Substance Abuse and Trauma in Incarcerated Women - Full Text View

Purpose

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:

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.
Those in the treatment group will improve significantly more than those in the comparison group on the symptoms listed above.

Condition	Intervention
Substance Abuse Trauma Post Traumatic Stress Disorder Integrated Treatment Incarcerated Women	Behavioral: Helping Women Recover/Beyond Trauma

Study Type:	Interventional
Study Design:	Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment
Official Title:	Substance Abuse and Trauma in Incarcerated Women: An Effectiveness Study

Resource links provided by NLM:

MedlinePlus related topics: Injuries Post-Traumatic Stress Disorder Wounds

U.S. FDA Resources

Further study details as provided by University of Tulsa:

Primary Outcome Measures:

PTSD checklist (change from baseline at one week post treatment) [ Time Frame: one-week before treatment, one week post treatment ] [ Designated as safety issue: No ]
17 item post traumatic stress disorder symptoms checklist will be administered pre treatment and one week following 4 month treatment completion.
Trauma Related Nightmare Survey (change from baseline at one week post treatment) [ Time Frame: one week before treatment, one week post treatment ] [ Designated as safety issue: No ]
brief assessment of nightmare frequency and severity to be administered pre-treatment and one week following 4 month treatment completion.
Posttraumatic Cognitions Inventory (change from baseline at one week post treatment) [ Time Frame: one week before treatment, one week post treatment ] [ Designated as safety issue: No ]
36 item assesment of cognitions related to world, self and blame to be administered pre-treatment and one week following 4 month treatment completion.
CES-D, NIMH (change from baseline at one week post treatment) [ Time Frame: one week before treatment, one week post treatment ] [ Designated as safety issue: No ]
Center for Epidemiologic Studies Depression Scale (CES-D), NIMH is a 20 item depression inventory to be administered pre-treatment and one week following 4 month treatment completion.
Drug-Taking Confidence Questionnaire (change from baseline at one week post treatment) [ Time Frame: one week before treatment, one week post treatment ] [ Designated as safety issue: No ]
50 item assessment of alcohol and drugs self efficacy to be administered pre-treatment and one week following 4 month treatment completion.
Trauma Symptoms Inventory (change from baseline at one week post treatment) [ Time Frame: one week before treatment, one week post treatment ] [ Designated as safety issue: No ]
100 item trauma symptoms questionnaire to be administered pre-treatment and one week following 4 month treatment completion.

Secondary Outcome Measures:

Parenting Stress Index for Incarcerated Women (change from baseline at one week post treatment) [ Time Frame: one week before treatment, one week post treatment ] [ Designated as safety issue: No ]
two scales from the PSI and selected parenting issues from incarcerated women to be administered pre-treatment and one week following 4 month treatment completion.

Enrollment:	95
Study Start Date:	November 2010
Study Completion Date:	March 2012
Primary Completion Date:	March 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: cognitive behavioral group treatment Helping Women Recover/Beyond Trauma integrated substance abuse and trauma treatment group. (Dr. Covington)	Behavioral: Helping Women Recover/Beyond Trauma Four treatment rounds will be conducted, and a goal of 20 women (10 from each group) will be recruited to participate in each round. A new treatment group will start every four months. Sessions are approximately 2 hours each, 3-4 times per week over four months in a group format. This treatment program will focus on the integrated treatment of trauma and substance abuse in women. Versions of the curriculum exist both for community and corrections populations. In this intervention the corrections version will be used.
No Intervention: comparison group a comparison group of incarcerated women will receive the pre and post assessments with no interventions.

Arms

Assigned Interventions

Experimental: cognitive behavioral group treatment

Helping Women Recover/Beyond Trauma integrated substance abuse and trauma treatment group. (Dr. Covington)

Behavioral: Helping Women Recover/Beyond Trauma

Four treatment rounds will be conducted, and a goal of 20 women (10 from each group) will be recruited to participate in each round. A new treatment group will start every four months. Sessions are approximately 2 hours each, 3-4 times per week over four months in a group format. This treatment program will focus on the integrated treatment of trauma and substance abuse in women. Versions of the curriculum exist both for community and corrections populations. In this intervention the corrections version will be used.

No Intervention: comparison group

a comparison group of incarcerated women will receive the pre and post assessments with no interventions.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	No

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

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01413984

Locations

United States, Oklahoma
Eddie Warrior Correctional Facility
Taft, Oklahoma, United States, 74463

Sponsors and Collaborators

University of Tulsa

Investigators

Principal Investigator:

Rachael Swopes, M.S.

University of Tulsa

More Information

No publications provided

Responsible Party:	Rachael Swopes, Graduate Student, University of Tulsa
ClinicalTrials.gov Identifier:	NCT01413984 History of Changes
Other Study ID Numbers:	TU 11-18
Study First Received:	August 3, 2011
Last Updated:	April 25, 2012
Health Authority:	United States: Oklahoma Department of Corrections United States: TU IRB United States: TU Psychology Department

Keywords provided by University of Tulsa:

Trauma
incarceration
treatment
substance abuse

Additional relevant MeSH terms:

Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Wounds and Injuries

Substance-Related Disorders
Anxiety Disorders
Mental Disorders

ClinicalTrials.gov processed this record on June 17, 2013