Intervention for pregnant women in jail with substance use issues

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot trial aims to evaluate the feasibility, acceptability, and efficacy of the CHOICES-PLEAS intervention among incarcerated women with substance use disorders. Participants will receive three motivational interviewing sessions and a family planning referral during their 90-day court-mandated treatment program. The study will assess whether this intervention reduces the risk of substance-exposed pregnancies and increases motivation to change substance use behaviors. A total of 90 women will be recruited and randomized into intervention and control groups over a 2.5-year period.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* English-speaking
* Capable of becoming pregnant (did not undergo a permanent sterilization procedure and not using a highly effective long-acting reversible birth control method, i.e. intrauterine device or implant.)
* During the three year prior to arrest or entering the treatment program engaged in vaginal sex with a male partner.
* During the three months prior to arrest or entering the treatment program used at least one substance (heroin, fentanyl, opioids, cocaine, methamphetamine, or marijuana or alcohol with another substance).
* (For women recruited from the MAT Program): Expected length of incarceration at the St. Louis County Jail 2-6 months; expected release into the community.

Exclusion Criteria:

* Participated in a focus group that was part of the formative work for this study to create the intervention adaptation
* Non-English-speaking
* Not capable of pregnancy (underwent a permanent sterilization procedure or using a long-acting reversible contraceptive method)
* No vaginal sex with a male partner in the 3 years prior to incarceration or entering the treatment program.
* No use of an illicit substance, such as only alcohol or marijuana use not in combination with another substance

Where it's running

• Buzz Westfall Justice Center
  St Louis, Missouri, United States Recruiting

Study contacts

• Principal investigator: Jennifer R Bello Kottenstette, MD — St. Louis University
• Study coordinator: Jennifer R Bello Kottenstette, MD
• Email: jennifer.bellokottenstette@health.slu.edu
• Phone: 314-617-3445

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Interprofessional Training to Improve Care for Peri-Delivery Patients with Substance Use Disorder

  This program tests INSPIRE, a set of online and in-person trainings for healthcare teams to reduce stigma and improve care for people with substance use disorder around labor, delivery, and postpartum at the University of Utah.

  Recruiting University of Utah · Salt Lake City, Utah · NCT07707115

• Effects of comorbidity on people with severe mental illness

  This study tests how having both alcohol/substance use and a severe mental illness affects hospitalizations, medications, and social participation among adults followed at a mental health center.

  Recruiting Abant Izzet Baysal University · Bolu, Bolu · NCT07692984

• Interdisciplinary support to smooth care transitions for hospitalized adults with substance use disorders

  This study tests a team-based in-hospital and post-discharge program to help adults with substance use disorders move from hospital care to ongoing community treatment.

  Recruiting University of Utah · Salt Lake City, Utah · NCT07575373

• Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Criminal Justice (MISSION-CJ) for re-entry

  This trial tests a multicomponent program called MISSION-CJ with Peer Linkage Support to help adults released from two Massachusetts jails who have both mental health and substance use disorders.

  Recruiting at 2 sites University of Massachusetts, Worcester · Northampton, Massachusetts and 1 other locations · NCT07555145

• Helping toddlers of caregivers with substance use disorders build language skills with group and individualized parenting supports

  This project will test whether adding coaching and one-on-one lessons to a group parenting program helps toddlers (12–42 months) of caregivers with substance use disorders develop better language skills.

  Recruiting University of Oregon · Eugene, Oregon · NCT07529327

• Recovery Inspired Support Engagement: A 12‑week 1-on-1 program for families and friends supporting someone in recovery

  A 12‑week telehealth program will test whether a one‑on‑one support program for people who support loved ones in substance use recovery is doable and acceptable.

  Recruiting Mclean Hospital · Belmont, Massachusetts · NCT07519759

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.