- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00648115
Evaluating Vocational Materials for Incarcerated Veterans With Mental Illness or Substance Abuse
Evaluating Vocational Materials for Incarcerated Veterans With Mental Illness
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
The Department of Justice's Bureau of Justice Statistics (BOJS, 2000) reported in 2000 over 225,000 veterans were incarcerated in the nations' criminal facilities; 1 in 5 of these veterans saw combat during service. Approximately 78,000 veterans annually will be released from incarceration with 30% of those released from incarceration are re-arrested within 3 months, 44.1% re-arrested at one year, and 67.5% within 3 years. These numbers are higher with those with serious mental illnesses: 54.3% re-arrest rates at one year and 72% at 3 years.
The living status that many of these veterans with felonies return to is dire. In a survey of dually diagnosed and mentally ill offenders, 22% of mentally ill offenders and 43% of mentally ill offenders with substance addiction believed they would be homeless upon release. Ex-felons often return to more disadvantaged communities where employment is scarce (La Vigne, Mamalian, Travis, & Visher, 2003). Employers are reluctant to hire those with a history of incarceration due to biases against ex-offenders or due to legal liability (Connerley, Arvey, & Bernardy, 2001) or other biases (Holzer, 1996). Overall, employers have been shown to be less likely to hire ex-convicts than those with little work experience or those who are receiving welfare benefits (Holtzer, 1996).
The goal of this study is to identify successful vocational re-integration modalities for mental health and/or substance dependent veterans recently released from incarceration and those with felony histories. Specific Goals are 1) test time to employment between manual conditions; 2) test total time employed over the 12 months following training period; and 3) test economic impact between manual conditions The study will be a controlled 3 group randomized design. The independent variable will be the amount of vocational services received. Veterans will be randomly assigned to one of three conditions: 1) Basic vocational services but no manualized vocational program; 2) self-study of the manualized program; and 3) a full program consisting of the manualized program with vocational staff and peer vocational support specialists. All veterans enrolled in the study will have access to a Veteran's Employment Resource Center to provide infrastructure for job search.
Three primary dependent variables will be used. The first is the time till employment. The second is the total time employed during the 12 months following training. The third will be the economic impact of the training through differences in services required (e.g. emergency room visits, food stamps, cost of shelters, costs of rearrests) and income earned. Type of job skills, job history, and time incarcerated are some of the variables that potentially will be statistically controlled.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
Texas
-
Dallas, Texas, États-Unis, 75216
- VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- underemployed or unemployed
- has a mental health or substance dependence diagnosis
- desires to enter the workforce through competitive employment.
- History of at least one felony conviction
Emphasis will be placed on returning OEF/OIF veterans, combat veterans, and women veterans. Veterans entering the study can be recruited regardless of living situation.
Exclusion Criteria:
- pursuing disability benefits due to unemployability
- diagnosis of dementia or evidence of severe cognitive impairment
- impaired reality testing due to psychosis
- actively suicidal or homicidal.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Autre: Basic Vocational Services
Veteran receives basic vocational services
|
Vocational services
|
Comparateur actif: Self-Study
Veteran participates in self-study vocational program
|
Veteran receives self-study resources
|
Comparateur actif: Group program
Group based vocational program
|
Veteran participates in group vocational program
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Time Till Employment in Days
Délai: 12 months
|
Number of days until first day of competitive employment
|
12 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Test Economic Impact Between Manual Conditions (e.g., Cost-benefit Ratio)
Délai: 12 months
|
overall economic impact, in dollars, will be evaluated by the following formula: income - healthcare cost - cost of incarceration
|
12 months
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: James P. LePage, PhD, VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX
Publications et liens utiles
Publications générales
- Garcia-Rea E, LePage JP. Reliability and validity of World Health Organization Quality of Life-100 in homeless substance-dependent veteran population. J Rehabil Res Dev. 2008;45(4):619-25. doi: 10.1682/jrrd.2007.03.0048.
- LePage JP, Washington EL, Lewis AA, Johnson KE, Garcia-Rea EA. Effects of structured vocational services on job-search success in ex-offender veterans with mental illness: 3-month follow-up. J Rehabil Res Dev. 2011;48(3):277-86. doi: 10.1682/jrrd.2010.03.0032.
- LePage JP, Lewis AA, Washington EL, Davis B, Glasgow A. Effects of structured vocational services in ex-offender veterans with mental illness: 6-month follow-up. J Rehabil Res Dev. 2013;50(2):183-92. doi: 10.1682/jrrd.2011.09.0163.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- D6192-R
- 08-004 (Autre identifiant: Prostate Cancer Clinical Trials Consortium Protocol Number)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur Maladie mentale
-
Centre Hospitalier Régional Metz-ThionvilleComplété
-
The Royal Ottawa Mental Health CentrePas encore de recrutement
-
The University of Hong KongRetiré
-
Method X Studios LtdGuy's and St. Thomas' CharityComplété
-
Groupe Hospitalier Mutualiste de GrenobleComplétéHandicaps Mental | Handicaps physiquesFrance
-
The University of Hong KongThe Hong Kong Council of Social ServiceComplété
-
The University of Hong KongHong Kong Family Welfare SocietyComplété
-
University of OxfordComplétéTraitement émotionnel | Exercice mentalRoyaume-Uni
-
The University of Hong KongThe Hong Kong Council of Social ServiceComplété
Essais cliniques sur Basic Vocational Services
-
Universidad de AntioquiaRetiré
-
Brigham and Women's HospitalThrasher Research Fund; Ministry of Health, Rwanda; Partners in HealthInconnueMaladie aiguëRwanda
-
Tetec AGWinicker Norimed GmbH; Aesculap AGComplétéMaladies cartilagineusesAllemagne, Suisse
-
MedtronicNeuroComplétéVessie hyperactive | Syndrome d'urgence-fréquence | Incontinence urinaire par impériositéÉtats-Unis, Pays-Bas, Canada, Royaume-Uni
-
Judge Baker Children's CenterComplétéTroubles anxieux | Troubles du comportement perturbateur | Troubles dépressifsÉtats-Unis
-
Children's Hospital Los AngelesNational Center for Advancing Translational Sciences (NCATS); AltaMed Health...SuspenduParentalité | Problème de comportement de l'enfant | L'éducation des enfantsÉtats-Unis
-
Penn State UniversityPas encore de recrutementLa dépression | Anxiété | Stress chroniqueÉtats-Unis
-
Penn State UniversityActif, ne recrute pasLa dépression | Anxiété | Stress chroniqueÉtats-Unis
-
Maastricht University Medical CenterCatharina Ziekenhuis Eindhoven; Eindhoven University of TechnologyComplétéCancer colorectal | Polype colorectalPays-Bas
-
Athena Institute, NetherlandsYakult Europe BVInconnue