Reducing Duration of Untreated Psychosis Through Early Detection in a Large Jail System - Surveys of Correction Officers
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Work-Related Condition
- Sponsor
- Columbia University
- Enrollment
- 451
- Locations
- 1
- Primary Endpoint
- Correction Officers' Knowledge at Baseline
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The investigators will implement a multifaceted Target Education Campaign (TEC) within the three jails about recognizing early psychotic symptoms and referring to the Correctional Health Services. This campaign will include print materials and targeted trainings for Correction Officers. To develop all aspects of the TEC, the investigators will convene a workgroup, meeting biweekly for the first 6 months, including the entire investigative team, as well as experts at the Center for Practice Innovations (CPI). Depending on the nature of agreed-upon educational materials, the investigators will use specific areas of expertise at CPI for development. Materials will provide specific, actionable, and persuasive messaging about: (1) how to identify select signs of psychosis, (2) how to refer to the Specialized Early Engagement Support Service (SEESS) (in year 2), and (3) the effectiveness of early treatment through coordinated specialty care for early psychosis. Messaging will be continuous in the three jails.
Detailed Description
Because Correction Officers in the three jails of interest are critically positioned to influence pathways to care, print materials will be supplemented with professional outreach and education by the SEESS. Roll-call is the approved venue by which all ongoing education happens for Correction Officers. Roll-calls take place at the beginning of each shift (7am, 3pm, 11pm) every day of the week in the same location and last \~ 15 - 20 minutes; all staff starting that shift attend. During roll-call, brief messages (2-3 minutes) will be delivered by the Controlling Captains, which is the standard practice for communicating important information to Correction Officers. Both daytime and overnight shifts will receive the targeted training for the 24 months of the TEC. The investigators will collect pre-TEC (baseline) and during-TEC (at 6 months and 12 months) data from Correction Officers through brief surveys, which will be used to test changes in mean scores for knowledge, behavioral expectations, and self-efficacy, which are three key constructs from Social Cognitive Theory.
Investigators
Michael Compton
Professor of Psychiatry
Columbia University
Eligibility Criteria
Inclusion Criteria
- •Correction Officers;
- •over the age of 21
Exclusion Criteria
- •children under the age of 21 years
Outcomes
Primary Outcomes
Correction Officers' Knowledge at Baseline
Time Frame: Baseline
Survey-based scores on knowledge/skills at baseline. To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.
Correction Officers' Knowledge at 6 Months
Time Frame: 6 months
Survey-based scores on knowledge/skills at 6-months. To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.
Correction Officers' Knowledge at 12 Months
Time Frame: 12 months
Survey-based scores on knowledge/skills at 12-months. To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.
Correction Officers' Behavioral Expectations at Baseline
Time Frame: Baseline
Survey-based scores on behavioral expectations at baseline. To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
Correction Officers' Behavioral Expectations at 6 Months
Time Frame: 6 months
Survey-based scores on behavioral expectations at 6-months To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
Correction Officers' Behavioral Expectations at 12 Months
Time Frame: 12 months
Survey-based scores on behavioral expectations at 12 months. To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
Correction Officers' Self-Efficacy at Baseline
Time Frame: Baseline
Survey-based scores on self-efficacy at baseline. To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
Correction Officers' Self-Efficacy at 6 Months
Time Frame: 6 months
Survey-based scores on self-efficacy at 6-months. To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.
Correction Officers' Self-Efficacy at 12 Months
Time Frame: 12 months
Survey-based scores on self-efficacy at 12-months. To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.