Treating Violence-related PTSD and Substance Risk in Low-income, Urban Adolescents
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 16 - 25 |
| Updated: | 11/24/2018 |
| Start Date: | December 1, 2017 |
| End Date: | December 31, 2018 |
| Contact: | Jennifer Read, Ph.D. |
| Email: | jpread@buffalo.edu |
| Phone: | 7166450193 |
This project will provide initial feasibility and efficacy data for the implementation of
Narrative Exposure Therapy (NET) to urban, at-risk youth. Posttraumatic stress and substance
use outcomes, as well as participant responses to the intervention, will be examined.
Narrative Exposure Therapy (NET) to urban, at-risk youth. Posttraumatic stress and substance
use outcomes, as well as participant responses to the intervention, will be examined.
The goal of the proposed study is to gather preliminary feasibility and efficacy data for an
innovative intervention (Narrative Exposure Therapy: NET) to promote adolescent mental health
related to interpersonal trauma (IPT). Among those at highest risk for interpersonal violence
and its sequelae are youth from urban, low-resourced neighborhoods. Post-traumatic stress
disorder (PTSD) is a common outcome associated with IPT. Substance misuse (SUB) is a frequent
concomitant of PTSD. NET is a promising intervention to reduce PTSD symptoms and associated
psychological distress, via the supported reconstruction (narrative telling) of the traumas.
NET has a critical advantage over existing PTSD treatments in that it can be delivered in a
brief format, in community settings where at-risk adolescents are likely to be found. Despite
its promise in treating adolescent distress, NET has yet to be tested as an intervention for
those who have interpersonal trauma-related PTSD. Further NET's influence on SUB has not been
examined.
Accordingly, the objective of this project is to conduct a pilot study (N=30) to estimate NET
treatment effects on PTSD symptoms and SUB in IPT-exposed urban adolescents (ages 16-21).
Both feasibility and preliminary efficacy data will be collected to serve as pilot work for a
larger-scale NIH proposal. Recruitment and intervention will be set within community partners
where the adolescents already are connected and are receiving social or psychological
services. Outcome data will be collected at: (T0) Baseline, and at 1(T1), and 3 months (T2)
follow-up assessments. Participant responses to the intervention will be assessed
post-intervention. Change in PTSD, SUB will be estimated with effect sizes and inferential
tests. Preliminary evidence of efficacy and feasibility will pave the way for further NET
development to offer a patient-oriented, community-based, intervention that will promote
adolescent mental health for those at greatest risk for health access and outcomes
disparities.
innovative intervention (Narrative Exposure Therapy: NET) to promote adolescent mental health
related to interpersonal trauma (IPT). Among those at highest risk for interpersonal violence
and its sequelae are youth from urban, low-resourced neighborhoods. Post-traumatic stress
disorder (PTSD) is a common outcome associated with IPT. Substance misuse (SUB) is a frequent
concomitant of PTSD. NET is a promising intervention to reduce PTSD symptoms and associated
psychological distress, via the supported reconstruction (narrative telling) of the traumas.
NET has a critical advantage over existing PTSD treatments in that it can be delivered in a
brief format, in community settings where at-risk adolescents are likely to be found. Despite
its promise in treating adolescent distress, NET has yet to be tested as an intervention for
those who have interpersonal trauma-related PTSD. Further NET's influence on SUB has not been
examined.
Accordingly, the objective of this project is to conduct a pilot study (N=30) to estimate NET
treatment effects on PTSD symptoms and SUB in IPT-exposed urban adolescents (ages 16-21).
Both feasibility and preliminary efficacy data will be collected to serve as pilot work for a
larger-scale NIH proposal. Recruitment and intervention will be set within community partners
where the adolescents already are connected and are receiving social or psychological
services. Outcome data will be collected at: (T0) Baseline, and at 1(T1), and 3 months (T2)
follow-up assessments. Participant responses to the intervention will be assessed
post-intervention. Change in PTSD, SUB will be estimated with effect sizes and inferential
tests. Preliminary evidence of efficacy and feasibility will pave the way for further NET
development to offer a patient-oriented, community-based, intervention that will promote
adolescent mental health for those at greatest risk for health access and outcomes
disparities.
Inclusion Criteria:
- Adolescents (ages 16-25),
- Positive PTSD diagnosis (CAPS diagnosis)
- Positive lifetime incidence of interpersonal violence-related trauma.
Exclusion Criteria:
- Actively suicidal with an immediate referral to the community agency crisis staff
- Severe cognitive delay
- Active psychosis
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