Treatment for Individuals Interacting With the Criminal Justice System

Not Applicable

Not yet recruiting

• Conditions: Suicide Risk; Psychiatric Disorders

• Registration Number: NCT06564948
• Lead Sponsor: Cambridge Health Alliance

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-7-2
• Last Update Posted: 2 September 2024

Recruitment & Eligibility

• Status: Not yet recruiting
• Sex: All
• Target Recruitment: 2390

Inclusion Criteria

Inclusion Criteria:<br><br> 1. Treatment as Usual (TAU) arm<br><br> 1. Cambridge Health Alliance (CHA) patients from the cities other than Cambridge<br> considered to be in the catchment area of CHA (Everett, Chelsea, Somerville,<br> Medford, Malden, and Winthrop)<br><br> 2. Ages 18-100<br><br> 3. Identified as having police involvement between 2009 and 2019. Treatment as<br> Usual patients will be identified using targeted limited chart review methods<br> used in our prior studies, scraping clinical notes in the Electronic Health<br> Records for criminal justice involvement. Initial Identification terms,<br> police, arrest, court, summons, jail, and crime will be used to<br> identify candidates for police involvement, downloading the sentence in which<br> the keyword appeared and the sentence before and after. Next, an iterative<br> process of editing of the search terms will be conducted to remove patients<br> with negation of the keyword (did not commit a crime), and other sentence<br> characteristics that generate false positives (cardiac arrest). Samples of<br> the resulting dataset will be taken, accuracy assessed by examining the<br> surrounding sentences, leading to further iterations and repetition of the<br> process until a high level of accuracy is achieved.<br><br> 2. Family and Social Justice Section (FSJS) arm<br><br> 1. Cambridge Health Alliance patients from Cambridge<br><br> 2. Ages 18-100<br><br> 3. Individuals who have come into contact with the Cambridge Police Department (as<br> identified in the Family and Social Justice Section data) between 2009 and<br> 2019.<br><br> 3. Family and Social Justice Section plus Navigator (FSJS+Navigator) arm<br><br> 1. Recruited during the study period in the CHA ED<br><br> 2. Ages 18-100<br><br> 3. Individuals who are brought into the Emergency Department under police<br> supervision (excluding individuals currently incarcerated)<br><br> - involuntarily brought to the Emergency Department for psychiatric<br> evaluation because they are considered to be a risk to themselves or<br> others (MA Law 123(12)); or<br><br> - the subject of a police call for service for a mental health issue who are<br> willingly admitted to the Emergency Department<br><br>Exclusion Criteria<br><br> 1. Treatment as Usual (TAU) arm<br><br> 1. Cambridge Health Alliance patients from Cambridge are excluded from the TAU arm<br><br> 2. Under the age of 18<br><br> 3. Individuals with no identified criminal legal system contact during the study<br> time period (no criminal legal involvement found in the targeted limited chart<br> review method).<br><br> 4. Any individual incarcerated at the Middlesex Jail/Prison that has not been<br> released by the end of the period of data collection (December 31, 2019).<br><br> 2. Family and Social Justice Section (FSJS) arm<br><br> 1. Cambridge Health Alliance patients outside of Cambridge will be excluded from<br> the FSJS arm<br><br> 2. Under the age of 18<br><br> 3. Any individual incarcerated at the Middlesex Jail/Prison that has not been<br> released by the end of the period of data collection (December 31, 2019)<br><br> 3. Family and Social Justice Section plus Navigator (FSJS+Navigator) arm<br><br> 1. Under the age of 18<br><br> 2. Any individual who during the course of the study is incarcerated at the<br> Middlesex Jail/Prison<br><br> 3. Individuals who are not brought into the Emergency Department under police<br> supervision<br><br> 4. Individuals who enter the Emergency Department not under police supervision<br><br> - Voluntarily come to the Emergency Department for psychiatric evaluation<br> because they feel they may be a risk to themselves or others

Exclusion Criteria

Not provided

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Past-year medically treated suicide attempt at baseline and 12 months;Assessing Suicide Severity and Behaviors using Computerized Adaptive Test Suicide Scale (CAT-SS) at Baseline and 12 Months

Secondary Outcome Measures

Name	Time	Method
Number of Individual Interactions with the Criminal Legal System at Baseline and 12 Months;Number of Individual Interactions between Hospitals and the Criminal Justice System at Baseline and 12 Months;Frequency of Healthcare Services Used by Patients at Baseline and 12 Months