the benefits of improving addiction care in specialty treatment care settings. Research Questions include: 1) Did receiving psychosocial interventions and a multi-systemic treatment affect young consumers? post-release experiences? 2) How did the network of treatment agencies in Harlem and the Bronx facilitate the use of these practices for this particular population? 3) Did receiving educational and related services decrease the likelihood and severity of re-offense or substance abuse? 4) Does attainment of specific educational or vocational milestones make a difference in re-offense or substance abuse? 5) Do the effects above have a ?pathway? structure, where one intervention affects the impact of the next? These relate to Project 4 under the APT Topics for Study, particularly evidence of how the structure of treatment agencies facilitates the use of the evidence-based treatment, and effective strategies used to address barriers to the use of evidence-based practices. Methods: a) study design: The project will utilize the Health Link evaluation’s experimental design and compare the two randomly assigned experimental and control groups on an index of youth-oriented services and outcomes. b) setting: Health Link involved multiple settings including jail and a variety of networked agencies. Because the proposed project focuses on the adolescent male participants, youth oriented settings, such as schools and vocational training programs will also be examined. c) measures: Measures include drug use, charge, age, race, level and quality of education and achievement and re-offense. Data from Health Link will be merged with a database of NYC high schools and students from the same time period. d) analysis: Using a regression-based analysis, the proposed project will estimate impact for youth who entered treatment at various levels of drug use and socioeconomic status. Kernel matching will ensure precise comparisons. Structural equation models will assess effects with simultaneous causation. Some spatial considerations will also be included in the analysis.
- New Connections Status: Junior Investigator
- Award Year: 2006
- RWJF Team/Portfolio: Vulnerable Populations
- Project Name: Detention, Education, and Community Based Services among Former New York City Jail Inmates.