Status:
RECRUITING
Effectiveness, Implementation, and Cost of Cognitive Processing Therapy in Prisons
Lead Sponsor:
University of Arkansas
Collaborating Sponsors:
National Institute on Drug Abuse (NIDA)
Conditions:
PTSD - Post Traumatic Stress Disorder
PTSD and Alcohol Use Disorder
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Addiction and trauma exposure are common among the 5.5 million people (1 in 47 adults) in the U.S. who are in prison or under supervision. About 85% of people in prison have a substance use disorder o...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- 18 years of age or older
- Able to understand and speak English
- Able to give informed consent
- All items listed in "Inclusion criteria for all participants"
- Be currently incarcerated in one of the prisons that have partnered as study sites
- Have met criteria for a drug use disorder in the year prior to their current incarceration (≥ 2 symptoms on a DSM-5 drug use disorder checklist)
- Have used drugs in the 30 days prior to their current incarceration
- Have a history of traumatic event exposure
- Endorse clinically significant posttraumatic stress symptoms (score ≥ 4 on the Primary Care PTSD Screen for DSM-5; PC-PTSD-5)
- Expect to be incarcerated for at least long enough to complete CPT-CJ as it is being implemented at the particular site (i.e., anticipated to be \~3 months, but will depend on dates associated with next available intervention group)
- Expect to be released from prison within 12 months following the end of treatment (i.e., within \~15 months of the pre-treatment assessment)
- Willing to consent to randomization to treatment condition
- Exclusion criteria for prisoners (additional requirements assessed during pre-treatment assessments or indicated by prison staff; will result in being withdrawn from the study prior to randomization by the PI):
- Unable to provide any locator information for post-release assessments
- Determined to be releasing sooner than would allow the individual to complete CPT-CJ
- Determined to have an unavoidable scheduling conflict or facility restriction (e.g., disciplinary, medical) that would prevent participation in CPT-CJ. Of note, if the scheduling conflict or facility restriction is expected to resolve following the next round of randomization at the study site, the participant may be put on "hold for next round" status rather than withdrawn unless other exclusionary criteria would be met by that time (e.g., release).
Exclusion
Key Trial Info
Start Date :
July 7 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2028
Estimated Enrollment :
640 Patients enrolled
Trial Details
Trial ID
NCT06923423
Start Date
July 7 2025
End Date
December 1 2028
Last Update
August 15 2025
Active Locations (4)
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1
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States, 72205
2
Northeast Arkansas Community Corrections Center (NEACC)
Osceola, Arkansas, United States, 72370
3
North Dakota State Penitentiary (NDSP)
Bismarck, North Dakota, United States, 58501
4
Heart River Correctional Center (HRCC)
Bismarck, North Dakota, United States, 58502