RBP: Reducing Barriers to Drug Abuse Treatment Services

Sponsor

Wright State University (Other)

Overall Status

Completed

CT.gov ID

NCT00273845

Collaborator

National Institute on Drug Abuse (NIDA) (NIH)

678

Enrollment

Location

Arms

Duration (Months)

11.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The broad goal of this study is to assess the effectiveness of two interventions to facilitate treatment linkage and treatment engagement. "Treatment linkage" is operationally defined as completion of agency intake procedures and attendance at the first clinical or therapy session. "Treatment engagement" represents a more comprehensive conceptualization of "treatment retention" and includes measures of the clinical and ancillary services actually received by the client over time; as such, client engagement focuses on the intensity and duration of treatment participation. This study will enhance the CIU concept by conducting a controlled trial, using a three-armed research design, of interventions designed to enhance treatment linkage and treatment engagement. These interventions - a Motivational Intervention and Strengths-Based Case Management - are science-based and have demonstrated efficacy in moving drug abusers towards treatment and supporting treatment engagement.

Condition or Disease	Intervention/Treatment	Phase
Substance Abuse	Behavioral: Motivational interviewing Behavioral: Strengths-Based Case Management	Phase 2/Phase 3

Detailed Description

The Specific Aims of the project are:

To conduct a detailed qualitative/ethnographic investigation to study: (a) the processes and factors operant in a person's decision to link with a substance abuse treatment agency once a formal (i.e., professional) assessment and referral have been made; and (b) the processes and factors operant in staying in treatment once it has been initiated.
To identify and classify, using quantitative methods, the operant barriers to treatment linkage and engagement. We will assess the factors that are associated with these barriers and examine the effects of the study's interventions on removing them.
To evaluate the effectiveness, using a controlled trial, of a Motivational Intervention and Strengths-Based Case Management, compared to the CIU's "standard" referral process, by examining differences between the Standard, Motivational Intervention, and Case Management conditions on treatment linkage and engagement outcomes. The conceptual framework for this controlled trial is the well-studied Andersen model of access and health service use, modified for chemical dependency services (Andersen, 1995). The interventions are designed to affect mutable factors such as perceived barriers to treatment. Data will be collected at baseline, and at 3 and 6 months thereafter. Analyses will examine whether the interventions work better with different groups of clients (e.g. cocaine users versus marijuana users, males versus females, different ethnicities, etc); as well as different treatment modalities (standard outpatient versus intensive outpatient.)
To conduct a quantitative investigation of the effects of Individual Level and Health Care System Level factors that predict treatment linkage and engagement in the context of the proposed interventions. This study component will develop comprehensive models to predict how these factors interact with the study's interventions to effect treatment linkage and treatment engagement.

Study Design

Study Type:

Interventional

Actual Enrollment :

678 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Reducing Barriers to Drug Abuse Treatment Services

Study Start Date :

May 1, 2003

Actual Primary Completion Date :

May 1, 2008

Actual Study Completion Date :

May 1, 2008

Arms and Interventions

Arm	Intervention/Treatment
Experimental: 1 One session of motivational interviewing	Behavioral: Motivational interviewing One session
Experimental: 2 Five sessions of strengths-based case management	Behavioral: Strengths-Based Case Management 5 sessions

Arm

Intervention/Treatment

Experimental: 1

One session of motivational interviewing

Behavioral: Motivational interviewing

One session

Experimental: 2

Five sessions of strengths-based case management

Behavioral: Strengths-Based Case Management

5 sessions

Outcome Measures

Primary Outcome Measures

Linkage and Retention in substance abuse treatment [3 months, 6 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

substance abuse or dependence per DSM-IVR criteria

Exclusion Criteria:

active thought disorder

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Samaritan CrisisCare	Dayton	Ohio	United States	45345

Sponsors and Collaborators

Wright State University
National Institute on Drug Abuse (NIDA)

Investigators

Principal Investigator: Richard C Rapp, M.S.W., Boonshoft School of Medicine, Wright State University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

, ,

ClinicalTrials.gov Identifier:

NCT00273845

Other Study ID Numbers:

02-407-10
1R01DA015690
HSP 2527

First Posted:

Jan 9, 2006

Last Update Posted:

Feb 24, 2009

Last Verified:

Feb 1, 2009

Keywords provided by , ,

case management

substance abuse treatment

linkage

Additional relevant MeSH terms:

Substance-Related Disorders

Study Results

No Results Posted as of Feb 24, 2009