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

Women with methamphetamine use disorder (MUD) in correctional settings often face complex challenges, including trauma histories, stigma, mental health difficulties, and limited access to evidence-based treatment. In Indonesia, structured psychosocial interventions specifically designed for women in prison settings remain limited.

A recent pilot study conducted by researchers from Universitas Indonesia and collaborators explored the feasibility of a culturally adapted group Cognitive Behavioral Therapy (CBT) programme called Indonesia Substance Use Reduction for Female Therapy (Indo-SURFT). The intervention was developed for incarcerated women with methamphetamine use disorder and adapted from the “Seeking Safety” model to better reflect Indonesian cultural and social contexts. 

The programme consisted of 12 group sessions delivered over six weeks and focused on topics such as safety, coping with triggers, healthy relationships, emotional regulation, recovery thinking, and self-care. Participants reported that the sessions provided a safe space for sharing experiences and learning new coping strategies. 

According to the study findings, participants demonstrated improvements in functional recovery indicators, particularly in employment-related functioning, and reported reduced craving levels during the intervention period. The study also highlighted the importance of ongoing support and maintenance sessions to sustain recovery outcomes after treatment completion. 

This study is significant because it demonstrates the potential of culturally responsive and gender-sensitive CBT approaches within correctional settings in Indonesia. It also contributes to the growing discussion on recovery-oriented and trauma-informed services for women affected by substance use disorders.

Original article:
Kristiana Siste et al. (2026). Feasibility and tolerability of group cognitive behavioral therapy on improving functioning and managing craving and psychosocial factors among incarcerated women with methamphetamine use disorder. Irish Journal of Psychological Medicine. Published by Cambridge University Press.