Survey of Correction Officers Before and After a Targeted Education Campaign

Study Overview
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Brief Summary
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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
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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.

Official Title
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Reducing Duration of Untreated Psychosis Through Early Detection in a Large Jail System - Surveys of Correction Officers

Conditions
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Work-Related Condition

Intervention / Treatment
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* Behavioral: Targeted Educational Campaign


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Correction Officers; over the age of 21 Exclusion Criteria: children under the age of 21 years

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Sequential Assignment
Interventional Model Description: Feasibility and Acceptability Study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Targeted Educational Campaign (TEC) for Correction Officers<br>The investigators will implement a Targeted Educational Campaign (TEC) within 3 jails. The TEC is designed to lead to referrals of detainees (previously not detected as having potential mental health concerns) to Correctional Health Services (CHS) by Correction Officers. | Behavioral: Targeted Educational Campaign<br>* Correction Officers will be exposed to the Targeted Educational Campaign (TEC) with the aim to increase their knowledge about the early symptoms of psychosis, and how to make a referral to the Correction Health Services staff, their self-efficacy to detect symptoms of psychosis and make referrals, and their expectations about their ability to be successful in making that referral (and for referrals to result in beneficial outcomes). Correction Officers will be approached and recruited during roll call and in the staff canteen where they take their meal breaks, or at a time/location agreed upon by the Department of Correction, to complete brief surveys at three different times; pre-exposure, after 6 months, and after 12 months from the beginning of the TEC.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correction Officers' Knowledge at 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. | Baseline | 
| Correction Officers' Knowledge at 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. | 6 months | 
| Correction Officers' Knowledge at 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. | 12 months | 
| Correction Officers' Behavioral Expectations at 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. | Baseline | 
| Correction Officers' Behavioral Expectations at 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. | 6 months | 
| Correction Officers' Behavioral Expectations at 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. | 12 months | 
| Correction Officers' Self-Efficacy at 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. | Baseline | 
| Correction Officers' Self-Efficacy at 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. | 6 months | 
| Correction Officers' Self-Efficacy at 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. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Correction Officers