Evaluation of Clinical Effectiveness, Cost, and Implementation Factors to Optimize Scalability of Treatment for Co-occurring SUD and PTSD Among Teens
Real world comparison of Encompass and Risk Reduction Through Family Therapy (RRFT)
Eligible participants will be randomly assigned to RRFT or Encompass (TAU) and will complete four research visits over the course of one year.
Child to Adult
1) Aged 13-18 years 2) Experienced lifetime DSM-V PTSD Criteria A-defined potentially traumatic event 3) Five or more current DSM-V PTSD symptoms 4) Substance use, defined as alcohol or non-tobacco drug use in the past 90 days 5) English-speaking
Inclusion Criteria: 1) Aged 13-18 years; 2) Experienced lifetime DSM-V PTSD Criteria A-defined potentially traumatic event, such as interpersonal violence, with memory of incident(s), such as child sexual abuse (forced or unwanted vaginal or anal penetration by an object, finger, or penis; oral sex; touching of the respondent's breasts or genitalia; or respondents touching of another persons genitalia); child physical abuse (nonaccidental physical injury to the child or any action that results in a physical impairment of the child), witnessed domestic violence (exposure to conduct by a household member against another household member that involves attempted or completed assault or murder); witnessed community violence; dating violence; as well as disasters, accidents, etc.; 3) Five or more current DSM-V PTSD symptoms; 4) Substance use, defined as alcohol or non-tobacco drug use, in the past 90 days prior to study screening per self-report; 5) English-speaking. Exclusion Criteria: 1) Presence of Pervasive Developmental Disability or Moderate/Severe Mental Retardation or other cognitive limitation that would preclude meaningful engagement in RRFT or cognitive-behavioral therapy; 2) Actively suicidal/homicidal; 3) Active psychosis.
Department Specific Free Standing Clinic
Paula Riggs, MD
Protocol Number: 21-3736
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