Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

Sponsor

RTI International (Other)

Overall Status

Terminated

CT.gov ID

NCT02214667

Collaborator

University of North Carolina, Chapel Hill (Other), Boston University (Other)

Enrollment

Location

Arms

49.3

Actual Duration (Months)

0.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Treatment adaptation and implementation study for adult jail inmates with co-occurring substance use disorders.

Condition or Disease	Intervention/Treatment	Phase
Co-occurring Mental and Substance Use Disorders Crime Criminogenic Thinking Implementation Adaptation	Behavioral: Dual-diagnosis motivational interviewing (DDMI) Behavioral: Integrated group therapy (IGT) Behavioral: Jail and community-based behavioral health services	N/A

Detailed Description

We will adapt dual-diagnosis motivational interviewing and integrated group therapy for jail inmates with co-occurring substance use and mental health disorders and to evaluate the feasibility of implementing the adapted interventions and associated research and communication protocols.

Study Design

Study Type:

Interventional

Actual Enrollment :

8 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

Actual Study Start Date :

May 21, 2015

Actual Primary Completion Date :

Jun 30, 2019

Actual Study Completion Date :

Jun 30, 2019

Arms and Interventions

Arm	Intervention/Treatment
Experimental: DDMI-IGT Subjects randomized to the experimental condition will receive adapted versions of dual-diagnosis motivational interviewing ([DDMI] one session before release from jail) and integrated group therapy ([IGT] 12 community-based sessions over a 2-month period).	Behavioral: Dual-diagnosis motivational interviewing (DDMI) DDMI is an evidence-based adaptation to motivational interviewing. DDMI incorporates an integrated framework and accommodates cognitive impairments and disordered thinking associated with co-occurring substance use and mental disorders. Behavioral: Integrated group therapy (IGT) IGT is an evidence-based practice for treating co-occurring disorders. IGT focuses on relapse prevention by reducing substance use and stabilizing psychiatric symptoms.
Active Comparator: Usual care Subjects randomized to the usual care condition will receive jail and community-based behavioral health services.	Behavioral: Jail and community-based behavioral health services Existing behavioral health service programs

Arm

Intervention/Treatment

Experimental: DDMI-IGT

Subjects randomized to the experimental condition will receive adapted versions of dual-diagnosis motivational interviewing ([DDMI] one session before release from jail) and integrated group therapy ([IGT] 12 community-based sessions over a 2-month period).

Behavioral: Dual-diagnosis motivational interviewing (DDMI)

DDMI is an evidence-based adaptation to motivational interviewing. DDMI incorporates an integrated framework and accommodates cognitive impairments and disordered thinking associated with co-occurring substance use and mental disorders.

Behavioral: Integrated group therapy (IGT)

IGT is an evidence-based practice for treating co-occurring disorders. IGT focuses on relapse prevention by reducing substance use and stabilizing psychiatric symptoms.

Active Comparator: Usual care

Subjects randomized to the usual care condition will receive jail and community-based behavioral health services.

Behavioral: Jail and community-based behavioral health services

Existing behavioral health service programs

Outcome Measures

Primary Outcome Measures

Acceptability [Study months 21 through 34]
Client Satisfaction Questionnaire-8, Narrative Evaluation of Intervention Interview

Secondary Outcome Measures

Feasibility of Adapted Interventions [Study months 21 through 34]
How successfully can the adapted interventions be implemented (Focus Group interviews)
Fidelity [Study months 21 through 34]
DDMI and IGT Adherence Forms
Substance use [Study months 20 through 30]
Addiction Severity Index
Psychiatric symptoms [Study months 20 through 30]
Brief Psychiatric Rating Scale
Health status [Study months 20 through 30]
SF-12
Service use [Study months 20 through 30]
Epidemiological Catchment Area Interview
Externalizing behaviors [Study months 20 through 30]
Triarchic Psychopathy Measure
Quality of life measure [Study months 20 through 30]
Heinrichs-Carpenter Quality of Life Scale, Plus
Arrest [Study months 20 through 30]
Self-report and official jail records
Treatment preferences [Study months 20 through 30]
Visual analog ranking of 8 different aspects of treatment

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

(1) drug or alcohol abuse or dependence and SMI (major depressive disorder; depressive disorder not otherwise specified [NOS]; bipolar disorder I, II, or NOS; schizophrenia spectrum disorder; schizoaffective disorder; schizophreniform disorder; brief psychotic disorder; delusional disorder; or psychotic disorder NOS);
(2) resident of Wake County and detained in The Jail;
(3) >18 years of age; (4) able to speak/read English; and (5) able to provide informed consent.