Clinical trial NCT06297460: Adaptation of STEPPS Program for Addressing Emotional Dysregulation and Self-harming Behaviors in Penitentiary Centers
Official title: Adaptation of the Systems Training for Emotional Predictability & Problem Solving (STEPPS) Program for Addressing Emotional Dysregulation and Self-harming Behaviors in Penitentiary Centers in Catalonia
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Self Harm
Lead sponsor: Universitat Jaume I
Sponsor class: OTHER
Collaborators: name: Centre d'Estudis i Formació Especialtzada Generalitat de Catalunya
First posted: 2024-03-07
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The overall objective of this study is to assess the feasibility, within the Penitentiary Centers of Catalonia, of adapting the STEPPS program for addressing and preventing emotional dysregulation and self-harming behaviors through an implementation study.


Eligibility criteria: Inclusion Criteria:

* Men or women deprived of liberty serving sentences in a penitentiary center in Catalonia.
* Presence of self-harming behaviors.
* Sufficient understanding and proficiency in Spanish to participate in the STEPPS program.
* Sufficient cognitive competence for study participation.
* Mental capacity to provide informed consent.

Exclusion Criteria:

* Inmates under security measures or classified in the first degree of treatment.
* Inmates with language difficulties.
* Presence of severe pathologies that may hinder study participation.
* Inmates with the possibility of imminent release, impending transfers to other penitentiary centers, or pending trial.

Primary outcomes:
measure: Level of emotional and behavioral disregulation of patients
timeFrame: Pre-intervention and inmediately after the intervention
Secondary outcomes:
measure: Type and levels of impulsivity of patients
timeFrame: Pre-intervention and inmediately after the intervention
measure: Suicide risk of patients
timeFrame: Pre-intervention and inmediately after the intervention
measure: Self-injury frequency, typology and funcionality of patients
timeFrame: Pre-intervention and inmediately after the intervention
measure: Degree of hopeless of patients
timeFrame: Pre-intervention and inmediately after the intervention
measure: Perceived level of feasibility by professionals
timeFrame: Pre-intervention and inmediately after the intervention
measure: Perceived level of acceptability of the intervention by professionals
timeFrame: Pre-intervention and inmediately after the intervention
measure: Satisfaction of the intervention by patients
timeFrame: Pre-intervention and inmediately after the intervention
measure: Perceived level of adequacy by professionals
timeFrame: Pre-intervention and inmediately after the intervention
measure: Barriers and facilitators detected by professionals that are influencing the implementation process - Quantitative information
timeFrame: Pre-intervention and inmediately after the intervention
measure: Level of burnout of professionals
timeFrame: Pre-intervention and inmediately after the intervention
Other outcomes:
measure: Barriers and facilitators detected by professionals that are influencing the implementation process - Qualitative information
timeFrame: Inmediately after the intervention
Locations:
city: Castellón De La Plana
country: Spain
facility: Rosa
state: Castellón
Study officials:
References:
citation: Black DW, Blum N, Eichinger L, McCormick B, Allen J, Sieleni B. STEPPS: Systems Training for Emotional Predictability and Problem Solving in women offenders with borderline personality disorder in prison--a pilot study. CNS Spectr. 2008 Oct;13(10):881-6. doi: 10.1017/s1092852900016989.
citation: Black DW, Blum N, McCormick B, Allen J. Systems Training for Emotional Predictability and Problem Solving (STEPPS) group treatment for offenders with borderline personality disorder. J Nerv Ment Dis. 2013 Feb;201(2):124-9. doi: 10.1097/NMD.0b013e31827f6435.
citation: Arnau F, Garcia-Guerrero J, Benito A, Vera-Remartinez EJ, Baquero A, Haro G. Sociodemographic, Clinical, and Therapeutic Aspects of Penitentiary Psychiatric Consultation: Toward Integration Into the General Mental Health Services. J Forensic Sci. 2020 Jan;65(1):160-165. doi: 10.1111/1556-4029.14137. Epub 2019 Jul 25.
citation: Brennan CA, Crosby H, Sass C, Farley KL, Bryant LD, Rodriquez-Lopez R, Romeu D, Mitchell E, House AO, Guthrie E. What helps people to reduce or stop self-harm? A systematic review and meta-synthesis of first-hand accounts. J Public Health (Oxf). 2023 Mar 14;45(1):154-161. doi: 10.1093/pubmed/fdac022.