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Matching, Outcomes and Costs in Substance Abuse/Psychiatric Treatment

Phase 2
Completed
Conditions
Dual Diagnosis
Interventions
Procedure: Matching Symptom Severity to Service Intensity
Registration Number
NCT00012727
Lead Sponsor
US Department of Veterans Affairs
Brief Summary

This project�s goal is to improve the quality of care and reduce treatment costs for veterans with substance abuse and psychiatric problems.

Detailed Description

Background:

This project�s goal is to improve the quality of care and reduce treatment costs for veterans with substance abuse and psychiatric problems.

Objectives:

This project is evaluating a patient-treatment matching strategy to improve residential treatment for substance abuse patients with psychiatric disorders. Its immediate objective is to examine whether the matching strategy results in more effective and cost-effective treatment in VA programs. We hypothesize that patients with severe clinical problems will have better outcomes when they are matched to service-intensive programs; patients with moderate problems will have better outcomes when they are matched to programs having a lower intensity of services. For both patient groups, community treatment should prove to be more cost-effective than hospital treatment.

Methods:

The project utilized a stratified randomized design. We paired each of three VA hospital programs that treat dual diagnosis patients and are high on intensity with a nearby high-intensity community residential facility (CRF) that contracts with the VA. We also paired four VA hospital and four CRFs that are low on intensity. Veterans who applied for substance abuse treatment at VA facilities were randomly assigned to either the VA hospital or CRF. Patient assessments have been conducted at intake (N=230), discharge, and a 4-month follow-up. Primary outcomes are patients� severity of substance abuse and psychiatric problems. Secondary outcomes are patients� functional status and their VA and non-VA health care utilization and its costs.

Status:

Completed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
236
Inclusion Criteria

Patients must be entering a VA inpatient substance abuse or psychiatric treatment program and be clinically judged as appropriate for inpatient or community residential care.

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 1Matching Symptom Severity to Service Intensity-
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (6)

VA Long Beach Healthcare System, Long Beach, CA

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Long Beach, California, United States

VA Palo Alto Health Care System, Palo Alto, CA

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Palo Alto, California, United States

Hampton VA Medical Center, Hampton, VA

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Hampton, Virginia, United States

Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NE

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Omaha, Nebraska, United States

Oklahoma City VA Medical Center, Oklahoma City, OK

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Oklahoma City, Oklahoma, United States

North Florida/South Georgia Veterans Health System, Gainesville, FL

🇺🇸

Gainesville, Florida, United States

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