Clinical trial NCT06914856: Recovery Finance: Financial Health and Mental Health After Incarceration
Official title: Recovery Finance: Financial Health and Mental Health After Incarceration
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Financial Hardship
Mental Health Issue
Substance Use
Keywords: Financial Health
Incarceration
Mental Health
Substance Use
Lead sponsor: Yale University
Sponsor class: OTHER
Collaborators: name: National Institute on Minority Health and Health Disparities (NIMHD)
First posted: 2025-04-06
Enrollment: 238
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This proposal will address financial wellbeing, an often overlooked but important factor impacting reentry for justice-involved people with mental health challenges, who are disproportionately Black and Latine. The project will change community level determinants by integrating financial capability support (one-on-one coaching and access to financial tools and services) into existing services and training bank and credit union staff to reduce discrimination. It will also support collaborative community efforts working towards upstream policy and legal reforms to reduce the incidence of those financial challenges.

Detailed description: This research project will use Community Based Participatory Research (CBPR) methods to achieve the following specific aim:

1. Change community level determinants that impact financial well-being and health of the target group by training existing service provider including: i) community-based financial capability providers to be able to address financial difficulties of the target group; ii) service providers along the criminal justice pathway to be able to provide basic financial guidance to target group; iii) financial institution staff to reduce discrimination related to financial consequences of justice-involvement and mental illness. The investigator will also support community collaborations working for legal/policy reform that impacts finances of target group.
2. Use mixed methods to assess impact on community determinants, measuring integration of financial capability support into existing services, ability of financial coaches to support target group, access to financial products, attitudes, knowledge and behavior of bank staff, strength of community collaborations, and progress towards changes in laws and policies.
3. The investigator will assess impact on individuals by measuring target mechanisms (financial skills, self-efficacy and behavior) hypothesized to mediate the relationship between financial capability support and primary outcomes including financial well-being and other health determinants (employment, housing, social support, mental health supports, and belonging), secondary outcomes (health and recidivism) and mediators between primary and secondary outcomes (hope, empowerment, and mastery).
4. Assess the value of integrating peer support into community-based financial capability support for the target group by randomizing participants into two groups, financial capability support only, or financial capability support plus peer support.

Eligibility criteria: Inclusion Criteria:

* Have been released from jail or prison 36 months ago or less
* Self-identify as having experiences with trauma, mental illness/mental distress, or substance use
* Living or using services in the greater New Haven area
* Interested in receiving financial guidance

Exclusion Criteria:

* Less than 18 years of age
* Not have been released from jail or prison 36 months ago or less
* Not self-identify as having experiences with trauma, mental illness/mental distress, or substance use
* Not living or using services in the greater New Haven area
* Not interested in receiving financial guidance

Primary outcomes:
measure: Finances After Incarceration
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Money And Mental Health Scale
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Housing & Employment - QOL
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Social Needs Screening Tool (CMS-AHC HRSN)
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Service Utilization
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Access To Health Services (from Phenx Toolkit)
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Intersectional Discrimination Index
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
Secondary outcomes:
measure: Recidivism
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Wellness in 8 Dimensions Inventory
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: SF-12v2 (Short Form Health Survey)
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Promis 1.0 - Anxiety for DSM-5
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Patient Health Questionnaire (PHQ-9)
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: PCL-5, (PTSD Checklist for DSM-5)
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
measure: Addiction Severity Index (ASI) Limited Form
timeFrame: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
Other outcomes:
Locations:
city: New Haven
country: United States
facility: Yale University Program for Recovery and Community Health
state: Connecticut
Study officials:
affiliation: Yale University
name: Annie Harper, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Yale University
name: Chyrell Bellamy, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: