TY - JOUR PY - 2019// TI - Self-wise, Other-wise, Streetwise (SOS) training, an intervention to prevent victimization in dual diagnosis patients: results from a randomized clinical trial JO - Addiction A1 - de Waal, Marleen M. A1 - Dekker, Jack J. M. A1 - Kikkert, Martijn J. A1 - Christ, Carolien A1 - Chmielewska, Jaga A1 - Staats, Monique W. M. A1 - van den Brink, Wim A1 - Goudriaan, Anna E. SP - 730 EP - 740 VL - 114 IS - 4 N2 - BACKGROUND AND AIMS: Patients with co-occurring substance use and other mental disorders are vulnerable to crime victimization, yet no evidence based preventive interventions exist. Our aim was to test the efficacy of a new intervention, Self-wise, Other-wise, Streetwise training (SOS-training), to prevent victimization in these dual diagnosis patients as an add-on to care as usual.

DESIGN: Multi-site single-blind parallel randomized controlled trial. SETTING: Three sites within one psychiatric service in Amsterdam, the Netherlands. PARTICIPANTS: Adult inpatients and outpatients with dual diagnosis (n=250), who were predominantly male (70.4%), on average 42.1 years old, and diagnosed with 3.7 DSM-IV disorders. INTERVENTION AND COMPARATOR: Care as usual, consisting of pharmacotherapy combined with individual psychotherapy, group psychotherapy and/or supportive counselling (n=125) was compared with care as usual plus SOS-training: a 6-week, 12-session manualized group training focused on enhancing emotion regulation skills, conflict resolution skills, and street skills (n=125). MEASUREMENTS: Victimization was assessed with the Safety Monitor, the Dutch equivalent of the International Crime Victims Survey, in a face-to-face assessment. The primary outcome measure was treatment response (yes/no), with yes defined as reporting at least a 50% reduction in the number of past year victimization incidents at the 14-month follow-up compared with baseline. Analyses were performed according to the intention-to-treat principle.

FINDINGS: The proportion of participants achieving treatment response for total victimization was 54.0% in the control group and 67.6% in the experimental group, a significant difference [odds ratio (OR)= 1.78, 95% confidence interval (CI)= 1.02-3.11, P=.042]. Treatment response for violent victimization was achieved by 68.7% of the control group and 79.3% of the experimental group (OR= 1.75, 95% CI= 0.91-3.34, P=.092). With a Bayes factor of 2.26, this result was inconclusive.

CONCLUSIONS: Among dual diagnosis patients, care as usual plus Self-wise, Other-wise, Streetwise (SOS) training was more effective in preventing victimization than care as usual alone.

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Language: en

LA - en SN - 0965-2140 UR - http://dx.doi.org/10.1111/add.14500 ID - ref1 ER -