Colorado Women's TC Project
|Substance-Related Disorders||Behavioral: Recovery by Choice Behavioral: The Intensive Outpatient Program (IOP)||Phase 1 Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Women's Prison TC: Outcomes, Process & Economic Analysis|
- Intake CTCR Baseline & Follow-Up Protocol (CTCR Protocol) [ Time Frame: At entry ]The CTCR Protocol (CTCR, 1992) is a structured interview that was adapted from the ASI and DATAR for use in community treatment and the criminal justice system; additional versions, including Green's Trauma Scale (Green, 1996) to measure trauma and abuse, have been developed for baseline, during treatment and community follow-up with women. It assesses the following domains: socio-demographic background, substance use, psychosocial functioning, criminal justice involvement, education, employment, parenting, peer and family support, and health.
- Beck Depression Inventory-II (BDI-II) [ Time Frame: At entry ]The BDI-II (Beck, Steer, & Brown, 1996). The BDI measures three domains of depression: Somatic Depression, Cognitive Depression and Total Depression Scores, consistent with the DSM-IV criteria for depressive disorders.
- Rosenberg Self-Esteem (SES) [ Time Frame: At entry ]The SES (Rosenberg, 1965) is the most widely used global measure of self-esteem,
- Symptom CheckList 90-R (SCL90-R) [ Time Frame: At entry ]The SCL90-R (Derogatis, 1983) measures 9 domains including: somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, providing a global index of distress: Global Severity Index (GSI).
- Diagnostic Interview Survey (DIS-IV) [ Time Frame: At entry ]The DIS-IV (Robins et al., 1995) is a structured clinical interview to generate DSM-IV lifetime and current psychiatric and substance use/abuse diagnoses.
- Parenting Practices Scale (PPS) [ Time Frame: At entry ]The PPS measures the parenting practices among parents of children under age 12.
- Social Support Arizona Social Support Scale (ASSIS) [ Time Frame: At entry ]The ASSIS (Barrera, 1980; Barrera, Sandier, & Ramsay, 1981; Stevens, Murphy, & McGrath, 2000) measures social support networks with a series of questions regarding the people who are important to the client and the number of ways they support the individual. Areas covered by the scale include: intimate interaction, material aid, advice, positive feedback, physical assistance, social participation, negative interactions, and personal characteristic of network members.
- Texas Christian University Resident Evaluation of Self and Treatment (TCU-REST)The TCU-REST (Knight, Simpson & Chatham, 1997; Simpson & Knight, 1998) provides measures of client process and progress in treatment in the following domains: psychological functioning (including scales for self-esteem, depression, anxiety, self-efficacy, and decision-making confidence.
- Client Assessment Inventory (CAI)The CAI (Kressel, 1998) measures client perceptions of progress and participation in TC treatment, in 14 domains: maturity, responsibility, values, drug/criminal life style, maintaining images, work attitude, social skills, cognitive skills, emotional skills, sense of well being, accepting program structure and philosophy, participating in group activities, attachment to, and investment in, the program. The latter two scales provide measures of participation and commitment.
- Circumstances, Motivation and Readiness (CMR)The CMR assesses motivation and readiness for treatment (Circumstances 1 (external influences to enter or remain in treatment), Circumstances 2, (external influences to leave treatment), and Motivation (internal recognition of the need to change).
- Cost: Drug Abuse Treatment Cost Analysis Program (DATCAP)
- Service Utilization Form (SUF)
- Partner Abuse Scales (PAS)
The PAS (Hudson, 1990) consists of two matched pairs of scales, each consisting of 25 Likert type items. The Partner Abuse:
Physical (RASPH) and the Partner Abuse: Non-Physical (PASNP) measure self-reports of physical and non-physical abuse between partners.
- Colorado Department of Corrections Record Information System (CDOC-RIS)The CDOC-RIS will be accessed to gather data on the following measures: current charge on which incarceration is based; other previous charges; current sentence; status of violent offenses; urine toxicological information on drug and alcohol use; medical information; dates of prior incarcerations; disciplinary reports; all services received while in prison; offenses committed post-release, reincarcerations, parole information (including entry into drug abuse treatment).
- Biological SpecimensIn addition to the self-report interview, self-report standardized measures, and corroborating staff ratings discussed above, biological specimens (urine samples) will be collected on half of the subjects using a random sampling procedure. Urine samples test for a wide array of substances, but are valid for drug use only in the preceding 48-72 hours. Urine specimens will be collected at T1, T2, T3 and T4. The project will also use urine tests (administered selectively) that can be obtained from the CDOC-RIS.
|Study Start Date:||September 2001|
|Study Completion Date:||September 2007|
|Primary Completion Date:||July 2007 (Final data collection date for primary outcome measure)|
Experimental: Recovery by Choice
A modified Therapeutic Community program.
Behavioral: Recovery by Choice
The experimental condition, the modified TC, was a 6- to 9-month program located in a separate 72-bed housing unit within the prison. Inmates progressed through four program stages with upper level inmates functioning as peer mentors for newer members. The modified, comprehensive TC treatment program focused on increasing awareness and understanding of female roles and relationships as they relate to addiction and drugs used and abused, and emotional and behavioral coping skills. Program elements addressed issues of substance abuse, relapse prevention, mental health, criminal thinking and behavior, coping with trauma and abuse, and parenting skills. All treatment staff received special training related to working with women exposed to trauma and abuse, making the program "trauma informed" and "trauma sensitive."
Active Comparator: Intensive Outpatient Program
Designed to address substance abuse and criminality, with a focus on prevention of relapse and recidivism.
Behavioral: The Intensive Outpatient Program (IOP)
The control condition, known at the prison as the Intensive Outpatient Program (IOP), was designed to address substance abuse and criminality, with a focus on prevention of relapse and recidivism. The IOP substance abuse treatment curriculum, designed for delivery over 15 weeks, consisted of a 90-hour manual-driven course (Strategies for Self-Improvement and Change, Wanburg & Milkman, 1998), which employed a cognitive behavioral format to address underlying issues of substance use/abuse and criminal behavior.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00249561
|United States, Colorado|
|Denver Women's Correctional Facility|
|Denver, Colorado, United States, 80239|
|Principal Investigator:||JoAnn Y Sacks, Ph.D.||National Development and Research Institutes, Inc.|