Health Systems Innovations for Supporting Transitions of Care for Incarcerated People Living With Substance Use Disorders
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 488
- Locations
- 1
- Primary Endpoint
- Number of participants who attend a Non-Emergency Outpatient Visit within 60 Days of Release From Prison
Study Overview
Brief Summary
The goal of this clinical trial is to learn if a short program for people being released from prison can help connect them to medical care. The main question it aims to answer is:
- Will there be more non-emergency, outpatient clinic visits?
Researchers will compare the number of clinic visits between people who use a Nurse Case Manager (NCM) to people in enhanced usual care.
Participants will:
- Complete surveys
- Talk to a study team member 2-3 times, or talk to a study team member 2-3 times and talk to an NCM 6-11 times
Detailed Description
The objective of this clinical trial is to test the effectiveness of a transitional care program adapted to meet the healthcare needs of adults after release from prison. The goal of the transitional care intervention being tested is to help the study participants connect to primary care within 60 days of release through weekly check-in calls. Participants in this study are enrolled approximately 6 months before their anticipated release. One group will receive weekly phone calls for up to 60 days post-release. Additionally, novel, linked administrative datasets will be leveraged to enhance, contextualize, and clarify policy implications of the clinical trial results.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •age 18 or older
- •eligibility for WI Medicaid and intention to enroll before release
- •substance use history (i.e., "have you ever considered your alcohol or drug use to be a problem?"), and
- •living with, or history of, a chronic medical or psychiatric condition other than substance use disorder. This is defined as ever having been diagnosed with a medical or psychiatric chronic condition, or currently taking prescription medications for a chronic condition.
- •able to read, understand, and speak English.
Exclusion Criteria
- •ineligible for WI Medicaid
- •no substance use history
- •not living with, or no history of, chronic medical or psychiatric condition
Arms & Interventions
Phone Group
Participants will receive phone calls and texts.
Intervention: In-person visit with study team member (Other)
Phone Group
Participants will receive phone calls and texts.
Intervention: Phone calls and texts (Other)
Phone + Nurse Case Manager (NCM) Group
Participants will work with a nurse case manager, who will call and text.
Intervention: In-person visit with NCM (Other)
Phone + Nurse Case Manager (NCM) Group
Participants will work with a nurse case manager, who will call and text.
Intervention: Phone calls and texts - NCM (Other)
Outcomes
Primary Outcomes
Number of participants who attend a Non-Emergency Outpatient Visit within 60 Days of Release From Prison
Time Frame: 2 months post-release, approximately 5 months on study
Secondary Outcomes
- Number of participants who attend a Non-Emergency Outpatient Visit for Substance Use Disorder within 60 Days of Release From Prison(2 months post-release, approximately 5 months on study)