Project Health Link: Connecting Patients With Services

Not Applicable

Completed

• Conditions: Alcohol Abuse
• Interventions: Behavioral: Strengths Based Case Management; Behavioral: Motivational Enhancement Therapy; Behavioral: Brief Informational Feedback

• Registration Number: NCT00234221
• Lead Sponsor: University of Michigan

Brief Summary

This study will compare three alternative interventions in the emergency department (ED) to promote substance abuse assessment, referral, and treatment entry: 1) a 5 session strengths-based case management model (SBCM); 2) a 2-session motivational enhancement therapy (MET); or 3) a one-time brief informational feedback (BIF) session. The primary outcome variables for this trial include follow-through on receiving an assessment and referral, and treatment engagement. Additional outcomes include degree of treatment completion, alcohol-related measures, health service utilization, health status changes, and psychosocial factors.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2005-10-04
• Study First Submitted QC: 2005-10-04
• Study First Posted: 2005-10-06
• Study Start: 2005-11
• Primary Completion: 2009-12
• Study Completion: 2009-12
• Status Verified: 2016-04
• Last Update Submitted: 2016-04-11
• Last Update Posted: 2016-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 686

Inclusion Criteria

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

For intervention portion of the project: (1) meets DSM-IV criteria for alcohol abuse or dependence in the following year. (Patients who meet abuse/dependence criteria for alcohol may also be using other drugs. They will be included in the study only if they do not meet criteria for past year drug abuse/dependence).

Exclusion Criteria

• (1) adult patients who do not understand English; (2) prisoners; (3) pregnant women; (4) institutionalized patients (e.g. nursing home residents); (5) adults classified by medical staff as "Level 1 trauma"; (6) adults deemed unable to provide informed consent (e.g. intoxication, mental incompetence, under guardianship); (7) patients treated in the ED for suicide attempts and sexual assault; (8) patients meeting past year drug abuse/dependence criteria; and (9) patients who have been in treatment for alcohol or other drug abuse/dependence in the previous year.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Strengths Based Case Management Model (SBCM)	Strengths Based Case Management	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.
Motivational Enhancement Therapy (MET)	Motivational Enhancement Therapy	The MET therapist will conduct 2 motivational enhancement sessions to work through the content of an educational workbook targeting the participant's alcohol use/abuse with the goal of negotiating a 'contract' to: 1) link to services, with the eventual goal of seeking and receiving specialized alcohol treatment; or 2) provide a strategy to self-monitor alcohol use, consider consequences, and later seek assessment.
Brief Informational Feedback (BIF) session	Brief Informational Feedback	Subjects will receive brief informational feedback on the results of their alcohol screening and assessment and encouragement to seek treatment.

Primary Outcome Measures

Name	Time	Method
receipt of assessment	3 and 6 months post-baseline
treatment entry	3 and 6 months post-baseline

Trial Locations

Locations (1)

Hurley Medical Center; 🇺🇸 Flint, Michigan, United States