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- Title
Self‐wise, Other‐wise, Streetwise (SOS) training, an intervention to prevent victimization in dual‐diagnosis patients: results from a randomized clinical trial.
- Authors
Waal, Marleen M.; Dekker, Jack J. M.; Kikkert, Martijn J.; Christ, Carolien; Chmielewska, Jaga; Staats, Monique W. M.; Brink, Wim; Goudriaan, Anna E.
- Abstract
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 in‐patients and out‐patients with dual diagnosis (n = 250), who were predominantly male (70.4%), aged on average 42.1 years, 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 = 0.042]. 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 = 0.092). 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 training was more effective in preventing victimization than care as usual alone.
- Subjects
AMSTERDAM (Netherlands); NETHERLANDS; SOCIAL skills education; CRIME victims; DUAL diagnosis patients; CRIME prevention; SUBSTANCE abuse diagnosis; PSYCHIATRIC diagnosis; MENTAL health services; MEDICAL care; ASSERTIVENESS (Psychology); CONFIDENCE intervals; DUAL diagnosis; CLASSIFICATION of mental disorders; PATIENTS; PSYCHOLOGICAL resilience; EVALUATION of human services programs; DESCRIPTIVE statistics; ODDS ratio
- Publication
Addiction, 2019, Vol 114, Issue 4, p730
- ISSN
0965-2140
- Publication type
Article
- DOI
10.1111/add.14500