Reducing Offenders' HIV Risk: MI Enhanced Case Management With Drug-Free Housing
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/19/2018 |
| Start Date: | January 2014 |
| End Date: | July 2017 |
The goal of the study is to see if a Motivational Interviewing Case Management (MICM)
intervention will improve outcomes for respondents who are on probation or parole, at risk
for HIV and have recently entered a Sober Living House. The MICM will help respondents access
needed services, adapt to their new living environment, find and maintain work, address HIV
risk and treatment, and manage setbacks. The risk for HIV infection among criminal justice
offenders is significant, as is the need for stable, drug free housing in this population.
Our aim is to see if the MICM intervention in the context of drug free housing will improve
health outcomes and reduce recidivism.
intervention will improve outcomes for respondents who are on probation or parole, at risk
for HIV and have recently entered a Sober Living House. The MICM will help respondents access
needed services, adapt to their new living environment, find and maintain work, address HIV
risk and treatment, and manage setbacks. The risk for HIV infection among criminal justice
offenders is significant, as is the need for stable, drug free housing in this population.
Our aim is to see if the MICM intervention in the context of drug free housing will improve
health outcomes and reduce recidivism.
This study is based on the premise that probationers and parolees must have access to stable,
drug-free housing to reduce HIV risk, access needed services and avoid rearrests and
reincarceration. Drug-free housing at the Sober Living Network (SLN) in California are being
studied as a way to provide a positive living environment for probationers and parolees. The
houses use a sober living house (SLH) model of recovery that includes a communal recovery
environment, abstinence from drugs and alcohol, peer support, and encouragement to attend
self-help groups such as Alcoholics Anonymous.
The proposed study will improve SLHs for offenders by adding a Motivational Interviewing Case
Management (MICM) intervention specifically targeted to the problems presented by each
offender. The list of potential problems that MICM can address is extensive: 1) adapting to
the SLH environment, 2) complying with parole and probation, 3) finding and maintain work, 4)
successfully accessing and maintaining retention in services, 5) addressing HIV risk, testing
and treatment, 6) mobilizing personal and informal resources, and 7) managing setbacks (e.g.,
relapse, loss of housing, loss of work).
Men and women involved with the criminal justice system (N=330) entering SLHs will be
assigned to a condition consisting of a provision of a resources manual where residents can
seek help for a variety of problems (a control group) or the MICM (intervention).To avoid
mixing individuals who receive the intervention with individuals who do not within the same
house, houses are randomized at the house level. Once a house is randomized to a study
condition, all of the individuals recruited from that house receive the same intervention,
MICM or SLH as usual. To avoid contamination of study conditions by gender, randomization
procedures are stratified by houses for men, women, and both genders. Research interviews are
conducted at baseline (within one month of entering the houses), 6 months, and 12 months.
Follow-up interviews are conducted whether or not the participant leaves the SLH and at a
site that is the most comfortable for the participant.
drug-free housing to reduce HIV risk, access needed services and avoid rearrests and
reincarceration. Drug-free housing at the Sober Living Network (SLN) in California are being
studied as a way to provide a positive living environment for probationers and parolees. The
houses use a sober living house (SLH) model of recovery that includes a communal recovery
environment, abstinence from drugs and alcohol, peer support, and encouragement to attend
self-help groups such as Alcoholics Anonymous.
The proposed study will improve SLHs for offenders by adding a Motivational Interviewing Case
Management (MICM) intervention specifically targeted to the problems presented by each
offender. The list of potential problems that MICM can address is extensive: 1) adapting to
the SLH environment, 2) complying with parole and probation, 3) finding and maintain work, 4)
successfully accessing and maintaining retention in services, 5) addressing HIV risk, testing
and treatment, 6) mobilizing personal and informal resources, and 7) managing setbacks (e.g.,
relapse, loss of housing, loss of work).
Men and women involved with the criminal justice system (N=330) entering SLHs will be
assigned to a condition consisting of a provision of a resources manual where residents can
seek help for a variety of problems (a control group) or the MICM (intervention).To avoid
mixing individuals who receive the intervention with individuals who do not within the same
house, houses are randomized at the house level. Once a house is randomized to a study
condition, all of the individuals recruited from that house receive the same intervention,
MICM or SLH as usual. To avoid contamination of study conditions by gender, randomization
procedures are stratified by houses for men, women, and both genders. Research interviews are
conducted at baseline (within one month of entering the houses), 6 months, and 12 months.
Follow-up interviews are conducted whether or not the participant leaves the SLH and at a
site that is the most comfortable for the participant.
Inclusion Criteria:
- Be 18 years or older
- Speak English
- Entered the sober living house in the last month
- Able to provide contact info for followups
- Willing to attend MICM sessions
- On probation or parole
- ONE of the following: tested positive for HIV, injected drugs, sex work history, men
who have sex with men (MSM), or women who have had unprotected sex in the last month
with multiple partners
Exclusion Criteria:
- serious mental health disorder that would hinder their ability to provide informed
consent or otherwise participate
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