Abstinence-Linked Money Management Multisite

Study Overview
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Brief Summary
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Randomized clinical trial comparing a money management-based intervention involving storage and management of client funds, substance abuse counseling, and risk reduction counseling to individualized drug counseling.

Official Title
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Abstinence-Linked Money Management Multisite

Conditions
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Dual Diagnosis, Cocaine Abuse, Cocaine Dependence, Polysubstance Abuse

Intervention / Treatment
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* Behavioral: ATM
* Behavioral: Individual Drug Counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Enrolled in ambulatory psychiatric treatment at one of the participating clinics Receives SSI or SSDI payments Able to provide written informed consent Cocaine use within the last 60 days as evidenced by either a positive toxicology screen or self-reports Exclusion Criteria: Has a conservator of person A history of violence towards clinical providers or predatory violence Suicidal plans or intent; homicidal plans or intent. Suicidal or homicidal ideation will not be exclusion criteria Physiological dependence on alcohol, illicit opiates or illicit sedatives as evidenced by a history of four weeks of daily use of these substances; and either tolerance or withdrawal (as defined by DSM IV-TR). The standard withdrawal scales referred to in DSM IV-TR will be the CIWA-AR (Sullivan et al., 1989) and the Clinical Opiate Withdrawal Scale (Wesson and Ling, 2003), with P.I. review because signs on the CIWA-AR such as aware of sounds around you may reflect psychiatric illness, not withdrawal Will not be able to complete the twelve months of the study because of anticipated incarceration or move Had been enrolled in the ongoing study Unable to speak and understand English

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ATM<br>Advisor-Teller Money Manager | Behavioral: ATM<br>* Weekly counseling focused on improving money management, abstaining from cocaine,and minimizing unprotected sex<br>|
| Active Comparator: Individual Drug Counseling<br> | Behavioral: Individual Drug Counseling<br>* Standard individualized drug counseling, modified from that described by Woody and colleagues<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of Urine toxicology tests without cocaine |  | Month 0,1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Unprotected sexual encounters | ACASI-measured | Month 0, 1,2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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disability, substance abuse, cocaine abuse, dual diagnosis, representative payee, HIV risk reduction