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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01MD018255-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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This proposal will address financial wellbeing, an often overlooked but important factor impacting reentry for justice-involved people with mental health challenges, who are disproportionately Black and Latine. The project will change community level determinants by integrating financial capability support (one-on-one coaching and access to financial tools and services) into existing services and training bank and credit union staff to reduce discrimination. It will also support collaborative community efforts working towards upstream policy and legal reforms to reduce the incidence of those financial challenges.
This research project will use Community Based Participatory Research (CBPR) methods to achieve the following specific aim:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Financial Capability Support | No Intervention | The participants in this arm will receive one-on-one financial coaching, which entails monthly or more frequent meetings with a financial coach. The initial meetings will be held in person and subsequent meetings may be held via zoom, phone, or in person depending on the comfort and convenience of the participant. Participants will also receive access to safe and affordable financial services, which includes support with managing any existing bank accounts, or supporting a person to open a new overdraft-free account. Coaches can also help people to access other financial products such as free tax preparation (VITA), credit builder loans, online bank accounts, or other products recommended by our Justice Tech partner. | |
| Financial Capability Support with Peer Support | Experimental | The participants randomized into this arm will receive services offered in the Financial Capability Support arm with the additional services of one-on-one peer support provided by a trained Recovery Support Specialist. Recovery Support Specialist, also referred to as Wellness coaches, will provide weekly meetings (30-60 minutes in duration) to the participants. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Financial Capability Support with Peer Support Services | Behavioral | The participants in this arm will receive one-on-one financial coaching, which entails monthly or more frequent meetings with a financial coach. Participants will also receive access to safe and affordable financial services, which includes support with managing any existing bank accounts, or supporting a person to open a new overdraft-free account. Coaches can also help people to access other financial products such as free tax preparation (VITA), credit builder loans, online bank accounts, or other products recommended by our Justice Tech partner. The participants will also receive will receive the additional services of one-on-one peer support provided by a trained Recovery Support Specialist. Recovery Support Specialist, also referred to as Wellness coaches, will provide weekly meetings (30-60 minutes in duration) to the participants. |
| Measure | Description | Time Frame |
|---|---|---|
| Finances After Incarceration | 57 questions (plus sub-questions) measuring financial health after incarceration. Outcomes include: use of safe and affordable financial products (no/yes averaged across multiple products, range 0-1), Savings (ordinal scale for amount of savings, range 1-8), Credit score (ordinal scale for range of credit scores, range 0-6). Measuring change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Money And Mental Health Scale | 9-item survey used to measure money and mental health, including financial well-being. Total score range is 0-4, Higher scores indicate worse effect of money on mental health. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Housing & Employment - QOL | 21-items selected from the Endicott Quality of Life measuring housing and employment. Subscales include satisfaction with living situation, satisfaction with safety, and satisfaction with work. Satisfaction rating scales range from 1-7 with higher scores indicating more satisfaction. An additional outcome is number of days worked in the last 90 days. For both satisfaction and number of days worked, measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Social Needs Screening Tool (CMS-AHC HRSN) | 24-item screening tool assessing social determinants of health. Outcomes include financial strain (1-3), employment help needed (1-3), living situation (1-3). Higher scores indicate more social needs. Measuring change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Service Utilization | 31-item survey used to measure utilization of health and mental health services. Outcomes are indicated by subscales measuring number of visits to medical care outpatient, medical emergency services, mental health outpatient, mental health emergency services, psychiatric rehabilitation services, self-help programs, and alcohol/drug counseling. Other subscales indicate number of nights in a facility for a medical/surgical problem, psychiatric problem, substance use problem, or staffed residential facility. Answer formats are number of visits or days. Higher scores indicate more service use. Measuring mean change over time. |
| Measure | Description | Time Frame |
|---|---|---|
| Recidivism | Number of days spent in jail/prison in last 6 months. The data are assessed through self-report and the public access criminal database called ctlookup.org. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Wellness in 8 Dimensions Inventory |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Annie Harper, Ph.D. | Yale University | Principal Investigator |
| Chyrell Bellamy, Ph.D. | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale University Program for Recovery and Community Health | New Haven | Connecticut | 06513 | United States |
Data will be shared via the National Data Archive (NDA).
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 13, 2024 | Jul 30, 2024 | Prot_000.pdf |
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| ID | Term |
|---|---|
| D000086522 | Financial Stress |
| D019966 | Substance-Related Disorders |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D064419 | Chemically-Induced Disorders |
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| Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Access To Health Services (from Phenx Toolkit) | 10 questions measuring access to healthcare services. Outcomes include wellness visit in the past year (yes/no), delaying/missing medical care because of the cost (yes/no), number of urgent care visits, having a usual place to go for medical care (no, yes, multiple). Measuring change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Intersectional Discrimination Index | 44-items (with branching logic) assessing discrimination, rating scales vary by question. Anticipated discrimination subscale ranges from 0-4, meaned across items. Lifetime day-to-day discrimination subscale ranges from 0-9, summed across items. Past year day-to-day discrimination subscale ranges from 0-18, summed across items. Lifetime major discrimination subscale ranges from 0-26, summed across items. Past year major discrimination subscale ranges from 0-13, summed across items. Higher scores indicate more discrimination. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
67-item survey measuring wellness, rating scale 1-4, summary score meaned across items. Total score range is 1-4. Higher scores indicate higher wellness. Measuring mean change over time. |
| Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| SF-12v2 (Short Form Health Survey) | 12-item survey measuring health, question format varies. Subscale range is 0-4 for Physical Component/Limitations Summary and Mental Component/Limitations Summary. Higher scores indicate more interference with daily living due to health problems. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Promis 1.0 - Anxiety for DSM-5 | 8-item survey measuring anxiety. Rating scale is 1-5, summary score is meaned across items. Total score range from 1-5. Higher scores indicate more anxiety. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Patient Health Questionnaire (PHQ-9) | 10-item survey measuring depression, rating scale is 0-3, summary score meaned across items. Total score ranges from 0-3. Higher scores indicating more depression. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| PCL-5, (PTSD Checklist for DSM-5) | 20-item survey measuring trauma. Rating scale is 0-4, summary score meaned across items. Total score range is 0-4. Higher scores indicate more traumatic symptoms. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| Addiction Severity Index (ASI) Limited Form | 37-item survey measuring addiction with higher scores indicating more addiction, question format varies. Rating scale total score range from 0-4. Total scores range 0-1 for Alcohol Use Composite Score and Drug Use Composite Score. Higher scores indicate more alcohol or drug use/problems. Measuring mean change over time. | Baseline Assessment, 6-Month Assessment, and 12-Month Assessment |
| D001523 |
| Mental Disorders |
| D010549 | Personal Satisfaction |