Self-wise, Other-wise, Streetwise (SOS) training: a novel intervention to reduce victimization in dual diagnosis psychiatric patients with substance use disorders: protocol for a randomized controlled trial

BMC Psychiatry

Anna E. Goudriaan⁴  Jack J. M. Dekker¹  Matthijs Blankers³  Martijn J. Kikkert⁴  Marleen M. de Waal² 

[1] Department of Clinical Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands;Academic Medical Center, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, The Netherlands;Trimbos Institute – Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, 3521 VS, The Netherlands;Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN, Amsterdam, The Netherlands

关键词: SOS training;    Street skills;    Social skills;    Emotion regulation;    Violence prevention;    Intervention;    Severe mental illness;    Substance use disorders;    Dual diagnosis;    Victimization;   

Others  :  1231559
DOI  :  10.1186/s12888-015-0652-1

 received in 2015-07-22, accepted in 2015-10-16,  发布年份 2015

【 摘 要 】

Background

Psychiatric patients are more likely to be victims of crime than others in the community. Dual diagnosis patients with comorbid psychiatric and substance use disorders are especially prone to victimization. Victimization is associated with substance abuse, more severe symptomatology and homelessness. There is a strong need for interventions to reduce victimization in this population. We developed the Self-wise, Other-wise, Streetwise (SOS) training to reduce victimization in patients with dual diagnosis.

Methods/design

This study is a randomized controlled trial using a parallel group design to determine the effectiveness of adding the SOS training to care as usual. Patients with dual diagnosis (N = 250) will be allocated to either care as usual plus SOS training (N = 125) or care as usual only (N = 125) using computer-generated stratified block randomization. To compare effectiveness participants will be interviewed at baseline and 2, 8 and 14 months follow-up. The primary outcome measure is treatment response (yes/no), defined as either no victimization at 14 months follow-up or at least a 50 % reduction in incidents of victimization at 14 months follow-up compared to baseline assessment. Victimization is measured with the Safety Monitor, an adequate self-report instrument used by Statistics Netherlands to measure victimization on a large scale in the Netherlands. Outcome assessors are blind to treatment allocation. An economic evaluation will be performed alongside the randomized controlled trial and will take the societal perspective.

Discussion

This study is the first randomized controlled trial to examine the effectiveness of an intervention that aims to reduce victimization in patients with dual diagnosis. If the intervention is effective it can be implemented in mental health care and contribute to the safety and well-being of patients.

Trial registration

Dutch Trial Register (NTR): 4472, date of registration: 24-03-2014.

【 授权许可】

   
2015 de Waal et al.

【 图 表 】

Fig. 1.

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