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Researching Resiliency in Stressful Experiences (RISE) Program for Men Leaving Incarceration

Multisite Randomized Controlled Trial of Comprehensive Trauma Informed Reentry Services for Moderate to High Risk Youth Releasing From State Prisons

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04785677
Enrollment
403
Registered
2021-03-08
Start date
2021-02-09
Completion date
2024-06-30
Last updated
2026-08-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aggression, Anxiety, Coping Skills, Depressive Symptoms, Housing Problems, Impulsive Behavior, Occupational Stress, Psychological Distress, Recidivism, Stress, Stress Disorders, Traumatic, Stress Disorders, Traumatic, Acute, Substance Use

Keywords

employment stability, Housing Stability, Reentry, Trauma, psychological wel-being

Brief summary

The investigators are conducting a randomized controlled trial to assess the impact of Resiliency in Stressful Experiences (RISE) - a comprehensive trauma-based program for young men releasing from a southeastern state's prisons. The investigators are assessing whether treating trauma and providing other transitional supports - such as employment assistance - as young men return home will help to improve their community stability and enhance their psychological well-being, in turn, resulting in less likelihood that a person will become incarcerated in the future.

Detailed description

The five-year study is a two-armed, randomized controlled trial evaluating the effectiveness of a comprehensive trauma-based reentry program for young men assessed as moderate to high risk for recidivism as they are released to the community. Four Hundred young males who were released from one of ten Florida prisons into our target counties were randomly assigned to receive a comprehensive trauma-based reentry program or treatment as usual. The effectiveness of the reentry program was evaluated on mechanisms of change (trauma symptoms, coping, impulsivity, and aggression), community stability (housing, employment), and recidivism. Research questions are: Does a comprehensive trauma-based research program improve key mechanisms of change for moderate to high-risk young males? Does a comprehensive trauma-based reentry program improve community stability for moderate to high-risk young males? Does a comprehensive trauma-based reentry program decrease rates of recidivism for moderate to high-risk young males? Research questions 1 and 2 were analyzed using ANCOVA, and Research Question 3 will be analyzed using survival analysis. We also used a Research-to-Practice Feedback Loop to catalyze rapid assessment of intervention and implementation refinement to increase participant responsivity.

Interventions

BEHAVIORALResiliency in Stressful Experiences (RISE) Program

The Resiliency in Stressful Experiences (RISE) Program is a multi-phased comprehensive trauma based reentry program designed based on the transitional nature of reentry. Participants will receive up to 4 sessions prior to release and up tp 15 session post release from prison. The RISE program is a trauma intervention paired with reentry services, including housing support and employment assistance.

Sponsors

Florida State University
Lead SponsorOTHER
U.S. Department of Justice
CollaboratorFED

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 35 Years
Healthy volunteers
No

Inclusion criteria

* Males * Ages 18-35 * Have experienced at least one lifetime traumatic event * Released from incarceration to Suwanee, Leon, Duval or Columbia County, Florida. * Conversational in English * Being able to cognitively consent

Exclusion criteria

* Younger than 18 years old * Older than 35 years old * Has not experienced at least one lifetime traumatic event * Not cognitively able to understand * Not conversational in English * Not releasing from incarceration to Suwanee, Leon, Duval or Columbia County, Florida.

Design outcomes

Primary

MeasureTime frameDescription
Housing Stability4 months post releaseStable housing was defined as living in one's own room, apartment, or house, or with family, with an expected duration of residence of 4 months or more, or tenancy rights. A 10- item measure will assess housing stability.
Employment Stability4 months post releaseEmployment Stability is measure on a continuum, based on the number of jobs held in the last 4 months and number of days worked at each Employment. The employment must be for at least 15 hours a week. A 10-item measure will assess employment stability
Brief Symptom Inventory4 months post releaseUtilizing the Brief Symptom Inventory (BSI) to assess depression and anxiety symptoms in participants. The BSI is a 53-item self-report screening tool that asks respondents to rate their level of psychological distress over the past seven days based on a five-point Likert scale (0 = "not at all" to 5 = "extremely"). The BSI provides subscale scores on dimensions of somatization, depression, and anxiety as well as a Global Severity Index (GSI) that is calculated based on a sum of all items. Subscale scores range from 0 to 4. Higher scores on the BSI indicate higher levels of symptomology.
Mini International Neuropsychiatric Interview4 months post releaseUtilizing the 9-item substance use disorder subscale of the MINI International Neuropsychiatric Interview (MINI) to assess current incidence of substance use disorders. Items are rated on a dichotomous Yes/No scale and follow psychiatric guidelines of the DSM-5.

Secondary

MeasureTime frameDescription
Recidivism1 year post releaseNumber of days to reincarceration.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORCarrie Pettus-Davis, PhD

Florida State University College of Social Work, Institute of Justice Research & Development

PRINCIPAL_INVESTIGATORStephen Tripodi, PhD

Florida State University College of Social Work, Institute of Justice Research & Development

PRINCIPAL_INVESTIGATORTanya Renn, PhD

Florida State University College of Social Work, Institute of Justice Research & Development

Participant flow

Participants by arm

ArmCount
Comprehensive Trauma-Based Reentry Program
Participants will complete up to19 session comprehensive trauma-based reentry program. Resiliency in Stressful Experiences (RISE) Program: The Resiliency in Stressful Experiences (RISE) Program is a multi-phased comprehensive trauma based reentry program designed based on the transitional nature of reentry. Participants will receive up to 4 sessions prior to release and up tp 15 session post release from prison. The RISE program is a trauma intervention paired with reentry services, including housing support and employment assistance.
196
Treatment as Usual (TAU)
Participants will be receive all reentry services normally eligible to receive by the state or the community to which they are released.
207
Total403

Baseline characteristics

CharacteristicTreatment as Usual (TAU)Comprehensive Trauma-Based Reentry ProgramTotal
Age, Continuous28.27 years
STANDARD_DEVIATION 4.664
28.07 years
STANDARD_DEVIATION 4.703
28.17 years
STANDARD_DEVIATION 4.68
Barratt Impulsivity Scale63.27 units on a scale
STANDARD_DEVIATION 9.79
63.45 units on a scale
STANDARD_DEVIATION 9.11
63.36 units on a scale
STANDARD_DEVIATION 9.46
BSI: Anxiety.370 units on a scale
STANDARD_DEVIATION 0.574
.310 units on a scale
STANDARD_DEVIATION 0.554
.340 units on a scale
STANDARD_DEVIATION 0.564
BSI: Depression.304 units on a scale
STANDARD_DEVIATION 0.538
.265 units on a scale
STANDARD_DEVIATION 0.502
.285 units on a scale
STANDARD_DEVIATION 0.521
BSI: Substance Use Disorder
No
57 Participants58 Participants115 Participants
BSI: Substance Use Disorder
Yes
150 Participants138 Participants288 Participants
Coping Self-Efficacy: Get Support from Family and Friends20.75 units on a scale
STANDARD_DEVIATION 5.88
21.33 units on a scale
STANDARD_DEVIATION 5.77
21.03 units on a scale
STANDARD_DEVIATION 5.82
Coping Self-Efficacy: Problem-Focused Coping44.14 units on a scale
STANDARD_DEVIATION 9.32
45.67 units on a scale
STANDARD_DEVIATION 8.25
44.88 units on a scale
STANDARD_DEVIATION 8.84
Coping Self-Efficacy: Stop Unpleasant Emotions and Thoughts28.95 units on a scale
STANDARD_DEVIATION 7.06
30.28 units on a scale
STANDARD_DEVIATION 6.25
29.59 units on a scale
STANDARD_DEVIATION 6.76
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants6 Participants15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
197 Participants190 Participants387 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants1 Participants3 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
120 Participants125 Participants245 Participants
Race (NIH/OMB)
More than one race
19 Participants13 Participants32 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants0 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants3 Participants3 Participants
Race (NIH/OMB)
White
64 Participants53 Participants117 Participants
Region of Enrollment
United States
207 Participants196 Participants403 Participants
Ryff Psychological Well-Being: Autonomy35.07 units on a scale
STANDARD_DEVIATION 4.12
35.16 units on a scale
STANDARD_DEVIATION 3.76
35.11 units on a scale
STANDARD_DEVIATION 3.94
Ryff Psychological Well-Being: Environmental Mastery32.49 units on a scale
STANDARD_DEVIATION 4.91
32.38 units on a scale
STANDARD_DEVIATION 4.58
32.44 units on a scale
STANDARD_DEVIATION 4.75
Ryff Psychological Well-Being: Personal Growth33.97 units on a scale
STANDARD_DEVIATION 3.98
33.79 units on a scale
STANDARD_DEVIATION 3.88
33.89 units on a scale
STANDARD_DEVIATION 3.93
Ryff Psychological Well-Being: Purpose in Life34.70 units on a scale
STANDARD_DEVIATION 3.63
34.53 units on a scale
STANDARD_DEVIATION 4.44
34.62 units on a scale
STANDARD_DEVIATION 4.04
Ryff Psychological Well-Being: Relations to Others33.22 units on a scale
STANDARD_DEVIATION 4.38
32.43 units on a scale
STANDARD_DEVIATION 4.74
32.84 units on a scale
STANDARD_DEVIATION 4.57
Ryff Psychological Well-Being: Self-Acceptance30.68 units on a scale
STANDARD_DEVIATION 5
31.09 units on a scale
STANDARD_DEVIATION 5
30.88 units on a scale
STANDARD_DEVIATION 5
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
207 Participants196 Participants403 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1960 / 207
other
Total, other adverse events
0 / 1960 / 207
serious
Total, serious adverse events
0 / 1960 / 207

Outcome results

Primary

Brief Symptom Inventory

Utilizing the Brief Symptom Inventory (BSI) to assess depression and anxiety symptoms in participants. The BSI is a 53-item self-report screening tool that asks respondents to rate their level of psychological distress over the past seven days based on a five-point Likert scale (0 = not at all to 5 = extremely). The BSI provides subscale scores on dimensions of somatization, depression, and anxiety as well as a Global Severity Index (GSI) that is calculated based on a sum of all items. Subscale scores range from 0 to 4. Higher scores on the BSI indicate higher levels of symptomology.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 172 people excluded from the treatment group and 119 people excluded from the TAU control group. There were 172 people excluded from the treatment group and 119 people excluded from the TAU control group.

ArmMeasureValue (MEAN)Dispersion
Treatment GroupBrief Symptom Inventory.618 units on a scaleStandard Deviation 0.932
Control GroupBrief Symptom Inventory.553 units on a scaleStandard Deviation 0.789
Primary

Brief Symptom Inventory

Utilizing the Brief Symptom Inventory (BSI) to assess depression and anxiety symptoms in participants. The BSI is a 53-item self-report screening tool that asks respondents to rate their level of psychological distress over the past seven days based on a five-point Likert scale (0 = not at all to 5 = extremely). The BSI provides subscale scores on dimensions of somatization, depression, and anxiety as well as a Global Severity Index (GSI) that is calculated based on a sum of all items. Subscale scores range from 0 to 4. Higher scores on the BSI indicate higher levels of symptomology.

Time frame: 4 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 172 people excluded from the treatment group and 119 people excluded from the TAU control group.

ArmMeasureValue (MEAN)Dispersion
Treatment GroupBrief Symptom Inventory.451 units on a scaleStandard Deviation 0.804
Control GroupBrief Symptom Inventory.536 units on a scaleStandard Deviation 0.813
Primary

Employment Stability

Employment Stability is based on the number of jobs held in the last 4 months and number of days worked at each Employment. The employment must be for at least 15 hours a week. A 10-item measure will assess employment stability

Time frame: 8 months post release

Population: Treatment group is treatment of the treated: Those who completed at least 70% or programming

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Treatment GroupEmployment StabilityNot Employed4 Participants
Treatment GroupEmployment StabilityNon-Responsive170 Participants
Treatment GroupEmployment StabilityEmployed22 Participants
Control GroupEmployment StabilityEmployed69 Participants
Control GroupEmployment StabilityNot Employed18 Participants
Control GroupEmployment StabilityNon-Responsive120 Participants
Primary

Employment Stability

Employment Stability is measure on a continuum, based on the number of jobs held in the last 4 months and number of days worked at each Employment. The employment must be for at least 15 hours a week. A 10-item measure will assess employment stability

Time frame: 4 months post release

Population: Treatment group is treatment of the treated: Those who completed at least 70% of programming

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Treatment GroupEmployment StabilityEmployed16 Participants
Treatment GroupEmployment StabilityNot Employed7 Participants
Treatment GroupEmployment StabilityNon-Responsive173 Participants
Control GroupEmployment StabilityEmployed67 Participants
Control GroupEmployment StabilityNot Employed18 Participants
Control GroupEmployment StabilityNon-Responsive122 Participants
Primary

Housing Stability

Stable housing was defined as living in one's own room, apartment, or house, or with family, with an expected duration of residence of 4 months or more, or tenancy rights. A 10- item measure will assess housing stability.

Time frame: 4 months post release

Population: Treatment group is treatment of the treated: Those who completed at least 70% of RISE programming.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Treatment GroupHousing StabilityNot Housing Stable7 Participants
Treatment GroupHousing StabilityNon-Responsive172 Participants
Treatment GroupHousing StabilityStable Housing17 Participants
Control GroupHousing StabilityStable Housing65 Participants
Control GroupHousing StabilityNot Housing Stable23 Participants
Control GroupHousing StabilityNon-Responsive119 Participants
Primary

Housing Stability

Stable housing was defined as living in one's own room, apartment, or house, or with family, with an expected duration of residence of 4 months or more, or tenancy rights. A 10- item measure will assess housing stability.

Time frame: 8 months post release

Population: Treatment group is treatment of the treated: those who completed at least 70% of programming

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Treatment GroupHousing StabilityNot Housing Stable8 Participants
Treatment GroupHousing StabilityNon-responsive170 Participants
Treatment GroupHousing StabilityStable18 Participants
Control GroupHousing StabilityStable60 Participants
Control GroupHousing StabilityNot Housing Stable29 Participants
Control GroupHousing StabilityNon-responsive118 Participants
Primary

Mini International Neuropsychiatric Interview

Utilizing the 9-item substance use disorder subscale of the MINI International Neuropsychiatric Interview (MINI) to assess current incidence of substance use disorders. Items are rated on a dichotomous Yes/No scale and follow psychiatric guidelines of the DSM-5.

Time frame: 4 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 167 people excluded from the treatment group and 118 people excluded from the TAU control group.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Treatment GroupMini International Neuropsychiatric InterviewSubstance Use Disorder8 Participants
Treatment GroupMini International Neuropsychiatric InterviewNo Substance Use Disorder21 Participants
Control GroupMini International Neuropsychiatric InterviewSubstance Use Disorder22 Participants
Control GroupMini International Neuropsychiatric InterviewNo Substance Use Disorder67 Participants
Secondary

Recidivism-new Crime

Number of days to reincarceration for a new crime.

Time frame: 2 year post release

Secondary

Recidivism-new Crime

Number of days to reincarceration for a new crime.

Time frame: 1 year post release

Secondary

Recidivism-new Crime

Number of days to reincarceration for a new crime.

Time frame: 3 year post release

Secondary

Recidivism-violation

Number of days to reincarceration for a technical violation.

Time frame: 2 year post release

Secondary

Recidivism-violation

Number of days to reincarceration for a technical violation.

Time frame: 1 year post release

Secondary

Recidivism-violation

Number of days to reincarceration for a technical violation.

Time frame: 3 year post release

Other Pre-specified

Anxiety Symptoms

Anxiety symptoms identified as apprehension or fear of impending actual or imagined danger, vulnerability, or uncertainty. Anxiety Symptoms will be measured using the Brief Symptom Inventory is a 53-items with a 6 question sub-scale of anxiety symptoms were a respondent characterizes the intensity of distress (0 =not at all to 4=extremely).The higher score the more symptoms of anxiety.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 170 people excluded from the treatment group and 117 people excluded from the TAU control group.

ArmMeasureValue (MEAN)Dispersion
Treatment GroupAnxiety Symptoms.60 units on a scaleStandard Deviation 1.15
Control GroupAnxiety Symptoms.574 units on a scaleStandard Deviation 0.812
Other Pre-specified

Barratt Impulsivity Scale

Utilizing the Barratt Impulsivity Scale (BIS) to assess general impulsiveness on six first-order factors (attention, motor, self-control, cognitive complexity, perseverance, and cognitive instability impulsiveness) and three second-order factors (attentional, motor, and non-planning impulsiveness). The BIS is composed of 30 items describing common impulsive or non-impulsive (for reverse scored items) behaviors and preferences. Participants select a number on the following scale: 1 if you rarely or never act or think that way, 2 if you occasionally think that way, 3 if you often think that way, or 4 if you almost or always think that way. Scores range from 30 to 120. A higher score indicates greater impulsivity.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 171 people excluded from the treatment group and 123 people excluded from the TAU control group.

ArmMeasureValue (MEAN)Dispersion
Treatment GroupBarratt Impulsivity Scale59.96 score on a scaleStandard Deviation 15.83
Control GroupBarratt Impulsivity Scale61.48 score on a scaleStandard Deviation 12.93
Other Pre-specified

Barratt Impulsivity Scale

Utilizing the Barratt Impulsivity Scale (BIS) to assess general impulsiveness on six first-order factors (attention, motor, self-control, cognitive complexity, perseverance, and cognitive instability impulsiveness) and three second-order factors (attentional, motor, and non-planning impulsiveness). The BIS is composed of 30 items describing common impulsive or non-impulsive (for reverse scored items) behaviors and preferences. Participants select a number on the following scale: 1 if you rarely or never act or think that way, 2 if you occasionally think that way, 3 if you often think that way, or 4 if you almost or always think that way. Scores range from 30 to 120. A higher score indicates greater impulsivity.

Time frame: 4 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 172 people excluded from the treatment group and 119 people excluded from the TAU control group.

ArmMeasureValue (MEAN)Dispersion
Treatment GroupBarratt Impulsivity Scale61.63 score on a scaleStandard Deviation 8.49
Control GroupBarratt Impulsivity Scale61.63 score on a scaleStandard Deviation 11.66
Other Pre-specified

Coping Self-efficacy

he CSES is an 26-item self-report tool that asks respondents to indicate if they feel they can do accomplish 26 specific things if when they are having problems. Responses are based on an 11-point Likert scale (0 = Cannot do at all to 10 = Certain can do). The CSES provides subscale scores on dimensions of problem-focused coping, stopping unpleasant emotions and thoughts, and social support as well as a total coping self-efficacy score that is calculated based on a sum of all items. Problem focused subscale scores range from 0 to 60, emotion-focused subscale scores range from 0 to 40, and social support subscale scores range from 0 to 30. The total coping self-efficacy score ranges from 0 to 260. Higher scores indicate higher levels of coping self-efficacy.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 170 people excluded from the treatment group and 118 people excluded from the TAU control group.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment GroupCoping Self-efficacyUsing Problem-Focused Coping48.23 score on a scaleStandard Deviation 10.03
Treatment GroupCoping Self-efficacyStop Unpleasant Emotions and Thoughts30.3462 score on a scaleStandard Deviation 8.0147
Treatment GroupCoping Self-efficacyGet Support From Friends and Family18.3846 score on a scaleStandard Deviation 7.46232
Control GroupCoping Self-efficacyUsing Problem-Focused Coping44.93 score on a scaleStandard Deviation 10.16
Control GroupCoping Self-efficacyStop Unpleasant Emotions and Thoughts29.0449 score on a scaleStandard Deviation 8.76967
Control GroupCoping Self-efficacyGet Support From Friends and Family19.8764 score on a scaleStandard Deviation 7.20767
Other Pre-specified

Coping Self-Efficacy Scale

Utilizing the Coping Self-Efficacy Scale (CSES) to assess coping self-efficacy. The CSES is an 26-item self-report tool that asks respondents to indicate if they feel they can do accomplish 26 specific things if when they are having problems. Responses are based on an 11-point Likert scale (0 = Cannot do at all to 10 = Certain can do). The CSES provides subscale scores on dimensions of problem-focused coping, stopping unpleasant emotions and thoughts, and social support as well as a total coping self-efficacy score that is calculated based on a sum of all items. Problem focused subscale scores range from 0 to 60, emotion-focused subscale scores range from 0 to 40, and social support subscale scores range from 0 to 30. The total coping self-efficacy score ranges from 0 to 260. Higher scores indicate higher levels of coping self-efficacy.

Time frame: 4 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 172 people excluded from the treatment group and 115 people excluded from the TAU control group.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment GroupCoping Self-Efficacy ScaleUsing Problem-Focused Coping45.58 score on a scaleStandard Deviation 8.43
Treatment GroupCoping Self-Efficacy ScaleStop Unpleasant emotions and thoughts29.1667 score on a scaleStandard Deviation 5.75339
Treatment GroupCoping Self-Efficacy ScaleGet Support From Friends and Family20.1250 score on a scaleStandard Deviation 5.47177
Control GroupCoping Self-Efficacy ScaleUsing Problem-Focused Coping43.52 score on a scaleStandard Deviation 13.45
Control GroupCoping Self-Efficacy ScaleStop Unpleasant emotions and thoughts29.4091 score on a scaleStandard Deviation 9.03205
Control GroupCoping Self-Efficacy ScaleGet Support From Friends and Family20.6818 score on a scaleStandard Deviation 7.89812
Other Pre-specified

Depressive Symptoms

Depressive symptoms marked by dysphoric mood, inactivity, lack of interest, insomnia, feelings of worthlessness, diminished ability to think, and thoughts of suicide. Depressive symptoms will be measured using the Brief Symptom Inventory, a 53-items with a 6 question sub-scale of depressive symptoms were a respondent characterizes the intensity of distress (0 =not at all to 4=extremely).The higher score the more depressive symptoms.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 170 people excluded from the treatment group and 117 people excluded from the TAU control group.

ArmMeasureValue (MEAN)Dispersion
Treatment GroupDepressive Symptoms.730 score on a scaleStandard Deviation 0.964
Control GroupDepressive Symptoms.440 score on a scaleStandard Deviation 0.67
Other Pre-specified

Incidence of Substance Use Disorder

A pathological pattern of impairment related to the overuse of, or dependence on, psychoactive drugs, prescription medications, or other substances. A 9-item substance use disorder subscale of the MINI assesses current incidence of substance use disorders. Items are rated on a dichotomous Yes/No scale and follow psychiatric guidelines of the DSM-5.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 167 people excluded from the treatment group and 117 people excluded from the TAU control group.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Treatment GroupIncidence of Substance Use DisorderSubstance Use Disorder9 Participants
Treatment GroupIncidence of Substance Use DisorderNo Substance Use Disorder20 Participants
Control GroupIncidence of Substance Use DisorderSubstance Use Disorder23 Participants
Control GroupIncidence of Substance Use DisorderNo Substance Use Disorder67 Participants
Other Pre-specified

Ryff Psychological Wellbeing Index

Utilizing the Ryff Psychological Wellbeing Index to assess participant wellbeing. The Ryff is an 18-item self-report tool that asks respondents to indicate how strongly they agree or disagree with 18 statements. Responses are based on a seven-point Likert scale (1 = strongly agree to 7 = strongly disagree). The Ryff provides subscale scores on dimensions of autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance as well as a global wellbeing index that is calculated based on a sum of all items. Subscale scores range from 3 to 21 and the global wellbeing scores range from 18 to 126. Higher scores indicate higher levels of wellbeing.

Time frame: 4 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 172 people excluded from the treatment group and 119 people excluded from the TAU control group.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment GroupRyff Psychological Wellbeing IndexPersonal Growth33.7917 score on a scaleStandard Deviation 4.54905
Treatment GroupRyff Psychological Wellbeing IndexPurpose in Life35.2500 score on a scaleStandard Deviation 3.57832
Treatment GroupRyff Psychological Wellbeing IndexSelf-Acceptance32.5000 score on a scaleStandard Deviation 3.40077
Treatment GroupRyff Psychological Wellbeing IndexEnvironmental Mastery32.3333 score on a scaleStandard Deviation 4.54606
Treatment GroupRyff Psychological Wellbeing IndexPositive Relations to Others32.3043 score on a scaleStandard Deviation 3.48288
Treatment GroupRyff Psychological Wellbeing IndexAutonomy35.9538 score on a scaleStandard Deviation 3.85023
Control GroupRyff Psychological Wellbeing IndexPurpose in Life33.6705 score on a scaleStandard Deviation 5.10065
Control GroupRyff Psychological Wellbeing IndexAutonomy33.0000 score on a scaleStandard Deviation 4.77396
Control GroupRyff Psychological Wellbeing IndexEnvironmental Mastery31.0795 score on a scaleStandard Deviation 5.69174
Control GroupRyff Psychological Wellbeing IndexPersonal Growth33.2386 score on a scaleStandard Deviation 4.39695
Control GroupRyff Psychological Wellbeing IndexPositive Relations to Others31.6782 score on a scaleStandard Deviation 6.16912
Control GroupRyff Psychological Wellbeing IndexSelf-Acceptance30.2529 score on a scaleStandard Deviation 5.43721
Other Pre-specified

Ryff Psychological Wellbeing Index

Utilizing the Ryff Psychological Wellbeing Index to assess participant wellbeing. The Ryff is an 18-item self-report tool that asks respondents to indicate how strongly they agree or disagree with 18 statements. Responses are based on a seven-point Likert scale (1 = strongly agree to 7 = strongly disagree). The Ryff provides subscale scores on dimensions of autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance as well as a global wellbeing index that is calculated based on a sum of all items. Subscale scores range from 3 to 21 and the global wellbeing scores range from 18 to 126. Higher scores indicate higher levels of wellbeing.

Time frame: 8 months post release

Population: Analysis of the comprehensive trauma-based reentry program is of those who completed at least 70% of programming and who participated in 4 month post release interviews. Analysis of the treatment group is of those who participated in post-release interviews. There were 170 people excluded from the treatment group and 119 people excluded from the TAU control group.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment GroupRyff Psychological Wellbeing IndexAutonomy34.6538 score on a scaleStandard Deviation 5.38102
Treatment GroupRyff Psychological Wellbeing IndexEnvironmental Mastery30.1154 score on a scaleStandard Deviation 7.67503
Treatment GroupRyff Psychological Wellbeing IndexPersonal Growth34.8077 score on a scaleStandard Deviation 4.73303
Treatment GroupRyff Psychological Wellbeing IndexPositive Relations to Others31.2400 score on a scaleStandard Deviation 6.5146
Treatment GroupRyff Psychological Wellbeing IndexPurpose in Life32.7692 score on a scaleStandard Deviation 6.48264
Treatment GroupRyff Psychological Wellbeing IndexSelf-Acceptance31.6800 score on a scaleStandard Deviation 679902
Control GroupRyff Psychological Wellbeing IndexPurpose in Life33.5909 score on a scaleStandard Deviation 5.24708
Control GroupRyff Psychological Wellbeing IndexAutonomy34.2414 score on a scaleStandard Deviation 5.11488
Control GroupRyff Psychological Wellbeing IndexPositive Relations to Others32.0568 score on a scaleStandard Deviation 5.87486
Control GroupRyff Psychological Wellbeing IndexEnvironmental Mastery31.1477 score on a scaleStandard Deviation 6.34368
Control GroupRyff Psychological Wellbeing IndexSelf-Acceptance30.5698 score on a scaleStandard Deviation 6.69599
Control GroupRyff Psychological Wellbeing IndexPersonal Growth34.0909 score on a scaleStandard Deviation 5.52244

Source: ClinicalTrials.gov · Data processed: Aug 29, 2026