NCT03556618

A Pilot Trial of a Network Intervention for Youth After Incarceration

Terminated NA Results posted Last updated 27 March 2024

What this trial tests

NA trial testing Whole Person Care (WPC) Reentry Program - Pre & Post Release services in Youth Incarceration in 19 participants. Terminated before completion.

Timeline

2 March 2020

Primary endpoint
16 December 2021

31 October 2023

Quick facts

Lead sponsor	University of California, Los Angeles
Phase	NA
Status	Terminated
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	health services research
Enrollment	19
Start date	2 March 2020
Primary completion	16 December 2021
Estimated completion	31 October 2023
Sites	1 location across United States

Drugs / interventions tested

• Whole Person Care (WPC) Reentry Program - Pre & Post Release services

Conditions studied

• Youth Incarceration — all drugs for Youth Incarceration →
• Health Care Utilization — all drugs for Health Care Utilization →

Sponsor

University of California, Los Angeles

Who can join

Adults 18 to 24, any sex, with Youth Incarceration or Health Care Utilization. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Frequency of Past-month (30-day) Marijuana Use Primary · 3 months post-release

Self-reported frequency of past-month (30-day) marijuana use

Group	Value	95% CI
Control	7.4	± 10.9

Frequency of Past-month (30-day) Alcohol Use Primary · 3 months post-release

Self-reported frequency of past-month (30-day) alcohol use

Group	Value	95% CI
Control	2	± 2.8

Frequency of Past-month (30-day) Marijuana Use Secondary · 9 months post release

Self-reported frequency of past-month (30-day) marijuana use

Group	Value	95% CI
Control	10	± 11.8

Frequency of Past-month (30-day) Alcohol Use Secondary · 9 months post release

Self-reported frequency of past-month (30-day) alcohol use

Group	Value	95% CI
Control	2	± 2.8

Recidivism Secondary · 3 months post-release

Re-arrest since release (self-report and administrative/probation data)

Group	Value	95% CI
Control	0.6	± 1.1

Recidivism Secondary · 9 months post release

Re-arrest since last survey (self-report and administrative/probation data)

Group	Value	95% CI
Control	0.2	± 0.4

Receipt of Behavioral Health Services Secondary · 3 months post-release

receipt of behavioral since release (self-report and verified by administrative/probation data)

Group	Value	95% CI
Control	7

Receipt of Behavioral Health Services Secondary · 9 months post-release

receipt of behavioral since last survey (self-report and verified by administrative/probation data)

Group	Value	95% CI
Control	5

Mental Health Secondary · 3 months post release

self-reported presence of diagnosis of a mental health disorder (will be verified by administrative/probation data)

Group	Value	95% CI
Whole Person Care (WPC) Reentry Program - Post-Release	0
Control	2

Mental Health Secondary · 9 months post release

self-reported presence of diagnosis of a mental health disorder at follow-up (will be verified by administrative/probation data)

Group	Value	95% CI
Control	1

Substance Use Disorders Secondary · 3 months post release

self-reported presence or diagnosis of substance use disorder at follow-up (will be verified by administrative/probation data)

Group	Value	95% CI
Control	1

Substance Use Disorders Secondary · 9 months post release

self-reported presence or diagnosis of substance use disorder at follow-up (will be verified by administrative/probation data)

Group	Value	95% CI
Control	0

Sponsor's own description

A vicious cycle exists between adolescent substance use disorders and youth incarceration. Re-wiring adolescent social networks during community reentry after incarceration can potentially break the cycle of adolescent substance use and youth incarceration. Social networks influence adolescent substance use and delinquent behavior, yet little is known about how to intervene on social networks to improve health. Community reentry is a key opportunity to re-set youths' social networks and re-direct high-risk youth toward a healthier, more supportive network that can foster drug abstinence and reduce recidivism. The investigators hypothesize that an adult who has successfully navigated reentry can guide youth to rewire their social network by encouraging pro-social relationships, troubleshooting basic barriers to healthcare and social services, and helping create linkages to substance use and mental health treatment services. The goal of this study is to measure the impact of a pilot intervention to address two key barriers to accessing behavioral health treatment among recently incarcerated youth: poor care coordination and need for more positive support from the social network. The proposed study intervention, the Whole Person Care (WPC) Reentry Program, is based on the successful adult Transitions Clinic model, and is being adapted for delivery to transition age youth (TAY) by community partners in the Los Angeles County justice system. WPC community health workers (coaches) will provide recently released inmates a formerly incarcerated adult role model who provides care coordination and social support to facilitate access to needed health services, and who actively intervenes to guide TAY youth toward pro-social peers and adults. The investigators propose a pilot longitudinal study of WPC, using a community-partnered participatory research approach. The primary outcome will be reductions in adolescent substance use in response to the intervention (Aim 1). Secondary outcomes will test whether the intervention increases receipt of behavioral health services, decreases recidivism and mental health symptoms, and improves school and work engagement (Aim 2). Finally, the investigators will examine social networks as a potential mechanism by measuring whether youth receiving the intervention report healthier social networks (lower proportion of peers engaging in risky behaviors and a higher number of supportive adults) than control youth (Aim 3).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Interventions for female drug-using offenders.
   Perry AE, Martyn-St James M, Burns L, Hewitt C, et al · · 2019 · cited 10× · PMID 31834635 · DOI 10.1002/14651858.cd010910.pub3