Homeless Female Offenders Returning to the Community

NCT02258425 | Completed DMC

• 1 other identifier: 1R34DA035409
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

In Phase I of this R34, the team from the University of California Los Angeles, San Francisco, and Irvine researchers plan to utilize the successful community participatory approaches to refine a gender-sensitive criminogenic needs -focused intervention program, Female Ex-Offender Mentoring in Care (FEM-CARE), with the help of a community advisory board, composed of homeless female offenders (HFOs) and addiction staff; and finalize strategies which will be validated by focus group sessions with the HFOs. In Phase 2, the research team will randomize 130 HFOs participating in one of two residential drug treatment programs to assess the impact of the FEM-CARE or a Health Promotion control program on reduction of drug and alcohol use and recidivism. This study is based upon our team's history of promoting theoretically-based, culturally sensitive nurse-led interventions that are enriched with criminal justice theoretical perspectives, and have resulted in significant reductions in drug and alcohol use among homeless persons, many of whom have had a history of incarceration. Specifically, the study aims are: AIM 1) Guided by a Community Advisory Board (CAB) made up of HFOs and addiction staff, further conceptualize our community-based program, Female Ex-Offender Mentoring in Care (FEM-CARE), to address the needs and risks of HFOs enrolled in RDT programs, and then refine the program in focus group discussions with 12 HFOs. AIM 2) Conduct a pilot RCT to assess the impact of the FEM-CARE program for 65 HFOs at six-month follow-up compared with 65 HFOs receiving a control Health Promotion (HP) program, in terms of a) self-reported and/or objective measures of drug and alcohol use; and b) prevalence of recidivism and number of days to first reincarceration. Hypothesis 2a: HFOs in the FEM-CARE program will have less drug and alcohol use at six months than HFOs in the HP control program. Hypothesis 2b: FEM-CARE HFOs will have a lower prevalence of recidivism by six months and greater number of days to first reincarceration than HP control HFOs.

Conditions

Drug Addiction

Keywords

Homeless Women; Parolees; Probationers; Community Drug Treatment; Recidivism

Outcome Measures

Primary Outcomes (1)

• Primary Outcome Measure

  Reduction in drug and alcohol use

  3 years

Secondary Outcomes (1)

• Secondary Outcome Measure

  3 years

Study Arms (2)

FEM-CARE

EXPERIMENTAL

Six specialized nurse case managed and health education sessions and coach-facilitated mentoring

Behavioral: FEM-CARE

Health Promotion

ACTIVE COMPARATOR

One brief basic health education session and coach-facilitated mentoring

Behavioral: Health Promotion

Interventions

FEM-CARE BEHAVIORAL

FEM-CARE

Health Promotion BEHAVIORAL

Health Promotion

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• female parolees or probationers enrolled in a six-month program at one of two residential treatment (RDT) programs,
• convicted for a drug crime, and
• reported homeless on their RDT entry form

You may not qualify if:

• female parolees or probationers not currently enrolled in a six-month program at one of two residential treatment (RDT) programs,
• not recently convicted for a drug crime, and
• not reported homeless on their RDT entry form

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

Amistad de Los Angeles

Los Angeles, California, 90007, United States

Location

Related Publications (3)

• Nyamathi AM, Srivastava N, Salem BE, Wall S, Kwon J, Ekstrand M, Hall E, Turner SF, Faucette M. Female Ex-Offender Perspectives on Drug Initiation, Relapse, and Desire to Remain Drug Free. J Forensic Nurs. 2016 Apr-Jun;12(2):81-90. doi: 10.1097/JFN.0000000000000110.

  PMID: 27195929 BACKGROUND

• Nyamathi AM, Salem BE, Hall E, Oleskowicz T, Ekstrand M, Yadav K, Toyama J, Turner S, Faucette M. Violent Crime in the Lives of Homeless Female Ex-Offenders. Issues Ment Health Nurs. 2017 Feb;38(2):122-131. doi: 10.1080/01612840.2016.1253807. Epub 2017 Feb 2.

  PMID: 28152325 BACKGROUND

• Nyamathi AM, Shin SS, Smeltzer J, Salem BE, Yadav K, Ekstrand ML, Turner SF, Faucette M. Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women: A Randomized Controlled Trial Comparing Dialectical Behavioral Therapy-Case Management With a Health Promotion Program. Nurs Res. 2017 Nov/Dec;66(6):432-441. doi: 10.1097/NNR.0000000000000249.

  PMID: 29095374 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders; Recidivism

Interventions

Health Promotion

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Criminal Behavior; Behavior

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Adeline Nyamathi, PhD

  UCLA/UCI

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Distinguished Professor

Study Record Dates

• First Submitted: October 2, 2014
• First Posted: October 7, 2014
• Study Start: January 1, 2015
• Primary Completion: November 1, 2016
• Study Completion: November 1, 2016
• Last Updated: June 20, 2017

Record last verified: 2017-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)