Bringing What Works to Youth in Corrections: A Trauma Intervention

Study Overview
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Brief Summary
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Youth with mental illnesses are disproportionately represented in juvenile correctional facilities and limited evidence exists about effective treatments in this setting. This study will adapt Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), a treatment found to be efficacious in community settings, to the correctional setting and study the feasibility of its implementation. Conducted within Texas youth correctional facilities, the findings will be rapidly disseminated in the state. The goal is to enhance the TF-CBT approach to meet the unique needs of incarcerated youth and the correctional system, one of the priorities outlined in the National Institute of Mental Health Strategic Plan.

Official Title
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Bringing What Works to Youth in Prison: An Evidence-Based Trauma Intervention

Conditions
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Post-Traumatic Stress Disorder

Intervention / Treatment
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* Behavioral: Trauma-Focused Cognitive Behavioral Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Evidence of one or more significant traumatic life events Current diagnosis of one of the following: Post Traumatic Stress Disorder Major Depressive Disorder Dysthymia Generalized Anxiety Disorder Social Phobia Panic Disorder Trauma symptom severity scores of 25 or greater. Exclusion Criteria: Expected release date or transfer date within 5 months from study enrollment date Current inclusion in the Sex Offender Treatment Program Intellectual Quotient (IQ) less than 70 Current high risk of suicidality Current symptoms of active psychosis

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 18 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: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Trauma-Focused CBT<br>Adapted or modified Trauma-Focused Cognitive Behavioral Therapy | Behavioral: Trauma-Focused Cognitive Behavioral Therapy<br>* Individual psychotherapeutic approach occurring once per week for 12 to 20 weeks<br>|
| No Intervention: Wait list<br>Monitored while waiting for intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of change in UCLA PTSD Reaction Index (UCLA PTSD RI) Trauma Symptom Severity | Reduction in traumatic stress symptom severity | Participants will be assessed at baseline and every 2 weeks for an average of 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of change in Child Behavioral Checklist Youth Self-Report Total Score | Reduction in self-reported emotional and behavioral problem scores | Participants will be assessed at baseline and every 2 weeks for an average of 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Post Traumatic Stress Disorder, Major Depressive Disorder, Dysthymia, Generalized Anxiety Disorder, Social Phobia, Panic Disorder