Clinical trial NCT03015805: Teen Success Project
Official title: Improving Access to Substance Abuse Evidence-Based Practices for Youth in the Justice System: Strategies Used by JPOs
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Substance Abuse
Lead sponsor: Oregon Social Learning Center
Sponsor class: OTHER
Collaborators: name: George Mason University
name: Chestnut Health Systems
First posted: 2017-01-10
Enrollment: 310
Sex: ALL
Minimum age (years): 12
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to examine the effectiveness of Juvenile Probation Officers (JPOs) delivering Contingency Management (CM) to teens on their caseload who have problems with drug use. CM has already been shown to be effective at helping teens with drug problems but CM has never been delivered by JPOs. This study will test how well it works to have JPOs deliver CM during their regular meetings with teens.

Detailed description: The overarching purpose of this study is to increase justice-involved youths' access to an evidence-based practice for substance abuse, specifically Contingency Management (CM). This randomized controlled trial will examine the effectiveness of using juvenile probation officers (JPOs) to deliver CM to youth (aged 12-17 years) on their caseloads. CM is an evidence-based practice for substance abuse. The Investigators posit that JPOs are in an ideal position to deliver an evidence-based practice such as CM to youth because of their intensive involvement and frequent contact with the youth offenders under their supervision. The study randomizes 36 JPOs to 2 conditions: CM versus control (usual JPO services), and then randomizes 504 drug-abusing adolescent probationers across those 2 conditions. The research team will work with JPOs employed by the Department of Youth Services (DYS) in various counties in Oregon. JPOs will participate in focus groups and research interviews and will submit monthly audio-tapes of sessions with participating youth. JPOs randomized to the CM condition will receive training in how to deliver CM. As stated, participating youth will also be randomized to CM or control and assigned to a JPO in the same condition. For those in the CM group, the delivery of CM will be added to their regular meetings with their JPO. Research data will be collected from families via audio-taped interviews and questionnaires from youth and one caretaker. Urine samples for drug testing will also be collected from youth. Lastly, arrest records will be collected on youth for the 18 months pre- and post-entry into the study. The study involves 2 types of participants: youth (n=504) and juvenile probation officers (n=36), for a total of 540 anticipated participants.

Eligibility criteria: There are 2 types of participants in this study: youth and juvenile probation officers.

Inclusion Criteria for youth:

* Newly opened probation case (can have previous cases)
* 12-17 years old
* Diagnostic and Statistical Manual-5 (DSM-5) substance use disorder

Exclusion Criteria for youth:

* Pervasive developmental disorder
* Active psychotic disorder
* Severe/profound mental retardation

Inclusion Criteria for juvenile probation officers:

* Employed as a juvenile probation officer with the Department of Youth Services in a participating county in Oregon
* Serving clients aged 12-17 years old with a substance abuse problem

Exclusion Criteria for juvenile probation officers:

* Not employed as a juvenile probation officer with the Department of Youth Services in a participating county in Oregon
* Not serving clients aged 12-17 years old with a substance abuse problem

Primary outcomes:
measure: Changes from Baseline scores compared to 9 months post-Baseline Urine Drug Screens (measured at 0, 3, 6 and 9 months).
timeFrame: Baseline to 9 months
measure: Changes from Baseline scores compared to 9 months post-Baseline Substance Use and Problems (measured at 0, 3, 6 and 9 months).
timeFrame: Baseline to 9 months
Secondary outcomes:
measure: Changes in number and severity of criminal charges in official records in the 18 months pre-Baseline compared with 18 months post-Baseline.
timeFrame: 18 months pre-Baseline to 18 months post-Baseline.
measure: Changes from Baseline scores compared to 9 months post-Baseline Delinquent Behaviors (measured at 0, 3, 6 and 9 months).
timeFrame: Baseline to 9 months.
measure: Changes from Baseline scores compared to 9 months post-Baseline Sexual Risk Behaviors (measured at 0, 3, 6 and 9 months).
timeFrame: Baseline to 9 months.
measure: Changes from Baseline scores compared to 9 months post-BaselineTreatment Usage (measured at 0, 3, 6 and 9 months).
timeFrame: Baseline to 9 months.
measure: Changes from Baseline scores compared to 9 months post-Baseline Internalizing and Externalizing Behaviors (measured at 0, 3, 6 and 9 months).
timeFrame: Baseline to 9 months.
measure: Changes from Baseline scores compared to 31 months post-Baseline Contingency Management (CM) Adherence (measured monthly for 31 months).
timeFrame: Baseline to 31 months.
measure: Changes from Baseline in Training Needs and Training Satisfaction scores compared to 31 months post-Baseline (measured at 0,16 and 31 months).
timeFrame: Baseline to 31 months.
measure: Changes from Baseline in attitudes towards using rewards in substance abuse treatment compared to 31 months post-Baseline (measured at 0,16 and 31 months).
timeFrame: Baseline to 31 months.
measure: Changes from Baseline in attitudes towards Contingency Management (CM) compared to 31 months post-Baseline (measured at 0,16 and 31 months).
timeFrame: Baseline to 31 months.
Other outcomes:
Locations:
city: Rupert
country: United States
facility: Mini-Cassia Juvenile Probation
state: Idaho
city: Twin Falls
country: United States
facility: Twin Falls Juvenile Probation
state: Idaho
city: Reno
country: United States
facility: Washoe County Juvenile Probation
state: Nevada
Study officials:
References: