Criminal Recidivism, Mental Health Disorder, Substance Use Disorder (SUD)
Conditions
Keywords
substance use disorder, mental health, criminal-legal involvement
Brief summary
This project will aim to develop and pilot test, R-Assist, a mobile health application to support individuals with co-occurring substance use and mental health disorders (COD) in their recovery, who have recently released from a participating Massachusetts jail.
Detailed description
This Phase I project will develop and test an mHealth app called R-Assist among individuals with COD recently released from a Massachusetts jail. R-Assist will offer four core features, including linkages to community resources via the resource locator, on demand, tailored self-help materials, and self-management/organizational tools. The following two Aims will be tested: Aim 1. R-Assist software and content prototype development. The 4 R-Assist features will include: 1) daily self-reported symptom and medication management monitoring; 2) a 29-session self-help curriculum, with an accompanying library of recovery resources to support COD symptom management and promote prosocial thinking and behavior; 3) social determinants of health (SDOH) resource finder; and 4) a dashboard to track R-Assist engagement. Aim 2. A successive cohort study of the R-Assist prototype with participants who have recently left jail (N = 38). This will include three successive field focus group cohorts with 18 participants, followed by a small open pilot with 20 participants. This project's four milestones will be executed in preparation for a larger Phase II trial. * Milestone 1 (Months 1-5): R-Assist App Development and Interface Designs o No human subjects involvement * Milestone 2 (Months 6-7): Initial Evaluation/Refinement of R-Assist o To recruit N=18 individuals for this Milestone * Milestone 3 (Months 8-10): Open Pilot of R-Assist o To recruit recruit N=20 individuals for this Milestone * Milestone 4 (Months 11-12): Product Refinement Prior to Phase II and Dissemination o No human subjects involvement
Interventions
BEHAVIORALreentry assistance mobile health app
R-Assist features will include: 1) daily self-reported symptom and medication management monitoring; 2) a 29-session MISSION-CJ self-help curriculum, with an accompanying library of recovery resources to support COD symptom management and promote prosocial thinking and behavior; 3) SDOH resource finder; and 4) a dashboard to track R-Assist engagement.
Sponsors
Meaningful Measurement, Inc
National Institute on Drug Abuse (NIDA)
University of Massachusetts, Worcester
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
R-Assist features will include: 1) daily self-reported symptom and medication management monitoring; 2) a 29-session MISSION-CJ self-help curriculum, with an accompanying library of recovery resources to support COD symptom management and promote prosocial thinking and behavior; 3) SDOH resource finder; and 4) a dashboard to track R-Assist engagement.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Have been released from the participating jail within the past 150 days * Own a smartphone (Android or iOS; 90% met this criterion in our prior studies) * Have COD: any substance use disorder (we will allow poly-substance use disorders) and a co-occurring mental health disorder (depression, anxiety, trauma related disorders, bipolar, and/or schizophrenia) * Consent to R-Assist app use observation and e-tracking * Consent to audio recording during interviews and focus groups.
Exclusion criteria
* Acutely suicidal, homicidal, or psychotic * Unable to provide informed consent * Individuals released with monitoring devices or individuals involved in drug treatment courts
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| App usage | From enrollment for 1.5 months during the open pilot | Total time engaged in app will be tracked daily during open pilot period. Additionally, engagement and time with each feature will be tracked |
| System Usability Scale (SUS) | From enrollment for 1.5 months during the open pilot | Overall score will be computed, indicating overall usability Score ranges from 0-100 (0-64=not acceptable, 65-84=acceptable, and 85, 100=excellent. |
| Mobile Application Rating Scale (MARS) | From enrollment for 1.5 months during the open pilot | Overall score will be computed, indicating overall acceptability, as well as score for each of the four dimensions. The rating scale assesses app quality on four dimensions (1. Engagement, 2. Functionality, 3. Aesthetics, and 4. Information). All items are rated on 5-point scale from "1=inadequate" to "5=excellent" |
| Composite International Diagnostic Instrument for DSM-IV: Social determinants of health (SDOH) linkages | From enrollment for 1.5 months during the open pilot | SDOH needs (e.g., housing instability, food insecurity, NA/AA/ other recovery linkages) will be assessed and the App will track all referrals and SDOH linkages made. Percent of linkages made to needed SDOH services will be examined. |
| Composite International Diagnostic Instrument for DSM-IV: Substance Use Disorder | From enrollment for 1.5 months during the open pilot | Substance use disorder symptoms will be tracked daily during the open pilot period. |
| Composite International Diagnostic Instrument for DSM-IV: Mental Health | From enrollment for 1.5 months during the open pilot | Mental health symptoms will be tracked daily during the open pilot period. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDavid Smelson, PsyD
University of Massachusetts Chan Medical School
PRINCIPAL_INVESTIGATORDonna Surges Tatum, PhD
Meaningful Measurement, LLC
Outcome results
None listed