Adjustment
Conditions
Keywords
Incarceration, Reentry
Brief summary
This pilot study assesses the feasibility and acceptability of delivering a brief Cognitive-Behavioral Resiliency treatment to a population of recently released parolees. This study will also give a preliminary indication if the treatment is associated with reliable improvements in adjustment symptoms and well-being for parolees.
Detailed description
In the proposed pilot study, residents of a reentry facility in Los Angeles, CA will be able to enroll in a course of brief (5-session) Cognitive-Behavioral Therapy (CBT) focused on building resiliency in response to the effects of institutionalization. Those who choose to receive the intervention will be included in the intervention group (target N = 30). Those who choose not to receive the intervention will be given the opportunity to complete assessments at the same intervals as the intervention group (assessment only group; target N = 30). Participants will report their degree of satisfaction with the program and how much they think they benefitted from the program at postintervention. Participants will complete self-report measures of adjustment disorder symptoms, flourishing, meaning and purpose in life, and PTSD symptoms at pretreatment (baseline), posttreatment (5 weeks after baseline), and 2-month follow-up (13 weeks after baseline).
Interventions
Brief Cognitive-Behavioral Therapy (CBT) focused on building resiliency in response to the effects of institutionalization
Sponsors
Study design
Intervention model description
The study employees two arms: the treatment arm and an assessment only arm. The pilot study is non-randomized.
Eligibility
Inclusion criteria
* 18 years or older * Speaks English * Been on parole for two years or less. * Score of 8.5 or higher (range 4 to 16) on the Adjustment Disorder New Module 4 (ADNM-4) screening tool (Ben-Ezra, et al., 2018).
Exclusion criteria
None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adjustment Disorder New Module 20 | From pretreatment (baseline) to the end of treatment (5 weeks after baseline) | The ADNM-20 is a self-report measure consisting of two parts: a stressor list and an item list. It is a 20-item measure that ranges from 20 to 80. Participants will fill out stressors from their prison term and will then complete the items which are composed of a 4-point Likert scales from "Never" to "Often." |
| Flourishing Scale | From pretreatment (baseline) to the end of treatment (5 weeks after baseline) | The Flourishing Scale is an 8-item self-report measure (with a range of 8 to 56) of the respondent's self-perceived success in important areas such as relationships, self-esteem, purpose, and optimism. The scale provides a single psychological well-being score. |
| PROMIS Meaning and Purpose Short Form 8a | From pretreatment (baseline) to the end of treatment (5 weeks after baseline) | The PROMIS Meaning and Purpose is an 8-item self-report measure with a range of 8 to 40 that assess one's sense of life having purpose and that there are good reasons for living. Higher scores indicate hopefulness, optimism, goal-directedness, and feelings that one's life is worthy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PTSD Checklist 5 | From pretreatment (baseline) to the end of treatment (5 weeks after baseline) | This is an 8-item abbreviated version of the PTSD Checklist 5, a self-report measure which ranges from 0 to 32 that assesses the DSM-5 symptoms of PTSD. |
Countries
United States
Contacts
University of California, Irvine