Dynamic Multilevel Processes of Recovery in Therapeutic Communities in Mexico (DICO Model)

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexMale
Age18+
SponsorUnder The Tree Therapeutic Community

About this trial

This study aims to develop and empirically evaluate the Dinámica Integral Conductual Comunitaria (DICO) model, a multilevel framework that conceptualizes recovery from substance use disorders as a dynamic process emerging from the interaction between individual behavioral variables, social contingencies, and community-level factors within therapeutic communities in Mexico.

A prospective longitudinal design with intensive repeated measures will be implemented over 8 to 12 weeks. Data will be collected using ecological momentary assessment (EMA), psychometric instruments, behavioral records, and semi-structured interviews.

The study seeks to model recovery trajectories as nonlinear dynamic systems, identifying critical transitions, instability patterns, and contextual moderators associated with treatment adherence and relapse risk.

Eligibility criteria

Qualifiers

Adults aged 18 years or older

Currently enrolled in a residential therapeutic community for substance use treatment

Minimum stay of at least 7 days prior to baseline assessment

Ability to understand and provide informed consent

Disqualifiers

Acute psychotic symptoms or severe psychiatric decompensation that interferes with participation

Severe cognitive impairment limiting comprehension of study procedures

Current medical instability requiring immediate external intervention

Refusal to participate in any component of the study

Trial design

Treatments tested in this trial

  • Ecological Momentary Assessment (EMA)

Treatment groups

60 Participants
are divided into 1 treatment group