PTSD - Post Traumatic Stress Disorder, Substance Use
Conditions
Keywords
Incarcerated youth, Juvenile detention school, CBITS-RTM
Brief summary
This pilot study, conducted in partnership with juvenile detention centers, evaluates an adapted CBITS-RTM intervention delivered in a detention school setting.
Detailed description
The study examines the intervention's feasibility and acceptability, as well as its effectiveness in reducing incarcerated youth's posttraumatic stress symptoms, improving academic functioning, and decreasing intentions to use substances post-release.
Interventions
The Cognitive Behavioral Intervention for Trauma in Schools (CBITS) program is a school-based, group and individual intervention designed to reduce symptoms of post-traumatic stress disorder (PTSD), depression, and behavioral problems, and to improve functioning, grades and attendance, and coping skills. The CBITS intervention was adapted to juvenile justice settings with an added Racial Trauma Module (RTM), which provides youth with an overview of the effects of racism on levels of traumatic stress.
Sponsors
Study design
Eligibility
Inclusion criteria
* Youth must 1) be currently incarcerated in a partnering juvenile detention center, 2) be between 13-18 years of age, and 3) have a minimum of 3 months remaining on their sentence (i.e., sufficient time required to complete CBITS-RTM). Youth will complete a screening with a study team member involving the 2-item Abbreviated PTSD Checklist-Civilian version, with scores ≥4 considered a positive screen * Clinicians are eligible if they are behavioral health staff working with youth at the detention school..
Exclusion criteria
* Observable cognitive or developmental delays or active psychosis that would interfere with completing consent, assessment or intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Child PTSD Symptom Scale (CPSS) | Baseline, 3 months post-baseline | The CPSS is used to measure posttraumatic stress among youth (8-18 years). It assesses past month posttraumatic stress symptom severity and impairment of endorsed symptoms on daily functioning. Scores range from 0-80, with 31+ indicating probable PTSD. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Youth Alcohol and Drug Use Survey | Baseline, 3 months post-baseline | The Youth Alcohol and Drug Use Survey will be used to gather youth's intention to use substances post-release using items rated on a scale from 1 (unlikely) to 10 (very likely). |
| Texas Christian University (TCU) Drug Screen | Baseline, 3-months post-baseline | The TCU will be administered to gather information on substance use quantity and frequency as well as risk for SUD (corresponds with DSM-5 criteria) on the 3-months prior to incarceration and past 3 months at post-release. |
Countries
United States
Contacts
University of California, San Francisco