Trial Outcomes & Findings for Improving Linkage to Health and Other Services for Veterans Leaving Incarceration (NCT NCT02964897)

NCT ID: NCT02964897

Last Updated: 2023-07-21

Results Overview

Participant will have made and kept one or more substance use disorder care visits

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

79 participants

Primary outcome timeframe

3 months after release from incarceration

Results posted on

2023-07-21

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Arm With Peer Support
Veterans in this arm will receive the peer-support intervention, in addition to the usual care from the Health Care for Reentry Veterans Program. Peer-support plus usual care from the Health Care for Reentry Veterans program: a peer mentor who is also a veteran will establish a relationship with each subject and provide instrumental and emotional support to the subject during the first 6 months of the subject's release from incarceration. This is in addition to the usual reentry support provided by the Health Care for Reentry Veterans program.
Comparison Arm With Usual Care
Veterans in this arm will be receiving usual care from the Health Care for Reentry Veterans program (but they will not receive the peer-support intervention). They will be selected to be frequency-matched to veterans in the intervention arm by date of release from incarceration. Usual care from the Health Care for Reentry Veterans program: Health Care for Reentry Veterans program provides reentry planning while the veteran is incarcerated. An outreach worker visits the veteran in the incarceration facility to conduct a needs assessment and help create a reentry plan to cover issues such as where they will be housed, what health care appointments they will need in the first 30 days, whether they need legal assistance, etc.
Overall Study
STARTED
43
36
Overall Study
COMPLETED
43
36
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Linkage to Health and Other Services for Veterans Leaving Incarceration

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Arm With Peer Support
n=43 Participants
Veterans in this arm will receive the peer-support intervention, in addition to the usual care from the Health Care for Reentry Veterans Program. Peer-support plus usual care from the Health Care for Reentry Veterans program: a peer mentor who is also a veteran will establish a relationship with each subject and provide instrumental and emotional support to the subject during the first 6 months of the subject's release from incarceration. This is in addition to the usual reentry support provided by the Health Care for Reentry Veterans program.
Comparison Arm With Usual Care
n=36 Participants
Veterans in this arm will be receiving usual care from the Health Care for Reentry Veterans program (but they will not receive the peer-support intervention). They will be selected to be frequency-matched to veterans in the intervention arm by date of release from incarceration. Usual care from the Health Care for Reentry Veterans program: Health Care for Reentry Veterans program provides reentry planning while the veteran is incarcerated. An outreach worker visits the veteran in the incarceration facility to conduct a needs assessment and help create a reentry plan to cover issues such as where they will be housed, what health care appointments they will need in the first 30 days, whether they need legal assistance, etc.
Total
n=79 Participants
Total of all reporting groups
Age, Continuous
49.3 years
STANDARD_DEVIATION 13 • n=5 Participants
53.8 years
STANDARD_DEVIATION 14 • n=7 Participants
51.4 years
STANDARD_DEVIATION 14 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
36 Participants
n=7 Participants
79 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · African American or Black
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
31 Participants
n=5 Participants
30 Participants
n=7 Participants
61 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Multiple/other/declined
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
43 Participants
n=5 Participants
36 Participants
n=7 Participants
79 Participants
n=5 Participants
Marital status
Not partnered (single, divorced, separated, widowed)
37 Participants
n=5 Participants
34 Participants
n=7 Participants
71 Participants
n=5 Participants
Marital status
Married or other partner relationship
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Self-rated health
Excellent
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Self-rated health
Very good
9 Participants
n=5 Participants
3 Participants
n=7 Participants
12 Participants
n=5 Participants
Self-rated health
Good
17 Participants
n=5 Participants
12 Participants
n=7 Participants
29 Participants
n=5 Participants
Self-rated health
Fair
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Self-rated health
Poor
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Self-rated health
Missing
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months after release from incarceration

Participant will have made and kept one or more substance use disorder care visits

Outcome measures

Outcome measures
Measure
Intervention Arm With Peer Support
n=43 Participants
Veterans in this arm will receive the peer-support intervention, in addition to the usual care from the Health Care for Reentry Veterans Program. Peer-support plus usual care from the Health Care for Reentry Veterans program: a peer mentor who is also a veteran will establish a relationship with each subject and provide instrumental and emotional support to the subject during the first 6 months of the subject's release from incarceration. This is in addition to the usual reentry support provided by the Health Care for Reentry Veterans program.
Comparison Arm With Usual Care
n=36 Participants
Veterans in this arm will be receiving usual care from the Health Care for Reentry Veterans program (but they will not receive the peer-support intervention). They will be selected to be frequency-matched to veterans in the intervention arm by date of release from incarceration. Usual care from the Health Care for Reentry Veterans program: Health Care for Reentry Veterans program provides reentry planning while the veteran is incarcerated. An outreach worker visits the veteran in the incarceration facility to conduct a needs assessment and help create a reentry plan to cover issues such as where they will be housed, what health care appointments they will need in the first 30 days, whether they need legal assistance, etc.
Substance Use Care
37 Participants
7 Participants

PRIMARY outcome

Timeframe: 3 months after release from incarceration

Participant will have made and kept one or more outpatient mental health care visits

Outcome measures

Outcome measures
Measure
Intervention Arm With Peer Support
n=43 Participants
Veterans in this arm will receive the peer-support intervention, in addition to the usual care from the Health Care for Reentry Veterans Program. Peer-support plus usual care from the Health Care for Reentry Veterans program: a peer mentor who is also a veteran will establish a relationship with each subject and provide instrumental and emotional support to the subject during the first 6 months of the subject's release from incarceration. This is in addition to the usual reentry support provided by the Health Care for Reentry Veterans program.
Comparison Arm With Usual Care
n=36 Participants
Veterans in this arm will be receiving usual care from the Health Care for Reentry Veterans program (but they will not receive the peer-support intervention). They will be selected to be frequency-matched to veterans in the intervention arm by date of release from incarceration. Usual care from the Health Care for Reentry Veterans program: Health Care for Reentry Veterans program provides reentry planning while the veteran is incarcerated. An outreach worker visits the veteran in the incarceration facility to conduct a needs assessment and help create a reentry plan to cover issues such as where they will be housed, what health care appointments they will need in the first 30 days, whether they need legal assistance, etc.
Mental Health
42 Participants
23 Participants

PRIMARY outcome

Timeframe: 3 months after release from incarceration

Participant will have made and kept one or more primary care visits

Outcome measures

Outcome measures
Measure
Intervention Arm With Peer Support
n=43 Participants
Veterans in this arm will receive the peer-support intervention, in addition to the usual care from the Health Care for Reentry Veterans Program. Peer-support plus usual care from the Health Care for Reentry Veterans program: a peer mentor who is also a veteran will establish a relationship with each subject and provide instrumental and emotional support to the subject during the first 6 months of the subject's release from incarceration. This is in addition to the usual reentry support provided by the Health Care for Reentry Veterans program.
Comparison Arm With Usual Care
n=36 Participants
Veterans in this arm will be receiving usual care from the Health Care for Reentry Veterans program (but they will not receive the peer-support intervention). They will be selected to be frequency-matched to veterans in the intervention arm by date of release from incarceration. Usual care from the Health Care for Reentry Veterans program: Health Care for Reentry Veterans program provides reentry planning while the veteran is incarcerated. An outreach worker visits the veteran in the incarceration facility to conduct a needs assessment and help create a reentry plan to cover issues such as where they will be housed, what health care appointments they will need in the first 30 days, whether they need legal assistance, etc.
Primary Care
25 Participants
24 Participants

Adverse Events

Intervention Arm With Peer Support

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

Comparison Arm With Usual Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intervention Arm With Peer Support
n=43 participants at risk
Veterans in this arm will receive the peer-support intervention, in addition to the usual care from the Health Care for Reentry Veterans Program. Peer-support plus usual care from the Health Care for Reentry Veterans program: a peer mentor who is also a veteran will establish a relationship with each subject and provide instrumental and emotional support to the subject during the first 6 months of the subject's release from incarceration. This is in addition to the usual reentry support provided by the Health Care for Reentry Veterans program.
Comparison Arm With Usual Care
n=36 participants at risk
Veterans in this arm will be receiving usual care from the Health Care for Reentry Veterans program (but they will not receive the peer-support intervention). They will be selected to be frequency-matched to veterans in the intervention arm by date of release from incarceration. Usual care from the Health Care for Reentry Veterans program: Health Care for Reentry Veterans program provides reentry planning while the veteran is incarcerated. An outreach worker visits the veteran in the incarceration facility to conduct a needs assessment and help create a reentry plan to cover issues such as where they will be housed, what health care appointments they will need in the first 30 days, whether they need legal assistance, etc.
General disorders
Death
2.3%
1/43 • Number of events 1 • 1 Year
For the comparison group it was a historical control, only those living were included.
0.00%
0/36 • 1 Year
For the comparison group it was a historical control, only those living were included.

Other adverse events

Adverse event data not reported

Additional Information

Keith McInnes, Principal Investigator

Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System

Phone: 617-504-1630

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place