Multisite Randomized Controlled Trial of Comprehensive Trauma Informed Reentry Services for Moderate to High Risk Youth Releasing From State Prisons
概览
- 阶段
- 不适用
- 干预措施
- Resiliency in Stressful Experiences (RISE) Program
- 疾病 / 适应症
- Stress Disorders, Traumatic
- 发起方
- Florida State University
- 入组人数
- 403
- 试验地点
- 1
- 主要终点
- Housing Stability
- 状态
- 已完成
- 最后更新
- 上个月
概览
简要总结
The investigators are conducting a randomized controlled trial to assess the impact of Resiliency in Stressful Experiences (RISE) - a comprehensive trauma-based program for young men releasing from a southeastern state's prisons. The investigators are assessing whether treating trauma and providing other transitional supports - such as employment assistance - as young men return home will help to improve their community stability and enhance their psychological well-being, in turn, resulting in less likelihood that a person will become incarcerated in the future.
详细描述
The five-year study is a two-armed, randomized controlled trial evaluating the effectiveness of a comprehensive trauma-based reentry program for young men assessed as moderate to high risk for recidivism as they are released to the community. Four Hundred young males who were released from one of ten Florida prisons into our target counties were randomly assigned to receive a comprehensive trauma-based reentry program or treatment as usual. The effectiveness of the reentry program was evaluated on mechanisms of change (trauma symptoms, coping, impulsivity, and aggression), community stability (housing, employment), and recidivism. Research questions are: Does a comprehensive trauma-based research program improve key mechanisms of change for moderate to high-risk young males? Does a comprehensive trauma-based reentry program improve community stability for moderate to high-risk young males? Does a comprehensive trauma-based reentry program decrease rates of recidivism for moderate to high-risk young males? Research questions 1 and 2 were analyzed using ANCOVA, and Research Question 3 will be analyzed using survival analysis. We also used a Research-to-Practice Feedback Loop to catalyze rapid assessment of intervention and implementation refinement to increase participant responsivity.
研究者
Stephen Tripodi
Professor;
Florida State University
入排标准
入选标准
- •Ages 18-35
- •Have experienced at least one lifetime traumatic event
- •Released from incarceration to Suwanee, Leon, Duval or Columbia County, Florida.
- •Conversational in English
- •Being able to cognitively consent
排除标准
- •Younger than 18 years old
- •Older than 35 years old
- •Has not experienced at least one lifetime traumatic event
- •Not cognitively able to understand
- •Not conversational in English
- •Not releasing from incarceration to Suwanee, Leon, Duval or Columbia County, Florida.
研究组 & 干预措施
Comprehensive Trauma-Based Reentry Program
Participants will complete up to19 session comprehensive trauma-based reentry program.
干预措施: Resiliency in Stressful Experiences (RISE) Program
Treatment as usual (TAU)
Participants will be receive all reentry services normally eligible to receive by the state or the community to which they are released.
结局指标
主要结局
Housing Stability
时间窗: 8 months post release
Stable housing was defined as living in one's own room, apartment, or house, or with family, with an expected duration of residence of 4 months or more, or tenancy rights. A 10- item measure will assess housing stability.
Employment Stability
时间窗: 8 months post release
Employment Stability is based on the number of jobs held in the last 4 months and number of days worked at each Employment. The employment must be for at least 15 hours a week. A 10-item measure will assess employment stability
Brief Symptom Inventory
时间窗: 8 months post release
Utilizing the Brief Symptom Inventory (BSI) to assess depression and anxiety symptoms in participants. The BSI is a 53-item self-report screening tool that asks respondents to rate their level of psychological distress over the past seven days based on a five-point Likert scale (0 = "not at all" to 5 = "extremely"). The BSI provides subscale scores on dimensions of somatization, depression, and anxiety as well as a Global Severity Index (GSI) that is calculated based on a sum of all items. Subscale scores range from 0 to 4. Higher scores on the BSI indicate higher levels of symptomology.
Mini International Neuropsychiatric Interview
时间窗: 4 months post release
Utilizing the 9-item substance use disorder subscale of the MINI International Neuropsychiatric Interview (MINI) to assess current incidence of substance use disorders. Items are rated on a dichotomous Yes/No scale and follow psychiatric guidelines of the DSM-5.
Housing Stability
时间窗: 4 months post release
Stable housing was defined as living in one's own room, apartment, or house, or with family, with an expected duration of residence of 4 months or more, or tenancy rights. A 10- item measure will assess housing stability.
Employment Stability
时间窗: 4 months post release
Employment Stability is measure on a continuum, based on the number of jobs held in the last 4 months and number of days worked at each Employment. The employment must be for at least 15 hours a week. A 10-item measure will assess employment stability
Brief Symptom Inventory
时间窗: 4 months post release
Utilizing the Brief Symptom Inventory (BSI) to assess depression and anxiety symptoms in participants. The BSI is a 53-item self-report screening tool that asks respondents to rate their level of psychological distress over the past seven days based on a five-point Likert scale (0 = "not at all" to 5 = "extremely"). The BSI provides subscale scores on dimensions of somatization, depression, and anxiety as well as a Global Severity Index (GSI) that is calculated based on a sum of all items. Subscale scores range from 0 to 4. Higher scores on the BSI indicate higher levels of symptomology.
次要结局
- Recidivism-violation(3 year post release)
- Recidivism-new Crime(3 year post release)
- Recidivism-violation(1 year post release)
- Recidivism-violation(2 year post release)
- Recidivism-new Crime(1 year post release)
- Recidivism-new Crime(2 year post release)