Substance-Related Disorders Clinical Trial
Official title:
Step'n Out: A Multisite Trial of Collaborative Behavioral Management for Drug-Involved Parolees
The main purpose of this study is to examine whether improved integration between the community supervision system and outpatient addiction treatment system can improve treatment adherence, drug use and public safety outcomes among drug-involved inmates re-entering the community.
The target population consists of male and female parolees with a history of substance abuse
treatment who are at moderate-to-high-risk of recidivism. They will recruited from in the
criminal justice system and/or transitional residential drug treatment within one or two
months of release or at the time they first report for parole supervision.
Participants from six states (KY, OR, RI, CT, VA, DE) will be randomized into the Step'n Out
condition (integration of community supervision and addiction treatment with behavioral
management) or a comparison condition including traditional community supervision and
addiction treatment. Research interviews at baseline, and 3 and 9 months after release from
confinement will assess study participants' outcomes.
The Step'n Out intervention will produce significantly better outcomes than the standard
referral condition with respect to: recidivism rates (revocation, rearrest on a new charge,
reconviction, reincarceration), as assessed 3 and 9 months after the end of the
intervention; treatment participation (i.e., proportion of planned sessions attended,
proportion of planned days retained in treatment, type of discharge [successful completion,
transfer to another program, elopement, administrative discharge, return to custody], as
assessed after the end of the intervention; self-reported drug use, criminal activity, and
psychosocial functioning, as assessed 3 and 12 months after the end of the intervention;
cost-effectiveness; collaboration between the supervision officer and treatment counselor ;
and therapeutic alliance with the clients.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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