Remote Therapy Intervention (RTI) for Criminal Behavior

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Ascension St. John Hospital, Detroit, MI
Criminal Behavior+4 More
Remote Therapy Intervention (RTI) - Behavioral
Eligibility
< 65
All Sexes
Eligible conditions
Select

Study Summary

Using Re-inforcement Learning to Automatically Adapt a Remote Therapy Intervention (RTI) for Reducing Adolescent Violence Involvement

See full description

Eligible Conditions

  • Criminal Behavior
  • Violence in Adolescence
  • Substance Use
  • Violence

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Remote Therapy Intervention (RTI) will improve 2 primary outcomes in patients with Criminal Behavior. Measurement will happen over the course of Baseline, 6-months, 12-months.

Baseline, 6-months, 12-months
Change in Aggression
Change in Victimization

Trial Safety

Safety Progress

1 of 3

Trial Design

3 Treatment Groups

Enhanced Usual Care
1 of 3
Artificial Intelligence Remote Therapy Intervention
1 of 3
Remote Therapy Intervention
1 of 3
Active Control
Experimental Treatment

This trial requires 750 total participants across 3 different treatment groups

This trial involves 3 different treatments. Remote Therapy Intervention (RTI) 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.

Artificial Intelligence Remote Therapy Intervention
Behavioral
Youth will first receive a remote therapy session in the Emergency Department (ED). The RL system will then make decisions about the intensity of each subsequent therapy session (the initial decision is seven days post ED visit and bi-weekly [i.e., every other two weeks] thereafter) for the next 11 weeks. Potential treatment decisions include a 30-minute remote therapy session delivered via phone or video chat (mirroring the S-RTI), a less intensive tailored Motivational Interviewing (MI)-adherent electronic remote therapy (delivered by an electronic robot), or an assessment only without intervention.
Remote Therapy Intervention
Behavioral
Youth will receive the maximal dose of six S-RTI therapy sessions delivered by a remote therapist with no alteration in intensity
Enhanced Usual CareThe youth's retaliatory risk will be assessed and a pamphlet with referrals for violence, substance use, and mental health services will be provided.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 6-months, 12-months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 6-months, 12-months for reporting.

Who is running the study

Principal Investigator
P. C.
Prof. Patrick Carter, Associate Professor of Emergency Medicine
University of Michigan

Closest Location

Ascension St. John Hospital - Detroit, MI

Eligibility Criteria

This trial is for patients born any sex aged 65 and younger. There is one eligibility criterion to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Youth will be eligible if they screen is positive for seeking treatment in the ED for a violent injury, age 14-20, and report ownership of a smartphone with texting capability and internet access.

Patient Q&A Section

What are the signs of drug abuse?

"Signs and symptoms of drug abuse include dizziness, hallucinations, panic attacks, difficulty concentrating, rapid heart rate, rapid breathing, trouble sleeping, weakness, weakness of knees, weakness of the ankles, vomiting, sweating, diarrhea, loss of sight or feeling, or excessive urination." - Anonymous Online Contributor

Unverified Answer

What are common treatments for drug abuse?

"There is no single most common treatment for drug abuse. Drug use is also difficult to treat, but can be reduced with comprehensive care that addresses addiction and substance use disorder. A number of effective treatment options are used to treat drug-dependent patients as well as patients who use alcohol or other illicit drugs. Drug abuse typically responds well to short- and long-term behavioral therapy. Injection drug users can benefit from long-term care provided by medical and social services as well as psychotherapy. Psychiatric evaluations can offer treatment options for patients who also have co-occurring psychiatric problems. Some patients can make progress in therapy, and often relapse, requiring ongoing treatment with behavioral therapies and/or medication." - Anonymous Online Contributor

Unverified Answer

Can drug abuse be cured?

"Drug abuse represents the core of the disease process underlying SUD, and can be effectively managed. With the appropriate support, patients with SUD can live full, productive lives. The most common approach (treatment as prevention of further disease) has long proved to be an effective strategy in the prevention of disease. Therefore, drug abuse cannot be effectively cured." - Anonymous Online Contributor

Unverified Answer

What causes drug abuse?

"Alcohol and drug addiction can cause a wide range of problems including psychological and physical damage. Drugs like cocaine, heroin, or amphetamines are all addictive, but heroin overdose is the main cause of death. There are many drugs that can be used to get high like marijuana, pills or drinks.\n" - Anonymous Online Contributor

Unverified Answer

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

"Each year, around 17.4 million US adults are addicted to a drug or drug-related behaviours. In the United States, drug users are disproportionately Latino and African-American. There is an urgent need for a national strategy to address the disproportionate drug abuse rate among this group." - Anonymous Online Contributor

Unverified Answer

What is drug abuse?

"Drug abuse refers to the use of a drug or drugs to stimulate or alter a person's mental or physical state. Drug abuse is most often committed by the young and has more serious consequences, such as homelessness, physical pain, and addiction." - Anonymous Online Contributor

Unverified Answer

What does remote therapy intervention (rti) usually treat?

"rti generally restores or maintains the normal function of the drug-exposed kidney, which is the main organ for renal dysfunction in patients with acute drug use or dependence and is also affected by adverse drug reactions. Because of the critical importance of kidney function, regular monitoring is necessary when using rti to treat drug use disorders. It is important to consider possible adverse drug reactions when initiating rti to treat drug dependence or use disorders when patients present with a mild degree of renal impairment." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in remote therapy intervention (rti) for therapeutic use?

"Remote therapy interventions constitute a growing area of research in the field of addiction, including the use of psychoactive substances. Results from a recent clinical trial of a double blinded study conducted in Australia and Belgium provide initial data on the efficacy of remote therapy interventions with therapeutic use for the treatment of tobacco dependence." - Anonymous Online Contributor

Unverified Answer

How does remote therapy intervention (rti) work?

"rti was as effective as in-person treatment in terms of quality of life, mental well-being and health-related functioning. It was more expensive owing to the high administration time, but there seemed no reason to believe that rti would not be as effective to the community as to the in-person treatment with shorter sessions that are cheaper to administer." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets drug abuse?

"According to the Bureau of Justice Statistics, as of 2017, the average age of drug abuse in the United States was 16.9 years old. As of 2017, 27.4% of students between 12 and 17 years old in the United States reported that they drank some sort of alcoholic beverage at least once in the past 30 days. A 2005 study in the journal of "Addictive Behavior" found that 6.4% of the respondents between 12 and 17 years old in the United States reported use of [any kind of drugs]] in the past month. However, the data in this article indicated that for every 4 students, there were 11.7 students with drug abuse for the past 30 days." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of remote therapy intervention (rti)?

"Results from a recent paper support that RTI may be safely delivered in a community mental health agency-based facility by trained staff to mental health clients using videoconferencing." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for drug abuse?

"Drug abuse can alter the results which trials find to be significant and limit the conclusions which may have been achieved. As researchers and investigators, we are encouraged to make known in the context of drug abuse the risks of participation in drug addiction trials." - Anonymous Online Contributor

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