Core Competency Model for Corrections
- Conditions
- Knowledge, Attitudes, Practice
- Interventions
- Other: Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training
- Registration Number
- NCT06359574
- Lead Sponsor
- University of North Carolina, Charlotte
- Brief Summary
The overall goal of this project is to design, implement, and revise the Core Competency Model for Corrections (CCM-C), an evidence-based Self-Directed Violence (SDV) prevention training program for correctional mental health providers in the North Carolina Department of Adult Corrections (DAC). The proposed specific aims are:
Aim 1: To create the CCM-C training program. Aim 2: To assess preliminary training effectiveness. Aim 3: To gather training program quality improvement feedback from corrections stakeholders.
- Detailed Description
Investigators will conduct a pilot feasibility and preliminary effectiveness evaluation of the Core Competency Model for Corrections (CCM-C; Cramer et al., 2022). This training approach involves psycho-educational content, self-assessment tools, interactive exercises to address 10 clinical care and practitioner-focused skill sets for suicide and self-injury risk assessment and management. The protocol employs a waitlist control sequential cross-over design and mixed-method evaluation approach targeting 50-100 NC correctional behavioral health clinicians (BHCs). Through an ongoing academic-community partnership, investigators will employ a Corrections Advisory Panel (CAP) to provide expert review of training. The CAP will comprise six NC-DAC BHCs and 4-6 external BHCs with experience in correctional behavioral health. Two training groups will each provide three assessments via an online self-report evaluation battery gathering information regarding participant demographics; SDV prevention knowledge, attitudes, and perceived skills; incarceration-related attitudes; and perceived importance of and intention to use SDV prevention practices.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 100
- Behavioral Health Clinician (BHC)
- 18 years of age or older
- Living in the U.S.
- Currently employed by the NC DAC
- Decisional or cognitive impairments that preclude being able to consent to study participation
- Being a member of the study correctional advisory panel (CAP)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 1 Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training Receives CCM-C training two weeks after baseline assessment. Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 2 Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training Receives CCM-C training two weeks after follow-up 1 assessment.
- Primary Outcome Measures
Name Time Method Feasibility of the CCM-C training intervention Immediately post-training Feasibility of CCM-C training as measured by the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater feasibility.
Acceptability Immediately post-training Acceptability of CCM-C training as measured by the self-report subscale on the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater acceptability.
Appropriateness Immediately post-training Appropriateness of CCM-C training as measured by the self-report subscale of the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater appropriateness.
Usability Immediately post-training Usability of CCM-C training as measured by the self-report subscale of the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater usability.
- Secondary Outcome Measures
Name Time Method Perceived importance of training Immediately post-training Investigators will use the intention to use training content scale (Cramer et al., 2019), a brief self-report questionnaire, to capture BHC's perceived importance in using (pre-training) and intent to use (post-training) CCM-C training content. Across seven items, higher scores (item mean 1-5) denote greater perceived importance of the training.
Perceived self-directed violence prevention skills Immediately post-training The Suicide Competency Assessment Form (SCAF; Cramer et al., 2013, 2020) will be used to measure participants' perceived SDV prevention skill mastery. The SCAF is a self-report questionnaire that contains 10 items capturing core competencies of the CCM-C training; these items are measured on a four-point scale of perceived competency (1 = incapable; 4 = advanced) where higher scores denote better competency. For the present study, these 10 items was adapted to capture SDV-focused skills.
Beliefs about incarcerated persons engaging in self-directed violence Immediately post-training The Attitudes toward Prisoners who Self-Harm (APSH; Garbutt \& Casey, 2015; Ireland \& Quinn, 2007) scale is a self-report questionnaire that will be used to measure SDV prevention-focused attitudes and stigma. The APSH consists of 25 items with a total score; higher scores (range 25-125_ denote more stigmatizing beliefs.
Willingness to intervene with a suicidal person Immediately post-training The Attitudes about Intervening with a Suicidal Person (AIBS; Aldrich et al., 2014) self-report questionnaire will be used to measure SDV prevention-focused attitudes and the willingness to intervene in an event where a person is experiencing SDV. The AIBS is a subscale of the larger, recently revised Willingness to Intervene against a Suicidal Person Enhanced questionnaire (Aldrich \& Cerel, 2023). Higher scores (range 14-90) convey more positive attitudes and greater willingness to intervening with someone in distress.
Self-directed violence prevention knowledge Immediately post-training For this pilot evaluation, investigators created a 10 multiple-choice CCM-C Knowledge Quiz. Correct answers are summed for a total score (range 0-10) where higher scores indicate greater understanding of the CCM-C.
Trial Locations
- Locations (1)
North Carolina Department of Adult Corrections
🇺🇸Raleigh, North Carolina, United States