Clinical trial NCT06359574: Core Competency Model for Corrections
Official title: Development and Implementation of a Self-Directed Violence (SDV) Prevention Training Program for the North Carolina Department of Adult Corrections
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Knowledge, Attitudes, Practice
Keywords: Suicide prevention
Self-injury
Risk assessment
Attitudes
Competency
Mental health provider
Lead sponsor: University of North Carolina, Charlotte
Sponsor class: OTHER
Collaborators: name: North Carolina Department of Adult Corrections
name: North Carolina Department of Health and Human Services
First posted: 2024-04-11
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: OTHER

Brief summary: The overall goal of this project is to design, implement, and revise the Core Competency Model for Corrections (CCM-C), an evidence-based Self-Directed Violence (SDV) prevention training program for correctional mental health providers in the North Carolina Department of Adult Corrections (DAC). The proposed specific aims are:

Aim 1: To create the CCM-C training program. Aim 2: To assess preliminary training effectiveness. Aim 3: To gather training program quality improvement feedback from corrections stakeholders.

Detailed description: Investigators will conduct a pilot feasibility and preliminary effectiveness evaluation of the Core Competency Model for Corrections (CCM-C; Cramer et al., 2022). This training approach involves psycho-educational content, self-assessment tools, interactive exercises to address 10 clinical care and practitioner-focused skill sets for suicide and self-injury risk assessment and management. The protocol employs a waitlist control sequential cross-over design and mixed-method evaluation approach targeting 50-100 NC correctional behavioral health clinicians (BHCs). Through an ongoing academic-community partnership, investigators will employ a Corrections Advisory Panel (CAP) to provide expert review of training. The CAP will comprise six NC-DAC BHCs and 4-6 external BHCs with experience in correctional behavioral health. Two training groups will each provide three assessments via an online self-report evaluation battery gathering information regarding participant demographics; SDV prevention knowledge, attitudes, and perceived skills; incarceration-related attitudes; and perceived importance of and intention to use SDV prevention practices.

Eligibility criteria: Inclusion Criteria:

* Behavioral Health Clinician (BHC)
* 18 years of age or older
* Living in the U.S.
* Currently employed by the NC DAC

Exclusion Criteria:

* Decisional or cognitive impairments that preclude being able to consent to study participation
* Being a member of the study correctional advisory panel (CAP)

Primary outcomes:
measure: Feasibility of the CCM-C training intervention
timeFrame: Immediately post-training
measure: Acceptability
timeFrame: Immediately post-training
measure: Appropriateness
timeFrame: Immediately post-training
measure: Usability
timeFrame: Immediately post-training
Secondary outcomes:
measure: Perceived self-directed violence prevention skills
timeFrame: Immediately post-training
measure: Willingness to intervene with a suicidal person
timeFrame: Immediately post-training
measure: Beliefs about incarcerated persons engaging in self-directed violence
timeFrame: Immediately post-training
measure: Self-directed violence prevention knowledge
timeFrame: Immediately post-training
measure: Perceived importance of training
timeFrame: Immediately post-training
Other outcomes:
measure: Compassion fatigue: Job burnout
timeFrame: Immediately post-training
measure: Compassion fatigue: Traumatic stress
timeFrame: Immediately post-training
Locations:
city: Raleigh
country: United States
facility: North Carolina Department of Adult Corrections
state: North Carolina
Study officials:
References:
citation: Cramer RJ, Kaniuka AR, Peiper LJ. The core competency model for corrections: An education program for managing self-directed violence in correctional institutions. Psychol Serv. 2022 Nov;19(4):658-670. doi: 10.1037/ser0000624. Epub 2022 Feb 7.