N/A
N=100
Mental Health Services for Prisoners With SMI
Mental Disorder
Bottom Line
View on ClinicalTrials.gov: NCT03713398 ↗Enrolled (actual)
100
Serious AEs
0.0%
Results posted
Sep 2021
Primary outcome: Primary: Change in Levels of Aggression Score From Baseline to Month 3 — -4.81; -2.68 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- T4C-SMI (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of North Carolina, Chapel Hill
- Primary completion
- Dec 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Levels of Aggression Score From Baseline to Month 3 |
-4.81; -2.68 | — |
| PRIMARY Change in Levels of Aggression Score From Baseline to Month 6 |
-9.16; -5.21 | — |
| PRIMARY Number of Participants With Post Test Behavioral Infractions |
8; 6; 16; 17 | — |
| PRIMARY Median Number of Days in Administrative Segregation |
0; 0 | — |
| SECONDARY Change in Overall Interpersonal Problem Solving Score |
1.38; 0.68 | — |
| SECONDARY Change in Overall Criminal Attitudes Score |
-5.32; -1.68 | — |
| SECONDARY Change in Overall Impulsivity Score |
-7.61; -0.51 | — |
Summary
Interventions that address criminogenic risk factors, such as Thinking for a Change (T4C), are not used with prisoners with serious mental illness (SMI) because of the neurocognitive and social impairments associated with SMI. This study examines the effectiveness of T4C with a modified delivery system designed specifically to address the unique needs of persons with SMI in prison, including improving impulsivity, criminal attitudes, and interpersonal problem solving (treatment targets) and levels of aggression, and the amount of behavioral infractions and time spent in administrative segregation in prison (outcomes).
Eligibility Criteria
Inclusion Criteria
- aged 18 years or older
- have a diagnosis of schizophrenia, schizoaffective disorder, psychotic disorder, bipolar disorder with psychotic features or major depressive disorder with psychotic features
- have moderate to high risk levels of criminogenic risk factors as determined by the Level of Service and Case Management Inventory (LS/CMI)
- have at least one year or more remaining on their prison sentence at the time of the screening interview
Exclusion Criteria
- has participated in T4C-SMI within 6 months prior to study
Data sourced from ClinicalTrials.gov (NCT03713398). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.