Status:

COMPLETED

Program for Alleviating and Reducing Trauma, Stress, and Substance Use

Lead Sponsor:

Cambridge Health Alliance

Collaborating Sponsors:

Foundation for Self Leadership

Conditions:

PTSD

Substance Use Disorders

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This single-arm study will test the preliminary efficacy of a virtually delivered, live-online 12-week group model of Internal Family Systems (IFS) for individuals with posttraumatic stress disorder (...

Detailed Description

The investigators have conducted a single arm study of a 16 week PARTS group-based program for PTSD symptoms, which demonstrated large effect reductions on PTSD symptoms, disturbances in self-organiza...

Eligibility Criteria

Inclusion

  • Able to bill insurance for group psychotherapy and individual psychotherapy at CHA;
  • Currently or willing to become a patient of CHA primary care or behavioral health care (as defined by an active CHA EPIC EHR record);
  • Have a current diagnosis of PTSD OR a CAT-MH PTSD\>58;
  • Have a current diagnosis of a substance use disorder (SUD), positive Alcohol Use Disorders Identification Test AUDIT-C item about 5 or more drinks at once OR positive toxicology for or self-report of illicit drugs in the past year, or current treatment with medications for OUD, including buprenorphine, naltrexone or methadone.
  • Have sufficient English fluency and literacy skills to understand the consent process, procedures and questionnaires and have the ability to provide written informed consent;
  • Have access to the internet and an electronic device with adequate data capacity; to complete questionnaires online and attend online video conference groups;
  • Must be available and willing to attend 10 of 12 scheduled online group sessions for 12 weeks; and
  • Must be available and willing to complete the online computerized assessments and phone interviews.

Exclusion

  • Inability to complete an informed consent assessment AND/OR inability to complete baseline study assessment procedures (due to cognitive deficit, non-proficiency in English literacy, or for any other reason);
  • Current participation in another experimental research study;
  • Expected medical hospitalization in the next four months from enrollment period;
  • Expected incarceration in the next four months from enrollment period;
  • Individuals who are pregnant with a due date within 16 weeks after study consent;
  • Insufficient level of severity of PTSD symptoms: PTSD score of less than 33 on the PTSD Checklist for DSM-V (PCL-5) at screening visit will require clinical review to consider eligibility;
  • Insufficiently stable housing or internet connection to join at least 10 sessions;
  • Inability to participate safely in the study intervention and without disrupting the group (in the opinion of principal investigator OR meeting any of the following criteria):
  • Past year history of a psychotic disorder or clinician confirmed active psychosis (Severe level of psychosis on PSY-S-CAT \> 60 will require clinical assessment prior to participation in the program)
  • Bipolar I disorder history or current severe level of mania on CAT-M/H (\>70) will require of a clinical assessment prior to participation in the program
  • Acute suicidality with intent will be excluded from the study (Columbia Suicide Rating Scale items 4-6 positive);
  • Self-injurious behavior in past three months will require clinical assessment prior to participation in the program;
  • Acute homicidality with plan and/or intent;
  • Inpatient hospitalization for mental health, substance use, suicide attempt or self-harm within past three months;
  • Severe Borderline Personality Disorder or other severe personality disorder with clinical history that would suggest potential disruptions within the group (would require clinical review);
  • Inability to join a group without intoxication; and/or
  • History of charges for perpetrating intimate partner violence will require clinical assessment prior to participation in the program.

Key Trial Info

Start Date :

September 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 30 2025

Estimated Enrollment :

19 Patients enrolled

Trial Details

Trial ID

NCT06207409

Start Date

September 1 2023

End Date

March 30 2025

Last Update

June 25 2025

Active Locations (1)

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Cambridge Health Alliance

Malden, Massachusetts, United States, 02148