Trauma-informed Intervention to Reduce Substance Use and to Support Community Transition
- Conditions
- Substance Use Disorder (SUD)
- Registration Number
- NCT06651528
- Lead Sponsor
- Michele Staton
- Brief Summary
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).
- Detailed Description
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.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- Female
- Target Recruitment
- 264
- 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
- anticipated parole eligibility date greater than 4 months
- no self-identified history of violent victimization
- indication of current suicidal risk
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Change in overdose risk 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
- Secondary Outcome Measures
Name Time Method Change in trauma-related symptoms Baseline and at 3 and 6 months post-release from prison Change in number of trauma-related symptoms associated with violence
Trial Locations
- Locations (4)
Franklin County Regional Jail
🇺🇸Frankfort, Kentucky, United States
Kentucky Correctional Institution for Women
🇺🇸Pewee Valley, Kentucky, United States
Chillicothe Correctional Center
🇺🇸Chillicothe, Missouri, United States
Women's Eastern Reception, Diagnostic and Correctional Center
🇺🇸Vandalia, Missouri, United States
Franklin County Regional Jail🇺🇸Frankfort, Kentucky, United States