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Completed

NCT Number: NCT01413984

Substance Abuse and Trauma in Incarcerated Women

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:

1. 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. 2. Those in the treatment group will improve significantly more than those in the comparison group on the symptoms listed above.

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Key information

Conditions

Substance Abuse Chemically-Induced Disorders Incarcerated Women Integrated Treatment Mental Disorders Post Traumatic Stress Disorder Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Substance-Related Disorders Trauma Trauma and Stressor Related Disorders Wounds and Injuries

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Eddie Warrior Correctional Facility

Taft, Oklahoma, 74463, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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:
  • An Level of Service Inventory (LSI) score of 30 or greater
  • An LSI protective score of 15 or less
  • 1.5 years or less remaining in prison
  • A Case Plan identifying substance abuse treatment need
  • Ability to read and comprehend
  • 18 years of age or older

Exclusion criteria

  • Under age 18
  • Not incarcerated
  • More than 1.5 years remaining in prison
  • LSI score less than 30 or a protective of more than 15
  • No identified substance abuse need
  • Inability to read and comprehend

Treatment and study plan

Helping Women Recover/Beyond Trauma

Behavioral

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.

Primary outcomes

  1. PTSD checklist (change from baseline at one week post treatment)

    Time frame: 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.

  2. Trauma Related Nightmare Survey (change from baseline at one week post treatment)

    Time frame: 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.

  3. Posttraumatic Cognitions Inventory (change from baseline at one week post treatment)

    Time frame: 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.

  4. CES-D, NIMH (change from baseline at one week post treatment)

    Time frame: 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.

  5. Drug-Taking Confidence Questionnaire (change from baseline at one week post treatment)

    Time frame: 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.

  6. Trauma Symptoms Inventory (change from baseline at one week post treatment)

    Time frame: 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 outcomes

  1. Parenting Stress Index for Incarcerated Women (change from baseline at one week post treatment)

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

University of Tulsa

Other

Registry information

Official study title

Substance Abuse and Trauma in Incarcerated Women: An Effectiveness Study

Important dates

Study start
2010
Primary completion
2012
Study completion
2012
First posted
Aug 10, 2011
Registry last updated
Mar 18, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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