Technology Enabled Mental Health Intervention for Individuals in the Criminal Justice System

Study Overview
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Brief Summary
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In the United States, over 60% of the 2.2 million people who are incarcerated struggle with mental health problems. Currently, correctional facilities are limited in their ability to provide care. As technology-enabled interventions for mood disorders have demonstrated efficacy outside of correctional facilities, the investigators propose to build and test a technology-enabled mood disorder treatment intervention for individuals who are incarcerated.

Detailed Description
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In the United States, over 2.2 million people are incarcerated. While these numbers are alarming, even more distressing is the rapid growth in the number of mentally ill individuals caught in this system. Within any given year, approximately 73% of females and 55% of males in jail will experience a mental health problem. This results in the criminal justice system serving as a de facto mental health treatment facility for hundreds of thousands of individuals, despite constrained funding and a paucity of qualified providers and interventions. More than one in five jails have no access to mental health services. There is strong evidence that technology-enabled interventions for the treatment of mood disorders are efficacious and cost effective. Technology-enabled mental health care has many strengths, including the ability to deliver treatment reliably, increase privacy for those seeking services, and provide a scalable evidence-based intervention at a lower cost than traditional face-to-face services. Edovo has previously developed secure tablet hardware, protected networks and a learning management system that deliver static content in the areas of academic, job skill, and life skill programming to those incarcerated. The aim of this project is to develop and demonstrate the feasibility of a dynamic intervention for the treatment of inmates with mood disorders utilizing the Edovo system. A user centered design approach will be used to modify existing evidence-based, technology-enabled mood interventions to be appropriate for the incarcerated population. Software will be modified to run the intervention on the existing Edovo system. The resulting intervention will be tested in a sample of inmates for an initial clinical signal. The development of such a technology would help correctional facilities more effectively meet their treatment requirements and rehabilitation goals.

Official Title
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Technology Enabled Mental Health Intervention for Individuals in the Criminal Justice System

Conditions
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Depression, Anxiety, Mood

Intervention / Treatment
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* Behavioral: Technology-Enabled CBT Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Incarcerated Middlesex County Jail or Woodford County jails; Has access to the Edovo tablet; is at least 18 years of age; Is able to speak and read English Exclusion Criteria None

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Open-label trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Open-Label Trial Arm<br>Will receive 4 weeks of technology-enabled CBT treatment. | Behavioral: Technology-Enabled CBT Treatment<br>* CBT-based modules delivered via tablet over 4 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Beck Depression Inventory (BDI) | Inventory of depression items | 4 weeks | 
| Generalized Anxiety Disorder - 7 (GAD-7) | Inventory of anxiety items | 4 weeks | 
| PTSD Checklist-Civilian Version (PCL-17) | Inventory of PTSD items | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| User satisfaction - users | How much users like the module | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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jail, prison, technology, depression, CBT