NCT03616990

Brief Summary

The Supportive Release Center (SRC) is a collaboration between the University of Chicago Urban Health Lab, Treatment Alternatives for Safe Communities, Heartland Alliance Health, and the Cook County Sheriff's office. The aim of the SRC is to identify individuals with mental illnesses, substance use disorders, and other vulnerabilities as they are released from the Cook County Jail (CCJ), provide an improved environment to assess needs of these individuals, and facilitate effective linkages with social services following release, including medical care and substance use or mental health treatment. The SRC improves the current standard of care offered at the CCJ by introducing mechanisms to facilitate engagement with post-release services and address individuals' immediate acute needs. The primary objective of this randomized controlled trial is to evaluate the impact of assignment to the SRC on the number of arrests within one year of study enrollment among eligible men being released from the Cook County Jail. Researchers hypothesize that the SRC is more effective than usual care at facilitating and ensuring receipt of transition services and care, and that receipt of this treatment will decrease the number of arrests within one year of study enrollment.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
15,195

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 6, 2017

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

July 30, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 6, 2018

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2021

Completed
4.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

April 11, 2025

Status Verified

April 1, 2025

Enrollment Period

3.4 years

First QC Date

July 30, 2018

Last Update Submit

April 8, 2025

Conditions

Mental HealthMental Health ServicesSubstance UseContinuity of Patient CareRecidivism

Keywords

RecidivismSubstance useJailMental healthContinuity of careChicagoNeeds Assessment

Outcome Measures

Primary Outcomes (1)

  • Re-arrest count

    Number of re-arrests within 365 days of study enrollment, measured at the individual level using Illinois State Police arrest records. Follow-up will begin the day an individual is first randomized (index randomization) and ITT group membership will be based upon index treatment assignment. Given expected dispersion and excess zeroes in the final dataset, the ITT treatment effect will be modeled using zero-inflated negative binomial regression. ITT analyses will be supplemented by a TOT analysis treating randomization as an instrument. Covariates for this outcome will include ordinal measures of arrest history (0, 1-2, 3-5, 6-10, and \>10 arrests) and days incarcerated (0, 1-7, 8-14, 15-30, and \>30 days) during the 365 days prior to index randomization.

    365 days

Secondary Outcomes (4)

  • Emergency department (ED) visits

    365 days

  • Days until re-arrest

    365 days

  • Re-arrest count, unique randomizations

    365 days

  • Engagement with homelessness services

    30 days

Study Arms (2)

Usual Care (Control)

ACTIVE COMPARATOR

Usual care. These individuals will receive linkages to community-based services only. These linkages will be made while in the Discharge Area of the Cook County Jail. Individuals randomized on days Heartland Alliance Health recruits at SRC for non-SRC study are excluded from population. Receives: TASC Service Linkages - Discharge Area Only

Behavioral: TASC Service Linkages - Discharge Area Only

Supportive Release Center (Treatment)

EXPERIMENTAL

These individuals will receive SRC services: an overnight stay at the SRC, linkages to community-based services made at the SRC or in the discharge area of the CCJ if they choose not to visit the SRC facility, and access to an Advanced Practice Nurse. Individuals randomized on days Heartland Alliance Health recruits at SRC for non-SRC study are excluded from population. Receives: TASC Service Linkages - Discharge Area Only -OR- SRC Overnight Stay, TASC Services Linkages - SRC Onsite, APN Appointment

Behavioral: TASC Service Linkages - Discharge Area OnlyBehavioral: SRC Overnight StayBehavioral: TASC Services Linkages - SRC OnsiteBehavioral: APN Appointment

Interventions

TASC Service Linkages - Discharge Area OnlyBEHAVIORAL

Individuals will meet with TASC Care Coordinators in the discharge area of the Cook County Jail. Individuals will be screened for housing, health and behavioral health needs and then linked to appropriate community-based services.

Supportive Release Center (Treatment)Usual Care (Control)
SRC Overnight StayBEHAVIORAL

Individuals receiving SRC services will have the option to stay at the SRC overnight. At the SRC, individuals will be able to rest, have a meal, receive a change of clothes, and take a shower in a therapeutic, non-coercive environment.

Supportive Release Center (Treatment)
TASC Services Linkages - SRC OnsiteBEHAVIORAL

While at the SRC, individuals will meet with TASC Care Coordinators. Individuals will be screened for housing, health and behavioral health needs and then linked to appropriate community-based services.

Supportive Release Center (Treatment)
APN AppointmentBEHAVIORAL

Individuals at the SRC will be able to meet with an Advanced Practice Nurse. As part of that visit, the APN will be able to prescribe medications or reroute prescriptions previously administered by the Cook County Jail's hospital, Cermak, to a participant's desired location as needed.

Supportive Release Center (Treatment)

Eligibility Criteria

Age18 Years+
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male adult being discharged from Cook County Jail
  • Individuals indicating a need for services
  • Individuals interested in receiving services

You may not qualify if:

  • Individuals who are not leaving Cook County Jail
  • Female individuals
  • Individuals without acute social needs
  • Individuals below 18 years of age

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cook County Department of Corrections & SRC

Chicago, Illinois, 60608, United States

Location

MeSH Terms

Conditions

Psychological Well-BeingSubstance-Related DisordersRecidivism

Condition Hierarchy (Ancestors)

Personal SatisfactionBehaviorChemically-Induced DisordersMental DisordersCriminal Behavior

Study Officials

  • David Meltzer, MD, PhD

    University of Chicago

    PRINCIPAL INVESTIGATOR

  • Harold Pollack, PhD

    University of Chicago

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Individually-randomized, two-group parallel study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 30, 2018

First Posted

August 6, 2018

Study Start

November 6, 2017

Primary Completion

March 31, 2021

Study Completion

December 31, 2025

Last Updated

April 11, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Locations

US(1)