RO1DA029010-01A1

1. 2 month 6 month 12 month Standard Probation Intake Screen for Eligibility Development of a Computer Intervention Targeting Substance Abuse Treatment in the Criminal Justice System RO1DA029010-01A1 Consent & Baseline Interview In-person MI Visit 2 In-person MI Visit 1 n=200 Assessment Assessment Assessment MAPIT Visit 1 MAPIT Visit 2 n=200 Scott Walters, PhDa, Faye Taxman, PhDb, Mayra Rodriguez, MPHa, & Jennifer Lerch, MAb, aUniversityof North Texas Health Science Center; bGeorgeMason University, Center for Advancing Correctional Excellence! n=200 Goals Visit 1 Development Number of drug-involved probationers in US who are in need of substance abuse treatment. 4 million • Overview • 2-visit, interactive touchscreen program. • Includes risk assessment, planning, social support, automated reminders. • Uses text-to-speech narration, making it extremely responsive. • Narration • Narrator is “Jennifer,” a female, • lower pitch voice, with a non-specific • regional dialect. Completed near the start of probation. Targets motivation to complete probation, to change substance use, and to obtain HIV testing and care.  Bridge criminological and psychological theories. Place no additional demands on the probation system of care. Target multiple behaviors that occur together. Tailored to the individual. Very easy/intuitive to use. Increase treatment initiation and engagement.  50% Percent of drug-involved probationers who actually initiate treatment.   Changeable factors that can reduce risk. Annual cost savings of reducing number of incarcerated drug offenders by half.  Focus groups strongly preferred a bright, friendly, self-aware female narrator. $6.4 billion ☐ ? Drug use compared to others Visit 2 Identifying strategies to make changes in substance use Consequences of substance use Completed after 30 days. Focuses on review of goals, coping strategies, social support. Goal setting, planning around probation and treatment Reviewing progress on goals set at Visit 1 Identifying people who would help to make positive changes. Evaluation Both visits include video testimonials from other probationers Pilot Testing • Participants praised organization, narration, customized data, summary reports, and perceived usefulness. • In initial testing, participants liked….. • “How the program charted my drug use and problems” • “[Finding out] how many people smoke less than me” • “listening to [other] people’s reasons” for completing probation • Participants didn’t like…. • That the computer did not provide better directions and froze on certain parts Randomize (Stratify by Risk Level) Both visits provide reminder text/email messages for selected goals. The authors report no conflicts of interest. For more information, contact scott.walters@unthsc.edu