Evaluating the Changing Lives and Changing Outcomes-9 Group Intervention for Adults with Serious Mental Illness and Legal Involvement at Worcester Recovery Center and Hospital

What this Trial Is About

Researchers are studying the Changing Lives and Changing Outcomes-9 CLCO-9 program, a cognitive-behavioral group intervention designed for people with serious mental illnesses such as depression, bipolar disorder, and psychotic disorders who have current or past involvement with the legal system. This study takes place at the Worcester Recovery Center and Hospital WRCH and aims to evaluate the feasibility, effectiveness, and clinician impact of this intervention in a state hospital setting. The CLCO-9 intervention consists of nine group sessions led by trained WRCH clinical staff or trainees. The study has two phases the first focuses on implementing and adjusting the intervention for success, and the second assesses how well the treatment improves mental health and reduces legal risk factors. All participants receive the CLCO-9 program alongside their usual hospital services. Participants will attend group sessions and complete assessments before and after treatment to measure changes in mental health, aggression, criminal thinking, attitudes, and knowledge related to the intervention. Researchers also review hospital records for behavioral changes such as violence risk and use of restraints. Clinicians leading the groups will complete surveys to assess their knowledge and attitudes about criminal risk. The study expects around 20 patients to complete treatment, with involvement lasting approximately seven weeks from start to finish.

Changing Lives and Changing Outcomes-9 at Worcester Recovery Center and Hospital