Substance Abuse and Trauma in Incarcerated Women

Not Applicable

Completed

• Conditions: Substance Abuse; Trauma; Post Traumatic Stress Disorder; Integrated Treatment; Incarcerated Women
• Interventions: Behavioral: Helping Women Recover/Beyond Trauma

• Registration Number: NCT01413984
• Lead Sponsor: University of Tulsa

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:

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-11
• Study First Submitted: 2011-08-03
• Study First Submitted QC: 2011-08-09
• Study First Posted: 2011-08-10
• Primary Completion: 2012-03
• Study Completion: 2012-03
• Status Verified: 2014-03
• Last Update Submitted: 2014-03-17
• Last Update Posted: 2014-03-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 95

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:

  1. An Level of Service Inventory (LSI) score of 30 or greater
  2. An LSI protective score of 15 or less
  3. 1.5 years or less remaining in prison
  4. A Case Plan identifying substance abuse treatment need
  5. Ability to read and comprehend
  6. 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
cognitive behavioral group treatment	Helping Women Recover/Beyond Trauma	Helping Women Recover/Beyond Trauma integrated substance abuse and trauma treatment group. (Dr. Covington)

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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.

Trial Locations

Locations (1)

Eddie Warrior Correctional Facility; 🇺🇸 Taft, Oklahoma, United States