Reentry Assist (R-Assist)

Meaningful Measurement, Inc

Status

Not yet enrolling

Conditions

Criminal Recidivism

Mental Health Disorder

Substance Use Disorder (SUD)

Treatments

Behavioral: reentry assistance mobile health app

Study type

Interventional

Funder types

Other

Industry

NIH

Identifiers

NCT06980233

STUDY00001884

R41DA061403 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This project will aim to develop and pilot test, R-Assist, a mobile health application to support individuals with co-occurring substance use and mental health disorders (COD) in their recovery, who have recently released from a participating Massachusetts jail.

Full description

This Phase I project will develop and test an mHealth app called R-Assist among individuals with COD recently released from a Massachusetts jail. R-Assist will offer four core features, including linkages to community resources via the resource locator, on demand, tailored self-help materials, and self-management/organizational tools. The following two Aims will be tested: Aim 1. R-Assist software and content prototype development. The 4 R-Assist features will include: 1) daily self-reported symptom and medication management monitoring; 2) a 29-session self-help curriculum, with an accompanying library of recovery resources to support COD symptom management and promote prosocial thinking and behavior; 3) social determinants of health (SDOH) resource finder; and 4) a dashboard to track R-Assist engagement. Aim 2. A successive cohort study of the R-Assist prototype with participants who have recently left jail (N = 38). This will include three successive field focus group cohorts with 18 participants, followed by a small open pilot with 20 participants. This project's four milestones will be executed in preparation for a larger Phase II trial.

Milestone 1 (Months 1-5): R-Assist App Development and Interface Designs

o No human subjects involvement
Milestone 2 (Months 6-7): Initial Evaluation/Refinement of R-Assist

o To recruit N=18 individuals for this Milestone
Milestone 3 (Months 8-10): Open Pilot of R-Assist

o To recruit recruit N=20 individuals for this Milestone
Milestone 4 (Months 11-12): Product Refinement Prior to Phase II and Dissemination o No human subjects involvement

Enrollment

38 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Have been released from the participating jail within the past 150 days
Own a smartphone (Android or iOS; 90% met this criterion in our prior studies)
Have COD: any substance use disorder (we will allow poly-substance use disorders) and a co-occurring mental health disorder (depression, anxiety, trauma related disorders, bipolar, and/or schizophrenia)
Consent to R-Assist app use observation and e-tracking
Consent to audio recording during interviews and focus groups.

Exclusion criteria

Acutely suicidal, homicidal, or psychotic
Unable to provide informed consent
Individuals released with monitoring devices or individuals involved in drug treatment courts