[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"traumatic-stress-disorder\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:traumatic-stress-disorder":34},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,83],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":37,"overallStatus":70,"whyStopped":4,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":82},"100587056","effectiveness-implementation-and-cost-of-cognitive-processing-therapy-in-prisons-100587056",false,"NCT06923423","Effectiveness, Implementation, and Cost of Cognitive Processing Therapy in Prisons","STRIDES2","Inclusion Criteria:\n\n* 18 years of age or older\n* Able to understand and speak English\n* Able to give informed consent\n* All items listed in \"Inclusion criteria for all participants\"\n* Be currently incarcerated in one of the prisons that have partnered as study sites\n* Have met criteria for a drug use disorder in the year prior to their current incarceration (≥ 2 symptoms on a DSM-5 drug use disorder checklist)\n* Have used drugs in the 30 days prior to their current incarceration\n* Have a history of traumatic event exposure\n* Endorse clinically significant posttraumatic stress symptoms (score ≥ 4 on the Primary Care PTSD Screen for DSM-5; PC-PTSD-5)\n* Expect to be incarcerated for at least long enough to complete CPT-CJ as it is being implemented at the particular site (i.e., anticipated to be \\~3 months, but will depend on dates associated with next available intervention group)\n* Expect to be released from prison within 12 months following the end of treatment (i.e., within \\~15 months of the pre-treatment assessment)\n* Willing to consent to randomization to treatment condition\n\nExclusion criteria for prisoners (additional requirements assessed during pre-treatment assessments or indicated by prison staff; will result in being withdrawn from the study prior to randomization by the PI):\n\n* Unable to provide any locator information for post-release assessments\n* Determined to be releasing sooner than would allow the individual to complete CPT-CJ\n* Determined to have an unavoidable scheduling conflict or facility restriction (e.g., disciplinary, medical) that would prevent participation in CPT-CJ. Of note, if the scheduling conflict or facility restriction is expected to resolve following the next round of randomization at the study site, the participant may be put on \"hold for next round\" status rather than withdrawn unless other exclusionary criteria would be met by that time (e.g., release).","ALL","18 Years",{"count":19,"type":20},640,"ESTIMATED","INTERVENTIONAL",[23],"NA","Addiction and trauma exposure are common among the 5.5 million people (1 in 47 adults) in the U.S. who are in prison or under supervision. About 85% of people in prison have a substance use disorder or are there for a drug-related crime, and many have experienced serious trauma before being incarcerated. Posttraumatic stress symptoms (PTSS) are often a result of trauma and are linked to more severe drug use, higher rates of relapse, and increased crime. PTSS and substance use disorder (SUD) each raise the chances of new arrests for people who are justice-involved, showing that addressing trauma and addiction could help reduce repeat offenses and the costs of incarceration. However, treatments for PTSS are rarely available in prisons, and there is little research on whether providing therapy for PTSS in prison can lower drug use, PTSS, or crime after release.\n\nThe goal of this clinical trial is to see if trauma-focused group therapy (CPT) provided while in prison, can help people after release from prison. The therapy has been adapted for use in prisons (CPT-CJ) and will be compared to trauma focused therapy delivered via a self-help workbook\n\nThis study will:\n\n* test whether a trauma-focused group therapy (CPT-CJ) can reduce post-incarceration drug and alcohol use, mental health issues, and drug-related crime, compared to trauma-focused self-help,\n* evaluate a strategy called implementation facilitation, which helps support the use of this therapy in prisons, and\n* measure the cost of the therapies and support strategies to help plan for future expansion.\n\nIncarcerated participants (N = 640; 50% female) will be enrolled from \\~10 prisons in \\~5 states, ensuring variability in population and setting characteristics. They will:\n\n* take surveys and answer questions up to 5 times (before starting treatment, right after getting treatment, right before leaving prison, 3 months after leaving prison and 6 months after leaving prison)\n* complete CPT group therapy or self-help therapy\n* provide urine samples 3 months and 6 months after leaving prison\n\nPrison stakeholders (e.g., prison staff, prison leadership, governmental officials; N = \\~15 per site) who will be purposively sampled based on their role in CPT-CJ implementation will also participate in some surveys.",[26,27,28,29,30,31,32,33,34,35,36],"PTSD - Post Traumatic Stress Disorder","PTSD and Alcohol Use Disorder","PTSD and Trauma-related Symptoms","Substance Use Disorder (SUD)","Depression","Mental Health","Trauma","Trauma Exposure","Traumatic Stress Disorder","Traumatic Stress","Post Traumatic Stress Symptoms",[38,39,40,41,42,43,44,45,46,47,48,49,50,32,30,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69],"Post traumatic Stress Disorder","Post traumatic Stress Symptoms","Substance Use","Substance Use Disorder","Cognitive Processing Therapy","Cognitive Processing Therapy for Criminal Justice Setting","Trauma focused self help","Facilitation","Implementation Facilitation","Implementation","Cost Estimation and Offsets","Drug Use Disorder","Alcohol Use Disorder","Adult","Incarcerated","Prison","Imprisonment","Intervention","Treatment Comparison","Acceptability","Feasibility","Budget Impact","Cost Estimate","Implementation Evaluation","Recidivism","Self Help","Workbook","Criminal Justice","Effectiveness","Evidence Based Intervention","CPT","CPT-CJ","RECRUITING","2026-01-20",{"date":73,"type":74},"2026-01-21","ACTUAL",{"date":76,"type":74},"2025-07-07",{"date":78,"type":20},"2028-12",{"name":80,"class":81},"University of Arkansas","OTHER",6,{"id":84,"slug":85,"hasResults":11,"nctId":86,"briefTitle":87,"officialTitle":87,"acronym":4,"eligibilityCriteria":88,"healthyVolunteers":89,"sex":16,"minAge":90,"maxAge":91,"enrollmentInfo":92,"targetDuration":4,"studyType":21,"phases":94,"briefSummary":95,"conditions":96,"keywords":4,"overallStatus":70,"whyStopped":4,"lastUpdateSubmitDate":103,"lastUpdatePostDateStruct":104,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":112},"100479786","risk-and-resiliency-factors-in-the-rcmp-a-prospective-investigation-100479786","NCT05527509","Risk and Resiliency Factors in the RCMP: A Prospective Investigation","Inclusion Criteria:\n\n* Cadets starting the RCMP Cadet Training Program\n\nExclusion Criteria:\n\n* Anyone other than cadets starting the RCMP Cadet Training Program",true,"19 Years","57 Years",{"count":93,"type":20},960,[23],"The Royal Canadian Mounted Police (RCMP), like all public safety personnel (PSP), are frequently exposed to potentially psychologically traumatic events that contribute to posttraumatic stress injuries (PTSI). Addressing PTSI is impeded by the limited available research. The RCMP are working to build evidence-based solutions to PTSI and other mental health challenges facing their members, which by extension will help all PSP, as part of the Canadian Government Federal Framework on Posttraumatic Stress Disorder. A key element is the \"Longitudinal Study of Operational Stress Injuries \u002F Étude longitudinale sur les traumatismes liés au stress opérationnel\", a study which has been renamed \"Risk and Resiliency Factors in the RCMP: A Prospective Investigation\", and is referred to as the \"RCMP Study\" for short. The RCMP Study has been detailed online (www.rcmpstudy.ca) and in a recently published peer-reviewed protocol paper, \"The Royal Canadian Mounted Police (RCMP) Study: protocol for a prospective investigation of mental health risk and resilience factors\" (https:\u002F\u002Fdoi.org\u002F10.24095\u002Fhpcdp.42.8.02). The RCMP Study, part of the concerted efforts by the RCMP to reduce PTSI by improving access to evidence-based assessments, treatments, and training as well as participant recruitment and RCMP Study developments to date. The RCMP Study has been designed to (1) develop, deploy and assess the impact of a system for ongoing annual, monthly and daily evidence-based assessments; (2) evaluate associations between demographic variables and PTSI; (3) longitudinally assess individual differences associated with PTSI; (4) augment the RCMP Cadet Training Program with skills to proactively mitigate PTSI; and (5) assess the impact of the augmented training condition (ATC) versus the standard training condition (STC). Participants in the STC (n = 480) and ATC (n = 480) are assessed before and after training and annually for 5 years on their deployment date; they also complete brief monthly and daily surveys. The RCMP Study results are expected to benefit the mental health of all participants, RCMP and PSP by reducing PTSI among all who serve.",[97,98,99,100,32,34,101,102],"Posttraumatic Stress Disorder","Major Depressive Disorder","Panic Disorder","Generalized Anxiety Disorder","Trauma and Stress Related Disorders","Vicarious Trauma","2023-11-27",{"date":105,"type":74},"2023-11-28",{"date":107,"type":74},"2019-04-22",{"date":109,"type":20},"2029-12",{"name":111,"class":81},"University of Regina",1]