Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

Not Applicable

Terminated

• Conditions: Adaptation; Crime; Implementation; Co-occurring Mental and Substance Use Disorders; Criminogenic Thinking
• Interventions: Behavioral: Dual-diagnosis motivational interviewing (DDMI); Behavioral: Jail and community-based behavioral health services; Behavioral: Integrated group therapy (IGT)

• Registration Number: NCT02214667
• Lead Sponsor: RTI International

Brief Summary

Treatment adaptation and implementation study for adult jail inmates with co-occurring substance use disorders.

Detailed Description

We will adapt dual-diagnosis motivational interviewing and integrated group therapy for jail inmates with co-occurring substance use and mental health disorders and to evaluate the feasibility of implementing the adapted interventions and associated research and communication protocols.

Study Timeline

• Study First Submitted: 2014-08-10
• Study First Submitted QC: 2014-08-10
• Study First Posted: 2014-08-12
• Study Start: 2015-05-21
• Primary Completion: 2019-06-30
• Study Completion: 2019-06-30
• Status Verified: 2020-03
• Last Update Submitted: 2020-03-13
• Last Update Posted: 2020-03-17

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 8

Inclusion Criteria

• (1) drug or alcohol abuse or dependence and SMI (major depressive disorder; depressive disorder not otherwise specified [NOS]; bipolar disorder I, II, or NOS; schizophrenia spectrum disorder; schizoaffective disorder; schizophreniform disorder; brief psychotic disorder; delusional disorder; or psychotic disorder NOS);
• (2) resident of Wake County and detained in The Jail;
• (3) >18 years of age; (4) able to speak/read English; and (5) able to provide informed consent.

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
DDMI-IGT	Integrated group therapy (IGT)	Subjects randomized to the experimental condition will receive adapted versions of dual-diagnosis motivational interviewing (\[DDMI\] one session before release from jail) and integrated group therapy (\[IGT\] 12 community-based sessions over a 2-month period).
DDMI-IGT	Dual-diagnosis motivational interviewing (DDMI)	Subjects randomized to the experimental condition will receive adapted versions of dual-diagnosis motivational interviewing (\[DDMI\] one session before release from jail) and integrated group therapy (\[IGT\] 12 community-based sessions over a 2-month period).
Usual care	Jail and community-based behavioral health services	Subjects randomized to the usual care condition will receive jail and community-based behavioral health services.

Primary Outcome Measures

Name	Time	Method
Acceptability	Study months 21 through 34	Client Satisfaction Questionnaire-8, Narrative Evaluation of Intervention Interview

Secondary Outcome Measures

Name	Time	Method
Substance use	Study months 20 through 30	Addiction Severity Index
Service use	Study months 20 through 30	Epidemiological Catchment Area Interview
Quality of life measure	Study months 20 through 30	Heinrichs-Carpenter Quality of Life Scale, Plus
Feasibility of Adapted Interventions	Study months 21 through 34	How successfully can the adapted interventions be implemented (Focus Group interviews)
Fidelity	Study months 21 through 34	DDMI and IGT Adherence Forms
Health status	Study months 20 through 30	SF-12
Psychiatric symptoms	Study months 20 through 30	Brief Psychiatric Rating Scale
Externalizing behaviors	Study months 20 through 30	Triarchic Psychopathy Measure
Arrest	Study months 20 through 30	Self-report and official jail records
Treatment preferences	Study months 20 through 30	Visual analog ranking of 8 different aspects of treatment

Trial Locations

Locations (1)

RTI International; 🇺🇸 Research Triangle Park, North Carolina, United States