My Pathway to Healing (MP2H)
Suicide; Trauma, Binge Drinking
About this trial
This is an interventional treatment trial for Suicide; Trauma
Eligibility Criteria
Inclusion Criteria:
- Adults aged 25-65
- Suicide ideation, suicide attempt, self-injurious behavior, and/or binge alcohol and/or drug use within past 90 days confirmed by the Apache suicide surveillance system
- Experienced at least 2 adverse childhood experiences
- Native American
- Reside on or near the Fort Apache Indian Reservation.
- An average score of 1 or above on a measure of symptoms of posttraumatic stress
Exclusion Criteria:
- Unable to provide informed consent
- Have a serious developmental disorder
- Have active psychosis
Sites / Locations
- Johns Hopkins Center for American Indian Health Whiteriver OfficeRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Sessions with a community mental health specialist
Case management
Those randomized into the intervention group will receive 4-8 hour-long sessions with a community mental health specialist, taking place over approximately 12 weeks. The common elements treatment approach intervention (called "My Pathway to Healing") includes psychoeducation and addresses safety (when identified as a problem area). It also includes relaxation techniques, problem solving, and cognitive coping. The exact number of sessions delivered will depend on presentation and symptom level using a stepped care approach where participants receive only what they need, but the provider can provide additional sessions if needed (i.e., increased element dosage; additional optional elements for specific issues).
This study employs a randomized control design in which participants in the control group will receive case management and offered the intervention upon completion of their enrollment period.