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Effectiveness, Implementation, and Cost of Cognitive Processing Therapy in Prisons
NCT06923423 · View on ClinicalTrials.gov ↗
Study Summary
Addiction and trauma exposure are common among the 5.5 million people (1 in 47 adults) in the U.S. who are in prison or under supervision. About 85% of people in prison have a substance use disorder or are there for a drug-related crime, and many have experienced serious trauma before being incarcerated. Posttraumatic stress symptoms (PTSS) are often a result of trauma and are linked to more severe drug use, higher rates of relapse, and increased crime. PTSS and substance use disorder (SUD) each raise the chances of new arrests for people who are justice-involved, showing that addressing trauma and addiction could help reduce repeat offenses and the costs of incarceration. However, treatments for PTSS are rarely available in prisons, and there is little research on whether providing therapy for PTSS in prison can lower drug use, PTSS, or crime after release. The goal of this clinical trial is to see if trauma-focused group therapy (CPT) provided while in prison, can help people after release from prison. The therapy has been adapted for use in prisons (CPT-CJ) and will be compared to trauma focused therapy delivered via a self-help workbook This study will: * test whether a trauma-focused group therapy (CPT-CJ) can reduce post-incarceration drug and alcohol use, mental health issues, and drug-related crime, compared to trauma-focused self-help, * evaluate a strategy called implementation facilitation, which helps support the use of this therapy in prisons, and * measure the cost of the therapies and support strategies to help plan for future expansion. Incarcerated participants (N = 640; 50% female) will be enrolled from \~10 prisons in \~5 states, ensuring variability in population and setting characteristics. They will: * take surveys and answer questions up to 5 times (before starting treatment, right after getting treatment, right before leaving prison, 3 months after leaving prison and 6 months after leaving prison) * complete CPT group therapy or self-hel
Conditions Studied
Interventions
- BEHAVIORAL Group Cognitive Processing Therapy (CPT)
- BEHAVIORAL Control Group Individual trauma focused self-help via workbook
Study Locations (6)
Arkansas
- University of Arkansas for Medical Sciences — Little Rock
- Northeast Arkansas Community Corrections Center (NEACC) — Osceola
- Southwest Arkansas Community Correction Center — Texarkana
- East Central Arkansas Community Correction Center — West Memphis
North Dakota
- North Dakota State Penitentiary (NDSP) — Bismarck
- Heart River Correctional Center (HRCC) — Bismarck
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 640 participants |
| Start Date | 2025-07-07 |
| Est. Completion | 2028-12 |
| Phase | NA |
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Full Details on ClinicalTrials.gov ↗What the Registry Record Tells You About NCT06923423
The ClinicalTrials.gov registry entry for NCT06923423 describes a study currently listed as recruiting. It is categorized as NA, which is the standard way researchers label where a study sits along the investigational pathway from early safety work through later efficacy and post-marketing evaluation. The registered enrollment target is 640 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is University of Arkansas, which has 194 total studies on file at ClinicalTrials.gov, and sponsors are the parties responsible for study design, oversight, and regulatory filings.
The record links to 10 conditions, with Depression appearing as the primary indexed condition, and to 2 interventions — of which Group Cognitive Processing Therapy (CPT) is the first listed. Interventions can include drugs, devices, procedures, behavioral programs, or observational arms, and each is tracked as a separate registry field so that downstream queries can filter accurately. When a trial lists multiple interventions, it usually reflects a multi-arm design or a comparison protocol rather than a single treatment being tested in isolation. The brief summary published in the registry is the clearest source of protocol intent and should be read before drawing conclusions from any sidebar tags.
Geographic footprint matters for practical reasons: NCT06923423 reports 6 study locations spanning 2 distinct geographic areas — top geographies include Arkansas, North Dakota. A larger site network tends to correlate with broader recruitment capacity, but it does not imply anything about study quality, and site-level enrollment status can diverge from the overall registry status shown above. Every data point on this page comes from the public ClinicalTrials.gov dataset and is reproduced here for reference only; it is not a medical recommendation, an endorsement of the sponsor, or an invitation to enroll. Verify current status, eligibility criteria, and contact details directly at ClinicalTrials.gov, and discuss any participation decision with your own healthcare provider.
Frequently Asked Questions
What is clinical trial NCT06923423 about?
NCT06923423 is a clinical study titled "Effectiveness, Implementation, and Cost of Cognitive Processing Therapy in Prisons". Addiction and trauma exposure are common among the 5.5 million people (1 in 47 adults) in the U.S. who are in prison or under supervision. About 85% of people in prison have a substance use disorder or are there for a drug-related crime, and many have experienced serious trauma before being incarcer...
What is the current status of trial NCT06923423?
This trial is currently recruiting. It is a NA study. The enrollment target is 640 participants. The study started on 2025-07-07. Estimated completion is 2028-12.
What conditions does trial NCT06923423 study?
This clinical trial studies the following conditions: Depression, Mental Health, Trauma, Substance Use Disorder (SUD), PTSD - Post Traumatic Stress Disorder. These conditions were identified from the trial registry and reflect the primary focus areas of the research.
What interventions are being tested in trial NCT06923423?
The interventions under investigation include: Group Cognitive Processing Therapy (CPT) (BEHAVIORAL), Control Group Individual trauma focused self-help via workbook (BEHAVIORAL). Each intervention is being evaluated for safety and efficacy as part of this clinical study.
Who is sponsoring clinical trial NCT06923423?
This trial is sponsored by University of Arkansas, which has 194 total clinical trials registered on ClinicalTrials.gov. The sponsor is responsible for the study's design, funding, and regulatory compliance.
Where is trial NCT06923423 being conducted?
This trial has 6 study locations across Arkansas, North Dakota. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.
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