Incarcerated Women, Integrated Treatment, Post Traumatic Stress Disorder, Substance Abuse, Trauma
Conditions
Keywords
Trauma, incarceration, treatment, substance abuse
Brief summary
The proposed study will evaluate Covington's Helping Women Recover (HWR) plus Beyond Trauma (BT) curriculum with female offenders at Eddie Warrior Correctional Facility in Taft, Oklahoma. The purpose of the proposed study is to expand previous findings by including a comparison group of women that are not receiving treatment but are otherwise eligible, and by using outside evaluators to conduct the assessments. Furthermore, this study will extend the outcomes measured in previous evaluations by including measures of sleep disturbance, posttraumatic cognitions, and a more extensive assessment of trauma-related symptoms. The hypotheses for this study are listed below: 1. Incarcerated women with substance use disorders and history of trauma enrolled in the integrated treatment program (HWR plus BT) will report significantly fewer symptoms on measures of posttraumatic stress and associated cognitions, substance use, depression, and related symptoms following treatment than those in the comparison group. 2. Those in the treatment group will improve significantly more than those in the comparison group on the symptoms listed above.
Interventions
BEHAVIORALHelping Women Recover/Beyond Trauma
Four treatment rounds will be conducted, and a goal of 20 women (10 from each group) will be recruited to participate in each round. A new treatment group will start every four months. Sessions are approximately 2 hours each, 3-4 times per week over four months in a group format. This treatment program will focus on the integrated treatment of trauma and substance abuse in women. Versions of the curriculum exist both for community and corrections populations. In this intervention the corrections version will be used.
Sponsors
University of Tulsa
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Incarcerated women at Eddie Warrior Correctional Center (EWCC) in Taft, Oklahoma * The following 6 criteria are then employed at EWCC for HWR/BT treatment eligibility: 1. An Level of Service Inventory (LSI) score of 30 or greater 2. An LSI protective score of 15 or less 3. 1.5 years or less remaining in prison 4. A Case Plan identifying substance abuse treatment need 5. Ability to read and comprehend 6. 18 years of age or older
Exclusion criteria
* Under age 18 * Not incarcerated * More than 1.5 years remaining in prison * LSI score less than 30 or a protective of more than 15 * No identified substance abuse need * Inability to read and comprehend
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trauma Related Nightmare Survey (change from baseline at one week post treatment) | one week before treatment, one week post treatment | brief assessment of nightmare frequency and severity to be administered pre-treatment and one week following 4 month treatment completion. |
| Posttraumatic Cognitions Inventory (change from baseline at one week post treatment) | one week before treatment, one week post treatment | 36 item assesment of cognitions related to world, self and blame to be administered pre-treatment and one week following 4 month treatment completion. |
| PTSD checklist (change from baseline at one week post treatment) | one-week before treatment, one week post treatment | 17 item post traumatic stress disorder symptoms checklist will be administered pre treatment and one week following 4 month treatment completion. |
| Trauma Symptoms Inventory (change from baseline at one week post treatment) | one week before treatment, one week post treatment | 100 item trauma symptoms questionnaire to be administered pre-treatment and one week following 4 month treatment completion. |
| CES-D, NIMH (change from baseline at one week post treatment) | one week before treatment, one week post treatment | Center for Epidemiologic Studies Depression Scale (CES-D), NIMH is a 20 item depression inventory to be administered pre-treatment and one week following 4 month treatment completion. |
| Drug-Taking Confidence Questionnaire (change from baseline at one week post treatment) | one week before treatment, one week post treatment | 50 item assessment of alcohol and drugs self efficacy to be administered pre-treatment and one week following 4 month treatment completion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parenting Stress Index for Incarcerated Women (change from baseline at one week post treatment) | one week before treatment, one week post treatment | two scales from the PSI and selected parenting issues from incarcerated women to be administered pre-treatment and one week following 4 month treatment completion. |
Countries
United States
Outcome results
None listed