Treating Co-Occurring Substance Use and Mental Disorders Among Jail Inmates

RTI International8 enrolled

Overview

Treatment adaptation and implementation study for adult jail inmates with co-occurring substance use disorders.

We will adapt dual-diagnosis motivational interviewing and integrated group therapy for jail inmates with co-occurring substance use and mental health disorders and to evaluate the feasibility of implementing the adapted interventions and associated research and communication protocols.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Co-occurring Mental and Substance Use Disorders Crime Criminogenic Thinking Implementation Adaptation

Interventions

Dual-diagnosis motivational interviewing (DDMI)BEHAVIORAL

DDMI is an evidence-based adaptation to motivational interviewing. DDMI incorporates an integrated framework and accommodates cognitive impairments and disordered thinking associated with co-occurring substance use and mental disorders.

Integrated group therapy (IGT)BEHAVIORAL

IGT is an evidence-based practice for treating co-occurring disorders. IGT focuses on relapse prevention by reducing substance use and stabilizing psychiatric symptoms.

Jail and community-based behavioral health servicesBEHAVIORAL

Existing behavioral health service programs

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * (1) drug or alcohol abuse or dependence and SMI (major depressive disorder; depressive disorder not otherwise specified \[NOS\]; bipolar disorder I, II, or NOS; schizophrenia spectrum disorder; schizoaffective disorder; schizophreniform disorder; brief psychotic disorder; delusional disorder; or psychotic disorder NOS); * (2) resident of Wake County and detained in The Jail; * (3) \>18 years of age; (4) able to speak/read English; and (5) able to provide informed consent. Exclusion Criteria: \-

Locations (1)

RTI International

Research Triangle Park, North Carolina, United States

Outcomes

Primary Outcomes

Acceptability

Client Satisfaction Questionnaire-8, Narrative Evaluation of Intervention Interview

Time frame: Study months 21 through 34

Secondary Outcomes

Feasibility of Adapted Interventions

How successfully can the adapted interventions be implemented (Focus Group interviews)

Time frame: Study months 21 through 34

Fidelity

DDMI and IGT Adherence Forms

Time frame: Study months 21 through 34

Substance use

Addiction Severity Index