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
Conditions
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
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Housing Stability | 4 months post release | 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. |
| Employment Stability | 4 months post release | 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 |
| Brief Symptom Inventory | 4 months post release | 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. |
| Mini International Neuropsychiatric Interview | 4 months post release | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recidivism | 1 year post release | Number of days to reincarceration. |
Countries
United States
Contacts
Florida State University College of Social Work, Institute of Justice Research & Development
Florida State University College of Social Work, Institute of Justice Research & Development
Florida State University College of Social Work, Institute of Justice Research & Development
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 403 |
Baseline characteristics
| Characteristic | Treatment as Usual (TAU) | Comprehensive Trauma-Based Reentry Program | Total |
|---|---|---|---|
| Age, Continuous | 28.27 years STANDARD_DEVIATION 4.664 | 28.07 years STANDARD_DEVIATION 4.703 | 28.17 years STANDARD_DEVIATION 4.68 |
| Barratt Impulsivity Scale | 63.27 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 Participants | 58 Participants | 115 Participants |
| BSI: Substance Use Disorder Yes | 150 Participants | 138 Participants | 288 Participants |
| Coping Self-Efficacy: Get Support from Family and Friends | 20.75 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 Coping | 44.14 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 Thoughts | 28.95 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 Participants | 6 Participants | 15 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 197 Participants | 190 Participants | 387 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants | 1 Participants | 3 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 120 Participants | 125 Participants | 245 Participants |
| Race (NIH/OMB) More than one race | 19 Participants | 13 Participants | 32 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 3 Participants | 3 Participants |
| Race (NIH/OMB) White | 64 Participants | 53 Participants | 117 Participants |
| Region of Enrollment United States | 207 Participants | 196 Participants | 403 Participants |
| Ryff Psychological Well-Being: Autonomy | 35.07 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 Mastery | 32.49 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 Growth | 33.97 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 Life | 34.70 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 Others | 33.22 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-Acceptance | 30.68 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 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 207 Participants | 196 Participants | 403 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 196 | 0 / 207 |
| other Total, other adverse events | 0 / 196 | 0 / 207 |
| serious Total, serious adverse events | 0 / 196 | 0 / 207 |
Outcome results
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | Brief Symptom Inventory | .618 units on a scale | Standard Deviation 0.932 |
| Control Group | Brief Symptom Inventory | .553 units on a scale | Standard Deviation 0.789 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | Brief Symptom Inventory | .451 units on a scale | Standard Deviation 0.804 |
| Control Group | Brief Symptom Inventory | .536 units on a scale | Standard Deviation 0.813 |
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
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment Group | Employment Stability | Not Employed | 4 Participants |
| Treatment Group | Employment Stability | Non-Responsive | 170 Participants |
| Treatment Group | Employment Stability | Employed | 22 Participants |
| Control Group | Employment Stability | Employed | 69 Participants |
| Control Group | Employment Stability | Not Employed | 18 Participants |
| Control Group | Employment Stability | Non-Responsive | 120 Participants |
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
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment Group | Employment Stability | Employed | 16 Participants |
| Treatment Group | Employment Stability | Not Employed | 7 Participants |
| Treatment Group | Employment Stability | Non-Responsive | 173 Participants |
| Control Group | Employment Stability | Employed | 67 Participants |
| Control Group | Employment Stability | Not Employed | 18 Participants |
| Control Group | Employment Stability | Non-Responsive | 122 Participants |
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.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment Group | Housing Stability | Not Housing Stable | 7 Participants |
| Treatment Group | Housing Stability | Non-Responsive | 172 Participants |
| Treatment Group | Housing Stability | Stable Housing | 17 Participants |
| Control Group | Housing Stability | Stable Housing | 65 Participants |
| Control Group | Housing Stability | Not Housing Stable | 23 Participants |
| Control Group | Housing Stability | Non-Responsive | 119 Participants |
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
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment Group | Housing Stability | Not Housing Stable | 8 Participants |
| Treatment Group | Housing Stability | Non-responsive | 170 Participants |
| Treatment Group | Housing Stability | Stable | 18 Participants |
| Control Group | Housing Stability | Stable | 60 Participants |
| Control Group | Housing Stability | Not Housing Stable | 29 Participants |
| Control Group | Housing Stability | Non-responsive | 118 Participants |
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.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment Group | Mini International Neuropsychiatric Interview | Substance Use Disorder | 8 Participants |
| Treatment Group | Mini International Neuropsychiatric Interview | No Substance Use Disorder | 21 Participants |
| Control Group | Mini International Neuropsychiatric Interview | Substance Use Disorder | 22 Participants |
| Control Group | Mini International Neuropsychiatric Interview | No Substance Use Disorder | 67 Participants |
Recidivism-new Crime
Number of days to reincarceration for a new crime.
Time frame: 2 year post release
Recidivism-new Crime
Number of days to reincarceration for a new crime.
Time frame: 1 year post release
Recidivism-new Crime
Number of days to reincarceration for a new crime.
Time frame: 3 year post release
Recidivism-violation
Number of days to reincarceration for a technical violation.
Time frame: 2 year post release
Recidivism-violation
Number of days to reincarceration for a technical violation.
Time frame: 1 year post release
Recidivism-violation
Number of days to reincarceration for a technical violation.
Time frame: 3 year post release
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | Anxiety Symptoms | .60 units on a scale | Standard Deviation 1.15 |
| Control Group | Anxiety Symptoms | .574 units on a scale | Standard Deviation 0.812 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | Barratt Impulsivity Scale | 59.96 score on a scale | Standard Deviation 15.83 |
| Control Group | Barratt Impulsivity Scale | 61.48 score on a scale | Standard Deviation 12.93 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | Barratt Impulsivity Scale | 61.63 score on a scale | Standard Deviation 8.49 |
| Control Group | Barratt Impulsivity Scale | 61.63 score on a scale | Standard Deviation 11.66 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Treatment Group | Coping Self-efficacy | Using Problem-Focused Coping | 48.23 score on a scale | Standard Deviation 10.03 |
| Treatment Group | Coping Self-efficacy | Stop Unpleasant Emotions and Thoughts | 30.3462 score on a scale | Standard Deviation 8.0147 |
| Treatment Group | Coping Self-efficacy | Get Support From Friends and Family | 18.3846 score on a scale | Standard Deviation 7.46232 |
| Control Group | Coping Self-efficacy | Using Problem-Focused Coping | 44.93 score on a scale | Standard Deviation 10.16 |
| Control Group | Coping Self-efficacy | Stop Unpleasant Emotions and Thoughts | 29.0449 score on a scale | Standard Deviation 8.76967 |
| Control Group | Coping Self-efficacy | Get Support From Friends and Family | 19.8764 score on a scale | Standard Deviation 7.20767 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Treatment Group | Coping Self-Efficacy Scale | Using Problem-Focused Coping | 45.58 score on a scale | Standard Deviation 8.43 |
| Treatment Group | Coping Self-Efficacy Scale | Stop Unpleasant emotions and thoughts | 29.1667 score on a scale | Standard Deviation 5.75339 |
| Treatment Group | Coping Self-Efficacy Scale | Get Support From Friends and Family | 20.1250 score on a scale | Standard Deviation 5.47177 |
| Control Group | Coping Self-Efficacy Scale | Using Problem-Focused Coping | 43.52 score on a scale | Standard Deviation 13.45 |
| Control Group | Coping Self-Efficacy Scale | Stop Unpleasant emotions and thoughts | 29.4091 score on a scale | Standard Deviation 9.03205 |
| Control Group | Coping Self-Efficacy Scale | Get Support From Friends and Family | 20.6818 score on a scale | Standard Deviation 7.89812 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | Depressive Symptoms | .730 score on a scale | Standard Deviation 0.964 |
| Control Group | Depressive Symptoms | .440 score on a scale | Standard Deviation 0.67 |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment Group | Incidence of Substance Use Disorder | Substance Use Disorder | 9 Participants |
| Treatment Group | Incidence of Substance Use Disorder | No Substance Use Disorder | 20 Participants |
| Control Group | Incidence of Substance Use Disorder | Substance Use Disorder | 23 Participants |
| Control Group | Incidence of Substance Use Disorder | No Substance Use Disorder | 67 Participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Treatment Group | Ryff Psychological Wellbeing Index | Personal Growth | 33.7917 score on a scale | Standard Deviation 4.54905 |
| Treatment Group | Ryff Psychological Wellbeing Index | Purpose in Life | 35.2500 score on a scale | Standard Deviation 3.57832 |
| Treatment Group | Ryff Psychological Wellbeing Index | Self-Acceptance | 32.5000 score on a scale | Standard Deviation 3.40077 |
| Treatment Group | Ryff Psychological Wellbeing Index | Environmental Mastery | 32.3333 score on a scale | Standard Deviation 4.54606 |
| Treatment Group | Ryff Psychological Wellbeing Index | Positive Relations to Others | 32.3043 score on a scale | Standard Deviation 3.48288 |
| Treatment Group | Ryff Psychological Wellbeing Index | Autonomy | 35.9538 score on a scale | Standard Deviation 3.85023 |
| Control Group | Ryff Psychological Wellbeing Index | Purpose in Life | 33.6705 score on a scale | Standard Deviation 5.10065 |
| Control Group | Ryff Psychological Wellbeing Index | Autonomy | 33.0000 score on a scale | Standard Deviation 4.77396 |
| Control Group | Ryff Psychological Wellbeing Index | Environmental Mastery | 31.0795 score on a scale | Standard Deviation 5.69174 |
| Control Group | Ryff Psychological Wellbeing Index | Personal Growth | 33.2386 score on a scale | Standard Deviation 4.39695 |
| Control Group | Ryff Psychological Wellbeing Index | Positive Relations to Others | 31.6782 score on a scale | Standard Deviation 6.16912 |
| Control Group | Ryff Psychological Wellbeing Index | Self-Acceptance | 30.2529 score on a scale | Standard Deviation 5.43721 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Treatment Group | Ryff Psychological Wellbeing Index | Autonomy | 34.6538 score on a scale | Standard Deviation 5.38102 |
| Treatment Group | Ryff Psychological Wellbeing Index | Environmental Mastery | 30.1154 score on a scale | Standard Deviation 7.67503 |
| Treatment Group | Ryff Psychological Wellbeing Index | Personal Growth | 34.8077 score on a scale | Standard Deviation 4.73303 |
| Treatment Group | Ryff Psychological Wellbeing Index | Positive Relations to Others | 31.2400 score on a scale | Standard Deviation 6.5146 |
| Treatment Group | Ryff Psychological Wellbeing Index | Purpose in Life | 32.7692 score on a scale | Standard Deviation 6.48264 |
| Treatment Group | Ryff Psychological Wellbeing Index | Self-Acceptance | 31.6800 score on a scale | Standard Deviation 679902 |
| Control Group | Ryff Psychological Wellbeing Index | Purpose in Life | 33.5909 score on a scale | Standard Deviation 5.24708 |
| Control Group | Ryff Psychological Wellbeing Index | Autonomy | 34.2414 score on a scale | Standard Deviation 5.11488 |
| Control Group | Ryff Psychological Wellbeing Index | Positive Relations to Others | 32.0568 score on a scale | Standard Deviation 5.87486 |
| Control Group | Ryff Psychological Wellbeing Index | Environmental Mastery | 31.1477 score on a scale | Standard Deviation 6.34368 |
| Control Group | Ryff Psychological Wellbeing Index | Self-Acceptance | 30.5698 score on a scale | Standard Deviation 6.69599 |
| Control Group | Ryff Psychological Wellbeing Index | Personal Growth | 34.0909 score on a scale | Standard Deviation 5.52244 |