An Innovative, Trauma-informed Approach for Reducing Overdose Risk Among Women Re-entering the Community From Prison
概览
- 阶段
- 不适用
- 干预措施
- Treatment as Usual (TAU)
- 疾病 / 适应症
- Substance Use Disorder (SUD)
- 发起方
- Michele Staton
- 入组人数
- 264
- 试验地点
- 7
- 主要终点
- Change in overdose risk
- 状态
- Enrolling By Invitation
- 最后更新
- 2个月前
概览
简要总结
The overall aim of this study is to reduce overdose risk for criminal legal system (CLS) involved women during community re-entry through the adaptation and testing of an innovative, trauma-informed, relational intervention approach (Trust-Based Relational Intervention or TBRI).
详细描述
R61 Phase (Intervention adaptation): The TBRI intervention will be strategically adapted for CLS-involved women during the R61 to achieve 2 specific aims: 1) Adapt TBRI by focusing on adapting two intervention components - prison group sessions and re-entry recovery support - using focus groups with key stakeholders (N=30) including administrators, practitioners, and women with "lived experience," and target alignment with the unique treatment needs of the women and establish intervention approach feasibility; and 2) Pilot test the adapted intervention components in one group of women (n=8) at the KCIW facility. Final adaptations will be made to the TRUST manual for the R33 implementation. R33 Phase (Intervention testing): The R33 will test the effectiveness of the adapted TBRI-WRA to reduce overdose risk in the community following prison release, while also collecting data on key constructs hypothesized to influence successful intervention implementation. The primary aim of the R33 is to examine effectiveness of the adapted TBRI Women's Re-entry Approach (TBRI-WRA) in reducing overdose risk among women (N=264) in four sites following release from prison-based SUD treatment. Study conditions include (1) Treatment as Usual (TAU, standard in-prison SUD treatment, n=88), (2) In-prison TBRI (TAU + TBRI prison-based sessions only; n=88), and (3) TBRI + Re-entry Recovery Support (TAU + prison-based TBRI sessions + Re-entry Recovery Support; n=88). The R33 will also examine implementation factors associated with study preparation, launch, sustainability, and scalability.
研究者
Michele Staton
Professor
University of Kentucky
入排标准
入选标准
- •participating in corrections-based SUD treatment
- •have an anticipated parole eligibility date within 4 months
- •self-identified history of violent victimization
- •are willing to work with at least one person living in the community who will be supportive of your recovery when you get out
- •interested in participating in the study
排除标准
- •not participating in corrections-based SUD treatment
- •anticipated parole eligibility date greater than 4 months
- •no self-identified history of violent victimization
- •not willing to work with at least one person living in the community who will be supportive of your recovery when you get out
- •not interested in participating in the study
研究组 & 干预措施
Treatment As Usual (TAU)
Traditional in-prison SUD treatment
干预措施: Treatment as Usual (TAU)
TRUST only
Treatment as usual and the adapted version of TBRI for adult women (TRUST Intervention)
干预措施: TAU + TRUST
TRUST + Re-entry Recovery Support
Treatment as usual, the adapted intervention (TRUST), and on-going re-entry recovery support with the Safe Support Person (SSP).
干预措施: TAU + TRUST + Re-entry Recovery Support
结局指标
主要结局
Change in overdose risk
时间窗: Baseline and at 3 and 6 months post-release from prison
Change in number of days of any substance from baseline to post-release using self-report data
次要结局
- Change in trauma-related symptoms(Baseline and at 3 and 6 months post-release from prison)