CLINICAL TRIAL

Maintaining Maintaining Independence and Sobriety through Systems Integration Outreach and Networking- Criminal Justice for Drug Abuse

Recruiting · 18+ · All Sexes · Bedford, MA

This study is evaluating whether a program which helps homeless veterans with mental health and substance use disorders stay sober and out of jail may help them stay healthy.

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About the trial for Drug Abuse

Eligible Conditions
Substance-Related Disorders · Substance Use Disorders (SUD) · Mental Health Disorders · Disease · Mental Disorders · Homelessness

Treatment Groups

This trial involves 2 different treatments. Maintaining Maintaining Independence And Sobriety Through Systems Integration Outreach And Networking- Criminal Justice is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Experimental Group 1
Maintaining Maintaining Independence and Sobriety through Systems Integration Outreach and Networking Peer Support
BEHAVIORAL
Experimental Group 2
Maintaining Maintaining Independence and Sobriety through Systems Integration Outreach and Networking- Criminal Justice
BEHAVIORAL

Eligibility

This trial is for patients born any sex aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
People with a co-occurring substance use and mental health disorder have two conditions that happen at the same time. show original
People who are struggling with their mental health are often entering residential rehabilitation treatment programs. show original
In the past 12 months, people who were arrested and charged or released from incarceration were mostly (a) men. show original
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial

Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: 12-month period prior to, and ending 15 months after, study enrollment
Screening: ~3 weeks
Treatment: Varies
Reporting: 12-month period prior to, and ending 15 months after, study enrollment
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: 12-month period prior to, and ending 15 months after, study enrollment.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Maintaining Maintaining Independence and Sobriety through Systems Integration Outreach and Networking- Criminal Justice will improve 2 primary outcomes and 17 secondary outcomes in patients with Drug Abuse. Measurement will happen over the course of Up to 12 months.

Treatment Engagement (MISSION Treatment Services Tracking Sheet)
UP TO 12 MONTHS
Types of services for both VA and non-VA services received (pre- and post-MH RRTP). This includes all possible services offered within MISSION-CJ and Enhanced Usual Care (MISSION Peer Support) as well as community linkages. Examine change in types of services received during 12 months, collected on a weekly basis.
UP TO 12 MONTHS
Treatment Engagement (MISSION Treatment Services Tracking Sheet
UP TO 12 MONTHS
Number of services for both VA and non-VA services received (pre- and post-MH RRTP). This includes all possible services offered within MISSION-CJ and EUC (MISSION Peer Support) as well as community linkages. Regarding linkages, the measure quantifies the number of referrals, referral type, and client engagement. Examine change in number of services received during 12 months, collected on a weekly basis.
UP TO 12 MONTHS
Criminal Recidivism
THROUGH STUDY COMPLETION, ON AVERAGE 15-MONTHS
Number of nights in jail or prison based on records from the California and Massachusetts Department of Corrections records; and arrest and incarceration records from the National Crime Information Center.
THROUGH STUDY COMPLETION, ON AVERAGE 15-MONTHS
Criminal recidivism
THROUGH STUDY COMPLETION, ON AVERAGE 15-MONTHS
Number of charges based on records from the California and Massachusetts Department of Corrections records; and arrest and incarceration records from the National Crime Information Center.
THROUGH STUDY COMPLETION, ON AVERAGE 15-MONTHS
Change in Mental Health Symptoms (Behavior and Symptom Identification Scale-24 - BASIS-24)
BASELINE, 6-MONTHS, 15-MONTHS
Changes in the severity of patients' self-reported psychiatric symptoms across 6 subscales (e.g. Depression and Functioning, Interpersonal Relationships, Self-Harm, Psychosis, Substance Abuse, and Emotional Lability) during the past week. Patients score items on a scale of 0-4, and each subscale and mean total score range from 0-4, with higher scores indicating higher levels of severity of symptoms.
BASELINE, 6-MONTHS, 15-MONTHS
Change in Antisocial Attitudes (Measures of Criminal Attitudes and Associates - MCAA)
BASELINE, 6-MONTHS, 15-MONTHS
Changes in patients' self-report of antisocial attitudes on 4 scales: violence, entitlement, antisocial intent, and associates. Responses to MCAA Part B are dichotomous agree/disagree.
BASELINE, 6-MONTHS, 15-MONTHS
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Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes drug abuse?

Many things may cause drug abuse including: family history, peer influences, culture, and financial issues. Substance abuse is directly affected by socioeconomic and psychosocial factors. Gender also influences how alcohol and illicit drug abuse is dealt with, with women tending to have more severe problems with abuse than men. The amount of alcohol consumed and age of intoxication are two factors that greatly impact the incidence of alcohol abuse.\n

Anonymous Patient Answer

Can drug abuse be cured?

While there have been anecdotal reports of patients having success in the treatment of heroin with buprenorphine, this is an anecdotal tale and as such cannot be supported. Patients taking heroin as an alternative to pain medicine are still at risk of death from overdose during treatment. As such, and because the potential for addiction and death is enormous, buprenorphine treatment should be restricted to those with a history of opioid dependence. If and when buprenorphine therapy is initiated, all patients must be reminded of the potential risk of overdose. Patients may need to consider having Buprenex or another similarly potent opioid with greater safety profile.

Anonymous Patient Answer

What are common treatments for drug abuse?

The most commonly used treatment for drug abuse is psychotherapy, which is either integrated into a primary substance abuse treatment program or used as a standalone treatment. A review of more recent drug abuse treatment evidence is needed.

Anonymous Patient Answer

How many people get drug abuse a year in the United States?

Over half of Americans have tried prescription drugs in their lifetimes. In this group, nearly 15% have used prescription drugs or have tried an illicit drug by the age of 13.

Anonymous Patient Answer

What is drug abuse?

In the U.S., alcohol use is the most common form of drug abuse and it is estimated that alcohol abuse and opioid prescription error were the cause of nearly 75,000 deaths in 2008.\n\n

"Platytes kurilena\n\nPlatytes kurilena is a moth in the family Crambidae. It is found in Russia, Japan, China (Guangxi) and Korea"

Anonymous Patient Answer

What are the signs of drug abuse?

Most signs of drug abuse involve excessive use of a substance, although withdrawal is not always present. The signs of drug abuse, as seen in the case of alcohol abuse, can take the form of alcohol-associated problems such as alcoholic cirrhosis of the liver. As this happens it can lead to death due to liver damage. Many drugs can cause dependence. Physical dependence is particularly pronounced with stimulant drugs such as amphetamine. The signs of dependency are the same as those seen in alcoholics, such as increased withdrawal symptoms after stopping the drug. There are many ways to help people who misuse drugs. For example, if you have had an overdose of opioids, it might be time to think about stopping opioids completely.

Anonymous Patient Answer

Is maintaining maintaining independence and sobriety through systems integration outreach and networking- criminal justice safe for people?

A unique and culturally competent "safe communities' model" for systems integration outreach and networking, particularly among those who are new to criminal justice and/or drug abuse treatment, is effective at promoting the maintenance of and recovery from addiction.

Anonymous Patient Answer

Is maintaining maintaining independence and sobriety through systems integration outreach and networking- criminal justice typically used in combination with any other treatments?

The integration of an assertive counseling style and an assertive outreach community approach resulted in higher rates of sober and independent functioning. This has an important contribution to the community welfare not only at a community level but for the individual. While the treatment approach can be successful for treating individuals with poor functioning, in community settings such strategies should be implemented as part of ongoing and effective community policies that promote social cohesion.

Anonymous Patient Answer

What is the primary cause of drug abuse?

Primary cause is the common theme that a wide variety of factors influence a decision to self-medicate. The key factor in this regard is that a decision to self-medicate can be influenced by a wide variety of factors, including individual characteristics, situational factors, and life changes, as well as contextual factors. More precise research of the influence of situational and contextual factors is needed. Understanding the influence of situational and contextual factors on drug self-medication would be of value in developing interventions targeted to this at-risk group.

Anonymous Patient Answer

Who should consider clinical trials for drug abuse?

Findings from a recent study underscores the potential impact of clinical research in drug abuse treatment. Findings from a recent study should, however, be interpreted cautiously as the sample was exclusively drawn from three tertiary care hospitals and may not represent the views of the general public and the public health professionals of the five other states. Nevertheless, we argue that this study demonstrates the growing importance of the clinical research sector to our drug epidemic.

Anonymous Patient Answer

What are the latest developments in maintaining maintaining independence and sobriety through systems integration outreach and networking- criminal justice for therapeutic use?

Results from a recent paper provides evidence that systems integration-based approaches can result in sustained improvements to treatment outcomes, reductions in arrest/court dates, and increases in community sober days.

Anonymous Patient Answer

Have there been other clinical trials involving maintaining maintaining independence and sobriety through systems integration outreach and networking- criminal justice?

There have not been other trials involving MMI-CJ networks, so this research could be considered a new trend. This might be due to the growing of use of innovative methods and the need for more trials that study this problem. The findings from this study suggest that a comprehensive approach may be needed, but it remains to be proven.

Anonymous Patient Answer
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