Project Health Link: Connecting Patients With Services

NCT00251173 | Completed

• 1 other identifier: 1R01DA016591-01A1
• Study Type: interventional
• Target: 755
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed study will compare three alternative interventions in the emergency department (ED) to promote linkage to substance abuse assessment, referral and treatment entry for those who meet abuse/dependence criteria for stimulants, cannabis, and/or non-injected opioids: (1) a 5-session Strengths-Based Case Management (SBCM) model; (2) a 2-session Brief Motivational Enhancement (BME); or (3) a one-time Brief Informational Feedback (BIF) session. The primary outcome variables for this trial include receiving an assessment and referral and treatment entry. Other outcomes include degree of treatment completion, substance-related measures, health service utilization, health status changes, and psychosocial factors.

Conditions

Drug Abuse

Outcome Measures

Primary Outcomes (2)

• receipt of assessment

  3 and 6 months post-baseline

• treatment entry

  3 and 6 months post-baseline

Study Arms (3)

Strengths Based Case Management Model (SBCM)

ACTIVE COMPARATOR

The Strengths Based Case Management Model (SBCM) consists of 5 case-management sessions designed to promote linkage and engagement in assessment and treatment services, while assisting with the patient's perceived needs, as well as personal strengths and barriers to linkage and engagement.

Behavioral: Strengths Based Case Management (SBCM)

Motivational Enhancement Therapy (MET)

ACTIVE COMPARATOR

The MET therapist will conduct 2 motivational enhancement sessions to work through the content of an educational workbook targeting the participant's substance use/abuse with the goal of negotiating a 'contract' to: 1) link to services, with the eventual goal of seeking and receiving specialized substance treatment; or 2) provide a strategy to self-monitor substance use, consider consequences, and later seek assessment.

Behavioral: Motivational Enhancement Therapy (MET)

Brief Informational Feedback (BIF) session

ACTIVE COMPARATOR

Subjects will receive brief informational feedback on the results of their alcohol screening and assessment and encouragement to seek treatment.

Behavioral: Brief Informational Feedback (BIF) session

Interventions

Strengths Based Case Management (SBCM) BEHAVIORAL

Strengths Based Case Management Model (SBCM)

Motivational Enhancement Therapy (MET) BEHAVIORAL

Motivational Enhancement Therapy (MET)

Brief Informational Feedback (BIF) session BEHAVIORAL

Brief Informational Feedback (BIF) session

Eligibility Criteria

• Age: 19 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• (1) adults age 19-60 presenting to the Hurley Medical Center ED within 24 hours of an injury; (2) ability to provide informed consent.

You may not qualify if:

• (1) adult patients who do not understand English; (2) prisoners; (3) adults classified by medical staff as "Level 1 trauma"; (4) adults deemed unable to provide informed consent as stated above (e.g., intoxication, mental incompetence); (5) patients treated in the ED for suicide attempts and sexual assaults; (6) patients who have been in treatment for substance abuse in the past six months; (7) patients who are triaged to psychiatric emergency services; and (8) patients who report injecting heroin or other opiates in the past year.

Sponsors & Collaborators

• University of Michigan: lead

Study Sites (1)

Hurley Medical Center

Flint, Michigan, 48503, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Frederic C Blow, PhD

  University of Michigan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: November 7, 2005
• First Posted: November 9, 2005
• Study Start: November 1, 2005
• Primary Completion: December 1, 2009
• Study Completion: December 1, 2009
• Last Updated: April 8, 2016

Record last verified: 2016-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)