Project Health Link: Connecting Patients With Services

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

755 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-11-30

Study Completion Date

2009-12-31

Brief Summary

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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.

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Detailed Description

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Conditions

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Drug Abuse

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Strengths Based Case Management Model (SBCM)

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.

Group Type ACTIVE_COMPARATOR

Strengths Based Case Management (SBCM)

Intervention Type BEHAVIORAL

Motivational Enhancement Therapy (MET)

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.

Group Type ACTIVE_COMPARATOR

Motivational Enhancement Therapy (MET)

Intervention Type BEHAVIORAL

Brief Informational Feedback (BIF) session

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

Group Type ACTIVE_COMPARATOR

Brief Informational Feedback (BIF) session

Intervention Type BEHAVIORAL

Interventions

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Strengths Based Case Management (SBCM)

Intervention Type BEHAVIORAL

Motivational Enhancement Therapy (MET)

Intervention Type BEHAVIORAL

Brief Informational Feedback (BIF) session

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* (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.

Minimum Eligible Age

19 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No