Effectiveness of Assertive Continuing Care for Youth

NCT01085188 | Completed Phase 3

• 1 other identifier: 1018-1201
• Study Type: interventional
• Target: 342
• Locations: 0 countries
• Sites: N/A

Brief Summary

Following discharge from residential treatment 324 adolescents are randomly assigned to Assertive Continuing Care with and without motivational incentives in a 2 x 2 factorial design. Clinical outcomes are assessed at 3, 6, 9, and 12 months post discharge.

Conditions

Substance Use Disorders

Study Arms (4)

Assertive Continuing Care (ACC)

EXPERIMENTAL

Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.

Behavioral: ACC; Behavioral: UCC

Contingency Management (CM)

EXPERIMENTAL

Using a prize drawing system (no, low, medium and large value prizes) with adolescents could earn escalating prize drawing opportunities by completing verifiable pro-social activities and providing negative urine test and breath alcohol test results.

Behavioral: CM; Behavioral: UCC

ACC + CM

EXPERIMENTAL

This arm is the combination of arms 1 and 2.

Behavioral: ACC; Behavioral: CM; Behavioral: UCC

Usual Continuing Care (UCC)

ACTIVE COMPARATOR

UCC consists of a discharge recommendation to seek aftercare services at nearest treatment provider to where the patient lived. This service primarily consisted of outpatient group counseling.

Behavioral: UCC

Interventions

ACC BEHAVIORAL

Weekly community based behavioral counseling and case management

ACC + CM; Assertive Continuing Care (ACC)

CM BEHAVIORAL

Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results

ACC + CM; Contingency Management (CM)

UCC BEHAVIORAL

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

ACC + CM; Assertive Continuing Care (ACC); Contingency Management (CM); Usual Continuing Care (UCC)

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year
• Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention

You may not qualify if:

• left residential treatment prior to the seventh day
• did not return to a target county at discharge
• showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process
• were deemed dangerous to themselves or others during treatment
• were a ward of child protective services and inaccessible for the intervention
• met DSM-IV criteria for pathological gambling
• were discharged to the state department of corrections
• were already participating in a treatment study

Sponsors & Collaborators

• Chestnut Health Systems: lead
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: March 10, 2010
• First Posted: March 11, 2010
• Study Start: January 1, 2003
• Primary Completion: January 1, 2008
• Last Updated: March 11, 2010

Record last verified: 2010-03