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Psychotherapy Enhancement for Therapeutic Community (TC) Retention - 1

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified November 2005 by National Institute on Drug Abuse (NIDA).
Recruitment status was:  Recruiting
Information provided by:
National Institute on Drug Abuse (NIDA) Identifier:
First received: July 1, 2004
Last updated: November 3, 2005
Last verified: November 2005
The purpose of this study is to evaluate the efficacy of Dual Focus Schema Therapy in comparison to Individual Drug Counseling as 6-month manualized individual behavioral therapy enhancements to the orientation/early treatment process of Therapeutic Community (TC) residents.

Condition Intervention Phase
Substance-Related Disorders
Behavioral: Behavior Therapy
Phase 2

Study Type: Interventional
Study Design: Intervention Model: Factorial Assignment
Primary Purpose: Treatment
Official Title: Psychotherapy Enhancement for TC Retention

Resource links provided by NLM:

Further study details as provided by National Institute on Drug Abuse (NIDA):

Primary Outcome Measures:
  • Retention
  • Psychosocial functioning

Estimated Enrollment: 100
Study Start Date: September 2001
Detailed Description:

Therapeutic Community (TC) treatment can be effective psychosocial modality for addiction, but premature dropout remains a major problem. Personality disorders are very common in residential programs, and TCs regard personality disturbance as core to all people with addiction. Severe personality dysfunction is associated with higher dropout rates from TCs, and adding cognitive-behavioral treatments may improve retention and outcome. We hypothesize that severe personality disturbance causes significant problems with an individual?s initial adjustment and effective utilization of TC processes and techniques. We predict that a behavioral therapy that targets personality pathology will result in better early retention and engagement than will a more standard addiction counseling approach.

To begin to improve retention, TC research must begin to systematically evaluate the impact of adding interventions targeted at decreasing premature dropouts through controlled clinical trials. We have developed the first empirically tested treatment manual for the full range of personality disorders in substance abusers and propose to conduct a randomized clinical trial to evaluate the efficacy of Dual Focus Schema Therapy in comparison to Individual Drug Counseling as 6-month manualized individual behavioral therapy enhancements to the orientation/early treatment process of 100 TC residents. In addition to evaluating retention differences, we will analyze the rate and degree of change for these two conditions monthly and at 6, 12, 18, and 24-month follow-up for psychological indicators related to personality disorder and therapeutic processes related to the TC.


Ages Eligible for Study:   15 Years to 65 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Admission for residential TC treatment at APT Residential Services Division

Inclusion Criteria:

Adolescent or adult substance abuser; provide 2 or more contacts; ability to read and speak English

Exclusion Criteria:

Acute suicidality, homicidality, psychosis, mania

  Contacts and Locations
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Please refer to this study by its identifier: NCT00086398

Contact: Samuel Ball, Ph.D. (203)937-3486

United States, Connecticut
APT Residential Services Division Recruiting
New Haven, Connecticut, United States, 06519
Contact: Lisa Maccarelli, Ph.D.    203-337-9943 ext 210   
Sponsors and Collaborators
National Institute on Drug Abuse (NIDA)
Principal Investigator: Samuel Ball, Ph.D. APT Foundation, Inc.
  More Information Identifier: NCT00086398     History of Changes
Other Study ID Numbers: NIDA-14967-1
Study First Received: July 1, 2004
Last Updated: November 3, 2005

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders processed this record on May 25, 2017