CMAP Plus Intervention for Self-harm in Individuals With Substance Use Disorder in Pakistan (CMAP Plus)
Self Harm, Substance-Related Disorders
About this trial
This is an interventional treatment trial for Self Harm
Eligibility Criteria
Inclusion Criteria:
- Aged 18 and above.
- Individuals diagnosed with SUD on DSM-5 criteria of mental disorders.
- Having episodes of self-harm in last three months defined as a deliberate act to harm one's own body including but not limited to self-cutting, self-biting, self-poisoning, self-scratching, self-burning, self-hitting, pulling hair etc. assessed by deliberate self-harm inventory.
- Capable to give informed consent.
- Those who have completed detoxification process.
Exclusion Criteria:
- Participants with DSM-5 criteria of mental disorder other than SUD; due to a general medical condition or dementia, delirium, schizophrenia, bipolar disorder, personality disorders, learning disability or any other condition to the extent that engagement in the intervention would not be possible, e.g. communication difficulties.
- Unlikely to be available for outcome assessments (temporary residence).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
CMAP Plus
TAU alone
CMAP Plus is comprised of an existing culturally adapted manually assisted problem-solving intervention (CMAP) integrated with CBT based Motivational Interviewing (MICBT) called (CMAP Plus). The TAU of intervention group participants will be continued along with study intervention.
This will be comprised of standard care they will be receiving from participating centres at recruitment sites. The standard care for individuals with SUD in Pakistan usually includes a 2-3-week detoxification programme, followed by 2 months of weekly 1:1 session along with some family sessions, followed by a period of support groups programmes.