The goal of this clinical trial is to determine whether an apprenticeship-based workforce model, the Community Restitution Apprenticeship-Focused Training (CRAFT), improves recovery outcomes for persons with substance use disorder. The main research questions are:
* Does the CRAFT workforce model improve recovery and social capital for justice-involved adults with substance use disorder? * Does the CRAFT workforce model reduce Day Report Program violations for justice-involved adults with substance use disorder?
Secondary research questions include:
* Are there differences in program effects between men and women? * Are there differences in program effects across age groups? Researchers will compare the CRAFT apprenticeship-based workforce model to the standard employment model for Day Report Program participants to determine whether the apprenticeship-based model improves outcomes.
Participants assigned to the CRAFT apprenticeship-based workforce model will:
* Complete community service focused on job-specific training * Meet with study staff monthly to complete questionnaires * Work with study staff to engage in workplace mentoring * Maintain consistent follow-up with their Day Report Program case managers
Active client of the Greenbrier County, West Virginia Day Report program.
18+ years of age
An adult who has been charged with a nonviolent felony or misdemeanor offense and have a substance abuse problem.
Persons with a prior felony conviction in which he/she used force against another person with intent to cause serious bodily harm or death
An offender is currently charged with a sexual offense or any offense involving a child victim or offense involving the illegal use of a firearm or other dangerous weapon.
If death or serious bodily injury occurred to any person during an offender's crime or if any offender used force against another person during an offender's crime or if any offender used force against another person during the crime.
Parallel
Community Restitution Apprenticeship-Focused Training (CRAFT)
Other interventionTwenty-five participants will be randomly assigned to the intervention arm. Participants will receive the standard services of the Day Report Program plus enrollment in the CRAFT model. CRAFT involves completion of community service activities designed to develop career-related skills and placement in an apprenticeship with a local employer. Participants may also be offered the opportunity to enroll in Jobs and Hope West Virginia, a recovery-oriented employment program that supports individuals in recovery and employers hiring a recovery workforce. Enrollment in Jobs and Hope WV is encouraged but voluntary.
Standard Employment Model
Other interventionTwenty-five participants will be randomly assigned to the comparator arm. Participants will receive the standard services of the Day Report Program, which include cognitive behavioral therapy (CBT) supports with small incentives such as gift cards, small giveaways, or hosted events determined by Day Report Program case coordinators. Participants may also be offered the opportunity to enroll in Jobs and Hope West Virginia, a recovery-oriented employment program that provides workforce support for individuals in recovery and employers. Enrollment in Jobs and Hope WV is encouraged but voluntary. All participants will also have access to free public transportation through the Mountain Transit Authority to commute to and from work.
Mean change in REC-CAP Social Capital Scale score from baseline to 6 months
Social recovery capital will be measured using the REC-CAP Social Recovery Capital Scale. Mean change in scores from baseline to 6 months will be compared between the CRAFT intervention group and the standard employment group.
Mean change in REC-CAP Recovery Capital Index score from baseline to 6 months
Personal recovery capital will be measured using the REC-CAP Recovery Capital Index. Mean change in scores from baseline to 6 months will be compared between the CRAFT intervention group and the standard employment group.
Number of reportable Day Report Program violations per participant over 6 months
Violations will be abstracted from Day Report Program records and summarized as the number of reportable incidents per participant. Mean monthly violations over 6 months will be compared between groups
Sex-based differences in REC-CAP recovery capital scores and Day Report Program violations
Recovery capital scores (REC-CAP Social Recovery Capital and Recovery Capital Index) and number of Day Report Program violations will be analyzed by sex (male vs. female) to assess differential effects of the CRAFT workforce model.
Age-based differences in REC-CAP recovery capital scores and Day Report Program violations
Recovery capital scores (REC-CAP Social Recovery Capital and Recovery Capital Index) and number of Day Report Program violations will be analyzed by age group (18-29, 30-44, ≥45) to assess differential effects of the CRAFT workforce model.
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West Virginia School of Osteopathic Medicine
Lead sponsor
West Virginia First Foundation, Inc.
Collaborator
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