Clinical trial NCT01621711: Continuing Care Following Drug Abuse Treatment: Linkage With Primary Care
Official title: Continuing Care Following Drug Abuse Treatment: Linkage With Primary Care
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Substance Abuse
Substance Dependence
Substance, Addiction
Alcohol Abuse
Keywords: substance abuse
Substance Dependence
Substance, addiction
Alcohol Abuse
prevention and control
preventative health services
patient centered care
Lead sponsor: Kaiser Permanente
Sponsor class: OTHER
Collaborators: name: Kaiser Foundation Research Institute
First posted: 2012-06-18
Enrollment: 504
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This component of a larger Center of Research Excellence Grant improves treatment for drug abuse by developing effective linkages between specialty drug treatment and primary health care.

Detailed description: This is a longitudinal two-arm quasi-experimental 3-month alternating off/on design over a 30 month period in which, after a random start, the Linkage condition alternately is added to Usual Care in the Chemical Dependency (CD) clinic and then removed. We compare Usual Care to Usual Care plus Linkage. Follow-up interviews will be conducted at 6, 12 and 24 months. The Linkage intervention includes Usual Care plus 1) sessions on activation regarding overall health behaviors and on selecting a Primary Care physician and communicating with him/her, and 2) a linkage phone call (and/or a facilitated email) with the patient, clinician, and Primary Care physician. The intervention aims to place drug abuse problems in the context of overall health and health care and to activate patients to increase involvement in their own health care.

Eligibility criteria: Inclusion Criteria:

* Research participants will be adult patients at the Kaiser Permanente San Francisco Chemical Dependency Recovery Program, who have completed 2 weeks of treatment.

Exclusion Criteria:

* Patients with a diagnosis of dementia, mental retardation, or who are actively psychotic or suicidal will be excluded by their clinician.

Primary outcomes:
measure: patient activation measure
timeFrame: 6 months post baseline
measure: patient engagement in health care (including patient portal use, familiarity and satisfaction with Primary Care physician, and CD treatment length of stay)
timeFrame: 6 months post baseline
measure: Substance use and mental health outcomes
timeFrame: 6 months post baseline
Secondary outcomes:
measure: patient activation measure at 12 and 24 months
timeFrame: 12 and 24 months post baseline
measure: patient engagement in health care at 12 and 24 months
timeFrame: 12 and 24 months post baseline
measure: Substance use and mental health outcomes at 12 and 24 months
timeFrame: 12 and 24 months post baseline
measure: Health care utilization and cost
timeFrame: 12 and 24 months post baseline
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: Kaiser Permanente, Chemical Dependency Recovery Program
state: California
Study officials:
affiliation: Kaiser Permanente
name: Constance M Weisner, DrPH, LCSW
role: PRINCIPAL_INVESTIGATOR
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