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Substance Abuse and Trauma in Incarcerated Women

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01413984
First Posted: August 10, 2011
Last Update Posted: March 18, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Rachael Swopes, University of Tulsa
  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:

  1. 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.
  2. 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
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Substance Abuse and Trauma in Incarcerated Women: An Effectiveness Study

Resource links provided by NLM:


Further study details as provided by Rachael Swopes, 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 ]
    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 ]
    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 ]
    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 ]
    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 ]
    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 ]
    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 ]
    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.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes 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
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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

Responsible Party: Rachael Swopes, Graduate Student, University of Tulsa
ClinicalTrials.gov Identifier: NCT01413984     History of Changes
Other Study ID Numbers: TU 11-18
First Submitted: August 3, 2011
First Posted: August 10, 2011
Last Update Posted: March 18, 2014
Last Verified: March 2014

Keywords provided by Rachael Swopes, University of Tulsa:
Trauma
incarceration
treatment
substance abuse

Additional relevant MeSH terms:
Wounds and Injuries
Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Substance-Related Disorders
Trauma and Stressor Related Disorders
Mental Disorders
Chemically-Induced Disorders