Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-21

Study Completion Date

2019-06-30

Brief Summary

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Treatment adaptation and implementation study for adult jail inmates with co-occurring substance use disorders.

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Detailed Description

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We will adapt dual-diagnosis motivational interviewing and integrated group therapy for jail inmates with co-occurring substance use and mental health disorders and to evaluate the feasibility of implementing the adapted interventions and associated research and communication protocols.

Conditions

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Co-occurring Mental and Substance Use Disorders Crime Criminogenic Thinking Implementation Adaptation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DDMI-IGT

Subjects randomized to the experimental condition will receive adapted versions of dual-diagnosis motivational interviewing (\[DDMI\] one session before release from jail) and integrated group therapy (\[IGT\] 12 community-based sessions over a 2-month period).

Group Type EXPERIMENTAL

Dual-diagnosis motivational interviewing (DDMI)

Intervention Type BEHAVIORAL

DDMI is an evidence-based adaptation to motivational interviewing. DDMI incorporates an integrated framework and accommodates cognitive impairments and disordered thinking associated with co-occurring substance use and mental disorders.

Integrated group therapy (IGT)

Intervention Type BEHAVIORAL

IGT is an evidence-based practice for treating co-occurring disorders. IGT focuses on relapse prevention by reducing substance use and stabilizing psychiatric symptoms.

Usual care

Subjects randomized to the usual care condition will receive jail and community-based behavioral health services.

Group Type ACTIVE_COMPARATOR

Jail and community-based behavioral health services

Intervention Type BEHAVIORAL

Existing behavioral health service programs

Interventions

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Dual-diagnosis motivational interviewing (DDMI)

DDMI is an evidence-based adaptation to motivational interviewing. DDMI incorporates an integrated framework and accommodates cognitive impairments and disordered thinking associated with co-occurring substance use and mental disorders.

Intervention Type BEHAVIORAL

Integrated group therapy (IGT)

IGT is an evidence-based practice for treating co-occurring disorders. IGT focuses on relapse prevention by reducing substance use and stabilizing psychiatric symptoms.

Intervention Type BEHAVIORAL

Jail and community-based behavioral health services

Existing behavioral health service programs

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* (1) drug or alcohol abuse or dependence and SMI (major depressive disorder; depressive disorder not otherwise specified \[NOS\]; bipolar disorder I, II, or NOS; schizophrenia spectrum disorder; schizoaffective disorder; schizophreniform disorder; brief psychotic disorder; delusional disorder; or psychotic disorder NOS);
* (2) resident of Wake County and detained in The Jail;
* (3) \>18 years of age; (4) able to speak/read English; and (5) able to provide informed consent.