Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05974553

Dialectical Behavior Therapy for Justice-Involved Veterans: A Randomized Clinical Trial

Led by VA Office of Research and Development · Updated on 2025-11-19

200

Participants Needed

2

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Justice-involved Veterans face high risks for suicide and other challenges due to legal issues, mental health, and substance use problems. Dialectical Behavior Therapy for Justice-Involved Veterans (DBT-J) is designed to address these complex needs. This research study is a Phase III clinical trial comparing DBT-J to supportive group therapy to see which better reduces criminal behavior risk and improves psychosocial functioning among these Veterans. Participants will receive either 16 weeks of DBT-J, which includes weekly one-hour group therapy sessions and biweekly 30-minute individual case management, or 16 weeks of supportive group psychotherapy with weekly 75-minute group sessions. Both therapies are provided via telehealth. After the therapy period, a 36-week observation phase follows to monitor longer-term effects. Throughout the study, Veterans will undergo multiple assessments over 52 weeks to measure risk of future criminal behavior, psychosocial functioning, suicidal thoughts, substance use, psychological distress, resilience, quality of life, and other factors. Researchers will use these measurements to compare the two therapies and understand how DBT-J may benefit different subgroups. Participants will be monitored regularly to track changes and outcomes during and after treatment.

CONDITIONS

Brief Title

Dialectical Behavior Therapy for Justice-Involved Veterans

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Veteran aged 18 years or older
  • Able to provide consent
  • Current or recent criminal justice involvement defined as arrest, order of protection, incarceration within two years prior to participation, or supervision by probation or parole at time of participation
Not Eligible

You will not qualify if you...

  • Limited English proficiency
  • Unable to tolerate group therapy format
  • Enrolled in a concurrent clinical trial
  • Currently enrolled or scheduled for DBT- or RNR-based program
  • Prior participation in DBT-J program

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person or via telehealth)

Outpatient Treatment

Duration - 16 weeks

Participants receive 16 weeks of group psychotherapy and case management services tailored for justice-involved Veterans, delivered via telehealth.

Weekly group therapy visits and biweekly individual case management visits

Long-term Monitoring

Duration - 36 weeks

Participants are observed for 36 weeks following treatment to assess ongoing outcomes related to criminal behavior, psychosocial functioning, and other health measures.

Periodic assessments during the 36-week observational period

Trial Site Locations

Total: 2 locations

1

Rocky Mountain Regional VA Medical Center, Aurora, CO

Aurora, Colorado, United States, 80045-7211

Actively Recruiting

2

James J. Peters VA Medical Center, Bronx, NY

The Bronx, New York, United States, 10468-3904

Actively Recruiting

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Research Team

E

Emily R Edwards, PhD

S

Sharon Alter, MA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Frequently Asked Questions

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