Clinical trial NCT01413984: Substance Abuse and Trauma in Incarcerated Women
Official title: Substance Abuse and Trauma in Incarcerated Women: An Effectiveness Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Substance Abuse
Trauma
Post Traumatic Stress Disorder
Integrated Treatment
Incarcerated Women
Keywords: Trauma
incarceration
treatment
substance abuse
Lead sponsor: University of Tulsa
Sponsor class: OTHER
First posted: 2011-08-10
Enrollment: 95
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The proposed study will evaluate Covington's Helping Women Recover (HWR) plus Beyond Trauma (BT) curriculum with female offenders at Eddie Warrior Correctional Facility in Taft, Oklahoma. The purpose of the proposed study is to expand previous findings by including a comparison group of women that are not receiving treatment but are otherwise eligible, and by using outside evaluators to conduct the assessments. Furthermore, this study will extend the outcomes measured in previous evaluations by including measures of sleep disturbance, posttraumatic cognitions, and a more extensive assessment of trauma-related symptoms. The hypotheses for this study are listed below:

1. Incarcerated women with substance use disorders and history of trauma enrolled in the integrated treatment program (HWR plus BT) will report significantly fewer symptoms on measures of posttraumatic stress and associated cognitions, substance use, depression, and related symptoms following treatment than those in the comparison group.
2. Those in the treatment group will improve significantly more than those in the comparison group on the symptoms listed above.


Eligibility criteria: Inclusion Criteria:

* Incarcerated women at Eddie Warrior Correctional Center (EWCC) in Taft, Oklahoma
* The following 6 criteria are then employed at EWCC for HWR/BT treatment eligibility:

  1. An Level of Service Inventory (LSI) score of 30 or greater
  2. An LSI protective score of 15 or less
  3. 1.5 years or less remaining in prison
  4. A Case Plan identifying substance abuse treatment need
  5. Ability to read and comprehend
  6. 18 years of age or older

Exclusion Criteria:

* Under age 18
* Not incarcerated
* More than 1.5 years remaining in prison
* LSI score less than 30 or a protective of more than 15
* No identified substance abuse need
* Inability to read and comprehend

Primary outcomes:
measure: PTSD checklist (change from baseline at one week post treatment)
timeFrame: one-week before treatment, one week post treatment
measure: Trauma Related Nightmare Survey (change from baseline at one week post treatment)
timeFrame: one week before treatment, one week post treatment
measure: Posttraumatic Cognitions Inventory (change from baseline at one week post treatment)
timeFrame: one week before treatment, one week post treatment
measure: CES-D, NIMH (change from baseline at one week post treatment)
timeFrame: one week before treatment, one week post treatment
measure: Drug-Taking Confidence Questionnaire (change from baseline at one week post treatment)
timeFrame: one week before treatment, one week post treatment
measure: Trauma Symptoms Inventory (change from baseline at one week post treatment)
timeFrame: one week before treatment, one week post treatment
Secondary outcomes:
measure: Parenting Stress Index for Incarcerated Women (change from baseline at one week post treatment)
timeFrame: one week before treatment, one week post treatment
Other outcomes:
Locations:
city: Taft
country: United States
facility: Eddie Warrior Correctional Facility
state: Oklahoma
Study officials:
affiliation: University of Tulsa
name: Rachael Swopes, M.S.
role: PRINCIPAL_INVESTIGATOR
References: