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Specialty Mental Health Probation in North Carolina (SMHP)

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified December 2016 by Gary Cuddeback, PhD, University of North Carolina, Chapel Hill
Sponsor:
Information provided by (Responsible Party):
Gary Cuddeback, PhD, University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT02990026
First received: December 6, 2016
Last updated: December 12, 2016
Last verified: December 2016
  Purpose
Specialty mental health probation for offenders with severe mental illness has been widely disseminated; however, randomized studies are needed to determine its effectiveness. The purpose of the study is to test the feasibility and efficacy of specialty mental health probation (SMHP) for probationers with mental illness in North Carolina. 320 adult probationers with mental illness in will be randomly assigned to specialty mental health probation (experimental condition) or usual probation (control condition). Probationers assigned to the experimental condition will be supervised by specialty mental health probation officers, who will have reduced caseloads and advanced training in mental health and other topics. Probationers assigned to the control condition will receive standard probation. Criminal justice and mental health outcomes will be examined.

Condition Intervention
Mental Illness
Substance Use
Criminal Behavior
Behavioral: Specialty Mental Health Probation

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Specialty Mental Health Probation in North Carolina

Resource links provided by NLM:


Further study details as provided by Gary Cuddeback, PhD, University of North Carolina, Chapel Hill:

Primary Outcome Measures:
  • Recidivism [ Time Frame: 24 months ]
    Recidivism, probation revocation or other criminal justice events


Secondary Outcome Measures:
  • Mental health service engagement [ Time Frame: 24 months ]
    Administrative data from local and state mental health authorities will be accessed to assess mental health service utilization

  • Mental health functioning [ Time Frame: 6 months ]
    Assessment of mental health functioning - standardized measure (Symptom Checklist - SCL-10-R)

  • Social support [ Time Frame: 6 months ]
    Assessment of social support - standardized measure (Medical Outcomes Study - Social Support Scale [MOS])

  • Life events checklist [ Time Frame: Baseline ]
    Assessment of traumatic life events - standardized measure (Life Events Checklist - LEC-5 Standard)

  • Substance use [ Time Frame: 24 months ]
    Criminal justice contact related to substance use - via administrative records

  • Social network (researcher-created measure of social support network) [ Time Frame: 6 months ]
    Access and utilization of pro-social network as measured by a researcher-created instrument

  • Dual Role Relationship Inventory (DRRI, standardized measure) [ Time Frame: baseline, 6 months ]
    Assessment of probationer's relationship with probation officer


Estimated Enrollment: 320
Study Start Date: January 2017
Estimated Study Completion Date: December 2021
Estimated Primary Completion Date: December 2019 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Treatment
Specialty mental health probation - delivered by probation officers who receive specialized training and ongoing clinical consultation with a licensed mental health professional and who have reduced caseloads of exclusively mentally ill offenders.
Behavioral: Specialty Mental Health Probation
Specialty mental health probation includes the following components: (1) exclusively mentally ill caseload of probationers; (2) reduced caseload of 40-45 probationers; (3) problem-solving supervision orientation; (4) ongoing training and consultation; and (5) greater connection with local mental health services
Active Comparator: Control
Standard probation - delivered by a standard probation officer - care as usual
Behavioral: Specialty Mental Health Probation
Specialty mental health probation includes the following components: (1) exclusively mentally ill caseload of probationers; (2) reduced caseload of 40-45 probationers; (3) problem-solving supervision orientation; (4) ongoing training and consultation; and (5) greater connection with local mental health services

Detailed Description:
Specialty mental health probation for offenders with severe mental illness has been widely disseminated; however, randomized studies are needed to determine its effectiveness. The purpose of the study is to test the feasibility and efficacy of specialty mental health probation (SMHP) for probationers with mental illness in North Carolina. 320 adult probationers with severe mental illness in will be randomly assigned to receive specialty mental health probation (experimental condition) or standard probation (control condition). Probationers assigned to the experimental condition will be supervised by specialty mental health probation officers, who will have reduced caseloads and advanced training in mental health and other topics. Probationers assigned to the control condition will receive standard probation. Criminal justice and mental health outcomes will be examined.
  Eligibility

Ages Eligible for Study:   21 Years to 64 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Qualifying diagnosis of severe mental illness - schizophrenia, bipolar disorder, major depression, post-traumatic stress disorder + on probation in North Carolina + capable of passing study competency quiz administered by the research team

Exclusion Criteria:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

No Contacts or Locations Provided
  More Information

Responsible Party: Gary Cuddeback, PhD, Associate Professor, University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier: NCT02990026     History of Changes
Other Study ID Numbers: 2015-SM-BX-0004
Study First Received: December 6, 2016
Last Updated: December 12, 2016
Individual Participant Data  
Plan to Share IPD: No

Additional relevant MeSH terms:
Mental Disorders

ClinicalTrials.gov processed this record on May 25, 2017