Effectiveness of Assertive Continuing Care for Youth

Phase 3

Completed

• Conditions: Substance Use Disorders
• Interventions: Behavioral: ACC; Behavioral: UCC; Behavioral: CM

• Registration Number: NCT01085188
• Lead Sponsor: Chestnut Health Systems

Brief Summary

Following discharge from residential treatment 324 adolescents are randomly assigned to Assertive Continuing Care with and without motivational incentives in a 2 x 2 factorial design. Clinical outcomes are assessed at 3, 6, 9, and 12 months post discharge.

Detailed Description

Not available

Study Timeline

• Study Start: 2003-01
• Primary Completion: 2008-01
• Status Verified: 2010-03
• Study First Submitted: 2010-03-10
• Study First Submitted QC: 2010-03-10
• Last Update Submitted: 2010-03-10
• Study First Posted: 2010-03-11
• Last Update Posted: 2010-03-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 342

Inclusion Criteria

• Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year
• Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention

Read More

Exclusion Criteria

• left residential treatment prior to the seventh day
• did not return to a target county at discharge
• showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process
• were deemed dangerous to themselves or others during treatment
• were a ward of child protective services and inaccessible for the intervention
• met DSM-IV criteria for pathological gambling
• were discharged to the state department of corrections
• were already participating in a treatment study

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
ACC + CM	ACC	This arm is the combination of arms 1 and 2.
ACC + CM	CM	This arm is the combination of arms 1 and 2.
Usual Continuing Care (UCC)	UCC	UCC consists of a discharge recommendation to seek aftercare services at nearest treatment provider to where the patient lived. This service primarily consisted of outpatient group counseling.
Assertive Continuing Care (ACC)	UCC	Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.
Contingency Management (CM)	CM	Using a prize drawing system (no, low, medium and large value prizes) with adolescents could earn escalating prize drawing opportunities by completing verifiable pro-social activities and providing negative urine test and breath alcohol test results.
Assertive Continuing Care (ACC)	ACC	Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.
Contingency Management (CM)	UCC	Using a prize drawing system (no, low, medium and large value prizes) with adolescents could earn escalating prize drawing opportunities by completing verifiable pro-social activities and providing negative urine test and breath alcohol test results.
ACC + CM	UCC	This arm is the combination of arms 1 and 2.