COsurvey: Reducing DUP in Rikers - Surveys of Correction Officers
Study Details
Study Description
Brief Summary
The investigators will implement a multifaceted Target Education Campaign (TEC) within the three jails (Anna M. Kross Center, Rose M. Singer Center, and Robert N. Davoren Complex) about recognizing early psychotic symptoms and referring to the Correctional Health Services. This campaign will include print materials and targeted trainings for Corrections Officers. To develop all aspects of the TEC, the investigators will convene a workgroup, meeting biweekly for the first 6 months, including the entire investigative team, as well as experts at the Center for Practice Innovations (CPI). Depending on the nature of agreed-upon educational materials, the investigators will use specific areas of expertise at CPI for development. Materials will provide specific, actionable, and persuasive messaging about: (1) how to identify select signs of psychosis, (2) how to refer to the Specialized Early Engagement Support Service (SEESS) (in year 2), and (3) the effectiveness of early treatment through OnTrackNY. Messaging, in addition to targeted training, will be continuous in the three jails.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Detailed Description
Because Corrections Officers in the three jails of interest are critically positioned to influence pathways to care, print materials will be supplemented with professional outreach and education by the SEESS. Roll-call is the approved venue by which all ongoing education happens for Corrections Officers. Roll-calls take place at the beginning of each shift (7am, 3pm, 11pm) every day of the week in the same location and last ~ 15 - 20 minutes; all staff starting that shift attend. During roll-call, brief messages (2-3 minutes) will be delivered by the Controlling Captains, which is the standard practice for communicating important information to Corrections Officers. Both daytime and overnight shifts will receive the targeted training 8 times each month for the 24 months of the TEC.
To document the exact nature of the TEC to later compile an Intervention Manual for a larger, definitive trial, the investigators will record the number of each type of informational material disseminated, as well as the exact timing and duration of each. The investigators will record the number, timing, duration, and attendance at all educational sessions (e.g., roll-call briefings for Corrections Officers). This data will allow for testing of two key targets/mediators - Target A, cumulative number of print materials disseminated, and Target B, cumulative number of Corrections Officers staff given brief training.
The investigators will also collect pre-TEC (baseline) and during-TEC (at 6 months and 12 months) data from Corrections Officers through brief surveys, which will be used to test engagement of the Corrections Officers: changes in mean scores for behavioral capability, expectations, and self-efficacy, which are three key constructs from Social Cognitive Theory.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Targeted Educational Campaign (TEC) for Correction Officers The investigators will implement a Targeted Educational Campaign (TEC) within 3 jails at New York City's Rikers Island. The TEC is designed to lead to referrals of detainees (previously not detected as having potential mental health concerns) to Correctional Health Services (CHS) by Correction Officers. |
Behavioral: Targeted Educational Campaign
Correction Officers will be exposed to the Targeted Educational Campaign (TEC) with the aim to increase their knowledge about the early symptoms of psychosis, and how to make a referral to the Correction Health Services staff, their self-efficacy to detect symptoms of psychosis and make referrals, and their expectations about their ability to be successful in making that referral (and for referrals to result in beneficial outcomes).
Correction Officers will be approached and recruited during roll call and in the staff canteen where they take their meal breaks, or at a time/location agreed upon by the Department of Correction, to complete brief surveys at three different times; pre-exposure, after 6 months, and after 12 months from the beginning of the TEC.
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Outcome Measures
Primary Outcome Measures
- Changes in Correction Officers' behavioral capability across the duration of the TEC [1 year]
Changes in survey-based scores on behavioral capability (knowledge/skills) at baseline, 6-months, and 12-months. To measure behavioral capability (knowledge/skills), we used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.
- Changes in Correction Officers' expectations [1 year]
Changes in survey-based scores on expectations at baseline, 6-months, and 12-months. To measure expectation, we used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
- Changes in Correction Officers' self-efficacy [1 year]
Changes in survey-based scores on self-efficacy at baseline, 6-months, and 12-months. To measure self-efficacy, we used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Correction Officers;
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exposure to the Targeted Education Campaign
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over the age of 21
Exclusion Criteria:
- children under the age of 18 years
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Rikers Island Jails (Anna M. Kross Center, Rose M. Singer Center, and Robert N. Davoren Complex) | E. Elmhurst | New York | United States | 11370 |
Sponsors and Collaborators
- Columbia University
- Vera Institute of Justice
- University of Illinois at Chicago
- University of South Florida
- National Institute of Mental Health (NIMH)
Investigators
- Principal Investigator: Michael T Compton, MD, MPH, Columbia University
Study Documents (Full-Text)
More Information
Publications
None provided.- NYSPI 7771 - 251050
- R34MH117766