Adaptation, Co-occurring Mental and Substance Use Disorders, Crime, Criminogenic Thinking, Implementation
Conditions
Keywords
Jail, co-occurring disorders, implementation, acceptability, feasibility, fidelity
Brief summary
Treatment adaptation and implementation study for adult jail inmates with co-occurring substance use disorders.
Detailed 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.
Interventions
BEHAVIORALDual-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.
BEHAVIORALIntegrated 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.
BEHAVIORALJail and community-based behavioral health services
Existing behavioral health service programs
Sponsors
University of North Carolina, Chapel Hill
Boston University
RTI International
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability | Study months 21 through 34 | Client Satisfaction Questionnaire-8, Narrative Evaluation of Intervention Interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Substance use | Study months 20 through 30 | Addiction Severity Index |
| Feasibility of Adapted Interventions | Study months 21 through 34 | How successfully can the adapted interventions be implemented (Focus Group interviews) |
| Psychiatric symptoms | Study months 20 through 30 | Brief Psychiatric Rating Scale |
| Health status | Study months 20 through 30 | SF-12 |
| Fidelity | Study months 21 through 34 | DDMI and IGT Adherence Forms |
| Externalizing behaviors | Study months 20 through 30 | Triarchic Psychopathy Measure |
| Quality of life measure | Study months 20 through 30 | Heinrichs-Carpenter Quality of Life Scale, Plus |
| Arrest | Study months 20 through 30 | Self-report and official jail records |
| Treatment preferences | Study months 20 through 30 | Visual analog ranking of 8 different aspects of treatment |
| Service use | Study months 20 through 30 | Epidemiological Catchment Area Interview |
Countries
United States
Outcome results
None listed