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Behavioral Intervention

Cognitive Processing Therapy for Substance Use Disorders

N/A

Waitlist Available

Led By Melissa Zielinski, Phd

Research Sponsored by University of Arkansas

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

18 years of age or older

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up pre-treatment assessments will be completed within 4 weeks of treatment start. post-treatment assessments will be completed within 2 weeks of treatment end. post-release assessments will be completed approximately 3 months after release from prison.

Awards & highlights

No Placebo-Only Group

Summary

This trial will study whether a specific therapy can help reduce drug use, psychiatric symptoms, and recidivism for people who have been incarcerated.

Who is the study for?

This trial is for adults over 18 who are incarcerated in Arkansas, within 9 months of release, and have a history of substance use disorder and trauma. They must understand English, consent to participate, and be able to provide contact information post-release.

What is being tested?

The study tests Cognitive Processing Therapy (CPT) for treating trauma in incarcerated drug users compared to a control therapy focused on coping. It aims to see if CPT can reduce drug use, psychiatric symptoms, and recidivism.

What are the potential side effects?

While the trial does not involve medication with physical side effects, participants may experience emotional discomfort or distress while discussing traumatic experiences during therapy sessions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Select...

I am 18 years old or older.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ pre-treatment assessments will be completed within 4 weeks of treatment start. post-treatment assessments will be completed within 2 weeks of treatment end. post-release assessments will be completed approximately 3 months after release from prison.

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~pre-treatment assessments will be completed within 4 weeks of treatment start. post-treatment assessments will be completed within 2 weeks of treatment end. post-release assessments will be completed approximately 3 months after release from prison.

This trial's timeline: 3 weeks for screening, Varies for treatment, and pre-treatment assessments will be completed within 4 weeks of treatment start. post-treatment assessments will be completed within 2 weeks of treatment end. post-release assessments will be completed approximately 3 months after release from prison. for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change in PTSD Symptoms by Treatment End and 3 Months Post-Release from Incarceration

Post-Incarceration Drug Use

Secondary study objectives

Change in Depression Symptoms by Treatment End and 3 Months Post-Release from Incarceration

Recidivism

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Cognitive Processing Therapy (CPT)Experimental Treatment1 Intervention

CPT is a gold-standard evidence-based psychotherapy for PTSD that combines education about trauma with strategies to challenge the trauma-related cognitions that are theorized to maintain PTSD symptoms. It can be delivered in group and individual formats, but will be delivered in a group format in this project due to feasibility in the setting. Structure will be based on feedback obtained during completion of Aim 2 while remaining within the range evaluated in prior research (i.e., 8-12 sessions, 1-2x per week, each lasting 1.5-2 hours).

Group II: Coping Skills GroupActive Control1 Intervention

The Coping Skills Group will match for attention and dose, without adding any cost to the system. Exact content will be determined during completion of Aim 2; however, project sites already provide coping-focused programming and coping-skill approaches to trauma treatment are a common alternative to evidence-based therapies for PTSD, such as CPT, that deal more directly with the index trauma. To provide an enhanced standard of care, the investigator will review treatment materials (workbooks, handouts) already used in prison settings and arrange a curriculum of skills similar to those in coping-focused trauma-informed interventions (e.g., psychoeducation, assertiveness).

Treatment

First Studied

Drug Approval Stage

How many patients have taken this drug

Cognitive Processing Therapy

2016

N/A

~4030

0 / 1Eligibility criteria met