Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

Implementation Clinical Trial

Official title:

Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT02214667
• Other study ID #: R34DA036791
• Status: Terminated
• Phase: N/A
• Start date: May 21, 2015
• Est. completion date: June 30, 2019

Study information

• Verified date: March 2020
• Source: RTI International
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Treatment adaptation and implementation study for adult jail inmates with co-occurring substance use disorders.

Description:

We will adapt dual-diagnosis motivational interviewing and integrated group therapy for jail inmates with co-occurring substance use and mental health disorders and to evaluate the feasibility of implementing the adapted interventions and associated research and communication protocols.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 8
• Est. completion date: June 30, 2019
• Est. primary completion date: June 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• (1) drug or alcohol abuse or dependence and SMI (major depressive disorder; depressive disorder not otherwise specified [NOS]; bipolar disorder I, II, or NOS; schizophrenia spectrum disorder; schizoaffective disorder; schizophreniform disorder; brief psychotic disorder; delusional disorder; or psychotic disorder NOS);

• (2) resident of Wake County and detained in The Jail;

• (3) >18 years of age; (4) able to speak/read English; and (5) able to provide informed consent.

Exclusion Criteria:

-

Related Conditions & MeSH terms

• Adaptation
• Co-occurring Mental and Substance Use Disorders
• Crime
• Criminogenic Thinking
• Disease
• Implementation
• Mental Disorders
• Psychotic Disorders
• Substance-Related Disorders

Intervention

Behavioral:
• Dual-diagnosis motivational interviewing (DDMI)
DDMI is an evidence-based adaptation to motivational interviewing. DDMI incorporates an integrated framework and accommodates cognitive impairments and disordered thinking associated with co-occurring substance use and mental disorders.
• Integrated group therapy (IGT)
IGT is an evidence-based practice for treating co-occurring disorders. IGT focuses on relapse prevention by reducing substance use and stabilizing psychiatric symptoms.
• Jail and community-based behavioral health services
Existing behavioral health service programs

Locations

Country	Name	City	State
United States	RTI International	Research Triangle Park	North Carolina

Sponsors (3)

Lead Sponsor	Collaborator
RTI International	Boston University, University of North Carolina, Chapel Hill

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acceptability	Client Satisfaction Questionnaire-8, Narrative Evaluation of Intervention Interview	Study months 21 through 34
Secondary	Feasibility of Adapted Interventions	How successfully can the adapted interventions be implemented (Focus Group interviews)	Study months 21 through 34
Secondary	Fidelity	DDMI and IGT Adherence Forms	Study months 21 through 34
Secondary	Substance use	Addiction Severity Index	Study months 20 through 30
Secondary	Psychiatric symptoms	Brief Psychiatric Rating Scale	Study months 20 through 30
Secondary	Health status	SF-12	Study months 20 through 30
Secondary	Service use	Epidemiological Catchment Area Interview	Study months 20 through 30
Secondary	Externalizing behaviors	Triarchic Psychopathy Measure	Study months 20 through 30
Secondary	Quality of life measure	Heinrichs-Carpenter Quality of Life Scale, Plus	Study months 20 through 30
Secondary	Arrest	Self-report and official jail records	Study months 20 through 30
Secondary	Treatment preferences	Visual analog ranking of 8 different aspects of treatment	Study months 20 through 30