Feasibility and tolerability of group cognitive behavioral therapy on improving functioning and managing craving and psychosocial factors among incarcerated women with methamphetamine use disorder

INTRODUCTION: Methamphetamine use disorder (MUD) has risen among women globally and is disproportionately higher in prisons. In Indonesia, correctional facilities still lack any structured and evidence-based psychological therapy. To address this gap, we developed the Indonesia Substance Use Reduction for Female Therapy (Indo-SURFT). METHODS: A single-arm unblinded design with a 3-month follow-up was conducted among incarcerated women with MUD. Participants completed 12 sessions over six weeks. Assessments included user perception ratings, Addiction Severity Index (ASI), Visual Analog Scale for craving, University of Rhode Island Change Assessment Scale, Self-Reporting Questionnaire-20 (SRQ-20), and WHO Quality-of-Life Brief (WHOQOL-BREF). RESULTS: = 0.036). SRQ-20 increased over time, while WHOQOL-BREF declined. CONCLUSIONS: Indo-SURFT is tolerable and feasible for women with MUD in incarceration. Participants highly rated the module and delivery. The module demonstrates initial improvement in functional domain and curbs craving level during treatment. Maintenance sessions may be required to fully maintain and enhance improvements. These findings support Indo-SURFT's as a potential intervention but requires further multisite investigation to enhance generalizability.