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Leveraging Implementation Science to Increase Access to Trauma Treatment for Incarcerated Drug Users

Award Number: K23DA048162
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 04/01/2019
PERIOD OF PERFORMANCE END DATE: 03/31/2025

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Leveraging Implementation Science to Increase Access to Trauma Treatment for Incarcerated Drug Users - Project Summary/Abstract The unmet need for effective addiction treatment within the criminal justice system “represents a significant opportunity to intervene with a high-risk population” according to NIDA's 2016-2020 strategic plan. The plan also encourages the development and evaluation of implementation strategies that address the needs of the criminal justice system. This Mentored Patient-Oriented Research Career Development Award (K23) will prepare the applicant with the skills necessary to launch an independent research program focused examining implementation strategies to support the uptake of evidence-based mental health interventions for incarcerated substance users. The applicant's training goals are as follows: 1) develop expertise in implementation science research methods, 2) increase knowledge relevant to interventions for substance users, and 3) enhance skills necessary for a successful research career. These training goals will be achieved through a combination of mentored research and study, didactic and experiential learning, and intensive externship training. Because severe trauma exposure, substance use, and justice-involvement overwhelmingly co-occur in prison populations, the applicant's research plan will aim to advance knowledge on implementation of a gold-standard psychotherapy for trauma, Cognitive Processing Therapy (CPT), in the prison setting. She will also examine whether prison-delivered CPT reduces drug use, psychiatric symptoms, and recidivism. The three specific aims in this research are: 1) Use formative evaluation to identify factors that may influence implementation and uptake of CPT in prisons, 2) Adapt CPT for incarcerated drug users and develop a facilitation-based implementation guide to support its uptake, and 3) conduct a participant-randomized Hybrid II trial to assess effectiveness and implementation outcomes of CPT with incarcerated drug users. If found to be effective, wide- scale implementation of CPT may improve the health of over 1.7 million incarcerated Americans who have co- occurring substance use and trauma exposure. The work proposed in this application will be conducted at the University of Arkansas for Medical Sciences, a rich context for early stage investigators, under the guidance of mentoring from the following national experts: Drs. JoAnn Kirchner and Geoffrey Curran for implementation science, Dr. Nickolas Zaller for drug use and its overlap with the criminal justice system, and Dr. Debra Kaysen for CPT and its adaptation in low-resource contexts and with substance users. At its conclusion, the applicant will have progressed toward her goal of becoming a criminal justice implementation scientist by 1) advancing foundational knowledge on CPT implementation within the criminal justice system and effectiveness as treatment for addiction and 2) publishing research on application of implementation science in criminal justice settings.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$3,511 )
2025	2023	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	000	5	7/31/2025	NON-COMPETING CONTINUATION	-$3,511
														Subtotal = -$3,511

Issue Date FY: 2023 ( Subtotal = $222,847 )
2023	2023	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	000	5	3/29/2023	NON-COMPETING CONTINUATION	$147,312
2023	2023	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	001	5	3/30/2023	SUPPLEMENT FOR EXPANSION	$75,535
														Subtotal = $222,847

Issue Date FY: 2022 ( Subtotal = $146,308 )
2022	2022	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	000	4	2/18/2022	NON-COMPETING CONTINUATION	$146,308
														Subtotal = $146,308

Issue Date FY: 2021 ( Subtotal = $147,207 )
2021	2021	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	000	3	2/24/2021	NON-COMPETING CONTINUATION	$147,207
														Subtotal = $147,207

Issue Date FY: 2020 ( Subtotal = $147,310 )
2020	2020	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	000	2	3/13/2020	NON-COMPETING CONTINUATION	$147,310
														Subtotal = $147,310

Issue Date FY: 2019 ( Subtotal = $147,308 )
2019	2019	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Drug Use and Addiction Research Programs	000	1	3/18/2019	NEW	$147,308
														Subtotal = $147,308

Grand Total All Awards = $807,469

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Leveraging Implementation Science to Increase Access to Trauma Treatment for Incarcerated Drug Users

Award Number: K23DA048162

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 04/01/2019

PERIOD OF PERFORMANCE END DATE: 03/31/2025

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