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Purpose: To conduct a pilot study of a cognitive-behavioral treatment (CBT) for PTSD and substance abuse among persons with serious mental illness (SMI) treated in a community setting.
Participants: Participants will be 50 volunteer adult individuals with PTSD and substance use disorders (SUD), and SMI who are receiving services at the Freedom House Recovery Center, served through the Orange Person Chatham (OPC) Area Program.
Procedures (methods): Participants will be randomly assigned to one of two conditions: 1) the CBT intervention plus treatment as usual; or, 2) treatment as usual.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CBT Intervention | Experimental | The CBT intervention includes psychoeducation and coping and social skills delivered in a group format, and exposure therapy delivered in individual sessions |
|
| Treatment as Usual | Active Comparator | The TAU Condition will receive usual services at the community clinic, which may include medications, individual or group therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CBT and exposure therapy for PTSD | Behavioral | The CBT intervention will be administered twice weekly in group therapy sessions for 7 weeks, and then twice weekly individual sessions for 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinician Administered PTSD Scale | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Addiction Severity Index | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
• Psychiatric hospitalization or suicide attempt in the past two months
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| Name | Affiliation | Role |
|---|---|---|
| Karen J Cusack, PhD | University of North Carolina, Chapel Hill | Principal Investigator |
| William Blair, B.S. | University of North Carolina, Chapel Hill | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Freedom House | Chapel Hill | North Carolina | 27516 | United States |
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| Treatment as Usual | Other | Participants in the treatment as usual condition will receive their usual services at the community clinic where they receive mental health and substance abuse services |
|
| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
| D064419 | Chemically-Induced Disorders |
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| ID | Term |
|---|---|
| D007171 | Implosive Therapy |
| D013812 | Therapeutics |
| ID | Term |
|---|---|
| D003887 | Desensitization, Psychologic |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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