Substance Abuse and Trauma in Incarcerated Women

Sponsor

University of Tulsa (Other)

Overall Status

Completed

CT.gov ID

NCT01413984

Collaborator

(none)

Enrollment

Location

Arms

Duration (Months)

5.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The proposed study will evaluate Covington's Helping Women Recover (HWR) plus Beyond Trauma (BT) curriculum with female offenders at Eddie Warrior Correctional Facility in Taft, Oklahoma. The purpose of the proposed study is to expand previous findings by including a comparison group of women that are not receiving treatment but are otherwise eligible, and by using outside evaluators to conduct the assessments. Furthermore, this study will extend the outcomes measured in previous evaluations by including measures of sleep disturbance, posttraumatic cognitions, and a more extensive assessment of trauma-related symptoms. The hypotheses for this study are listed below:

Incarcerated women with substance use disorders and history of trauma enrolled in the integrated treatment program (HWR plus BT) will report significantly fewer symptoms on measures of posttraumatic stress and associated cognitions, substance use, depression, and related symptoms following treatment than those in the comparison group.
Those in the treatment group will improve significantly more than those in the comparison group on the symptoms listed above.

Condition or Disease	Intervention/Treatment	Phase
Substance Abuse Trauma Post Traumatic Stress Disorder Integrated Treatment Incarcerated Women	Behavioral: Helping Women Recover/Beyond Trauma	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

95 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Investigator)

Primary Purpose:

Treatment

Official Title:

Substance Abuse and Trauma in Incarcerated Women: An Effectiveness Study

Study Start Date :

Nov 1, 2010

Actual Primary Completion Date :

Mar 1, 2012

Actual Study Completion Date :

Mar 1, 2012

Arms and Interventions

Arm	Intervention/Treatment
Experimental: cognitive behavioral group treatment Helping Women Recover/Beyond Trauma integrated substance abuse and trauma treatment group. (Dr. Covington)	Behavioral: Helping Women Recover/Beyond Trauma Four treatment rounds will be conducted, and a goal of 20 women (10 from each group) will be recruited to participate in each round. A new treatment group will start every four months. Sessions are approximately 2 hours each, 3-4 times per week over four months in a group format. This treatment program will focus on the integrated treatment of trauma and substance abuse in women. Versions of the curriculum exist both for community and corrections populations. In this intervention the corrections version will be used.
No Intervention: comparison group a comparison group of incarcerated women will receive the pre and post assessments with no interventions.

Arm

Intervention/Treatment

Experimental: cognitive behavioral group treatment

Helping Women Recover/Beyond Trauma integrated substance abuse and trauma treatment group. (Dr. Covington)

Behavioral: Helping Women Recover/Beyond Trauma

Four treatment rounds will be conducted, and a goal of 20 women (10 from each group) will be recruited to participate in each round. A new treatment group will start every four months. Sessions are approximately 2 hours each, 3-4 times per week over four months in a group format. This treatment program will focus on the integrated treatment of trauma and substance abuse in women. Versions of the curriculum exist both for community and corrections populations. In this intervention the corrections version will be used.

No Intervention: comparison group

a comparison group of incarcerated women will receive the pre and post assessments with no interventions.

Outcome Measures

Primary Outcome Measures

PTSD checklist (change from baseline at one week post treatment) [one-week before treatment, one week post treatment]
17 item post traumatic stress disorder symptoms checklist will be administered pre treatment and one week following 4 month treatment completion.
Trauma Related Nightmare Survey (change from baseline at one week post treatment) [one week before treatment, one week post treatment]
brief assessment of nightmare frequency and severity to be administered pre-treatment and one week following 4 month treatment completion.
Posttraumatic Cognitions Inventory (change from baseline at one week post treatment) [one week before treatment, one week post treatment]
36 item assesment of cognitions related to world, self and blame to be administered pre-treatment and one week following 4 month treatment completion.
CES-D, NIMH (change from baseline at one week post treatment) [one week before treatment, one week post treatment]
Center for Epidemiologic Studies Depression Scale (CES-D), NIMH is a 20 item depression inventory to be administered pre-treatment and one week following 4 month treatment completion.
Drug-Taking Confidence Questionnaire (change from baseline at one week post treatment) [one week before treatment, one week post treatment]
50 item assessment of alcohol and drugs self efficacy to be administered pre-treatment and one week following 4 month treatment completion.
Trauma Symptoms Inventory (change from baseline at one week post treatment) [one week before treatment, one week post treatment]
100 item trauma symptoms questionnaire to be administered pre-treatment and one week following 4 month treatment completion.

Secondary Outcome Measures

Parenting Stress Index for Incarcerated Women (change from baseline at one week post treatment) [one week before treatment, one week post treatment]
two scales from the PSI and selected parenting issues from incarcerated women to be administered pre-treatment and one week following 4 month treatment completion.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

Female

Accepts Healthy Volunteers:

Inclusion Criteria:

Incarcerated women at Eddie Warrior Correctional Center (EWCC) in Taft, Oklahoma
The following 6 criteria are then employed at EWCC for HWR/BT treatment eligibility: