protocolSection identificationModule nctId: NCT06317987, orgStudyIdInfo id: 2068557, secondaryIdInfos id: P50DA054072, type: NIH, link: https://reporter.nih.gov/quickSearch/P50DA054072, briefTitle: Addressing Barriers to Care for Substance Use Disorder Pilot Study, acronym: ABCSUD Pilot, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-05-01, primaryCompletionDateStruct date: 2025-04-02, completionDateStruct date: 2025-04-02, studyFirstPostDateStruct date: 2024-03-19, lastUpdatePostDateStruct date: 2024-04-19, sponsorCollaboratorsModule leadSponsor name: Kaiser Permanente, class: OTHER, collaborators name: National Institute on Drug Abuse (NIDA), collaborators name: Stanford University, descriptionModule briefSummary: The Addressing Barriers to Care for Substance Use Disorder Pilot (ABC-SUD Pilot) is a randomized pilot study that will precede a larger trial. The ABC-SUD Pilot is a parallel group, cluster-randomized pilot feasibility trial, with clinicians (care coordinators) as the unit of randomization.This study will be conducted in a mental health treatment access center within the Washington region of Kaiser Permanente. As part of usual care, patients contact the mental health access center and speak to a "care coordinator" to obtain contact information for potential venues to obtain treatment for substance use disorder.The experimental intervention, Care Navigation, will be evaluated for its potential to increase the utilization of substance use disorder treatment among patients who contact the mental health treatment access center. The investigators note that Care Navigation will be delivered by study "care navigators", who are distinct from the health system's care coordinators., conditionsModule conditions: Drug Use Disorders, conditions: Illicit Drug Use, conditions: Alcohol-Related Disorders, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: Care coordinators will be randomized to two parallel groups: usual care (UC; i.e., the comparator group) and usual care plus care navigation (UC + CN; i.e., the experimental group). All care coordinators will continue offering substance use resources and treatment options to patients as usual. Clinicians randomized to UC + CN will be able to offer and refer patients to a care navigator., primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: SINGLE, maskingDescription: All study outcomes are extracted from secondary data including electronic health record and healthcare claims databases, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 40, type: ESTIMATED, armsInterventionsModule interventions name: Care Navigation, outcomesModule primaryOutcomes measure: Rate of patient interest in care navigation, secondaryOutcomes measure: Feasibility of patient consent procedures, otherOutcomes measure: SUD treatment - 30 days, otherOutcomes measure: SUD treatment - 60 days, otherOutcomes measure: SUD treatment - 90 days, otherOutcomes measure: SUD treatment visits - 30 days, otherOutcomes measure: SUD treatment visits - 60 days, otherOutcomes measure: SUD treatment visits - 90 days, otherOutcomes measure: Days until SUD treatment utilization from clinical assessment appointment, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule, hasResults: False