Clinical trial NCT03486028: Patient Centered Assessment and Substance Use Disorder Treatment Study (PCAST)
Official title: Comparative Study Effectiveness of Clinical Decision-Making Processes Required by Public Health Systems Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Substance Use Disorders
Keywords: Patient-Centered Outcomes Research Institute (PCORI)
American Society of Addiction Medicine (ASAM)
substance use
addiction
treatment
RTI International
UCLA
Lead sponsor: RTI International
Sponsor class: OTHER
Collaborators: name: University of California Integrated Substance Abuse Programs
name: Patient-Centered Outcomes Research Institute
First posted: 2018-04-03
Enrollment: 991
Sex: ALL
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Individuals age 19 or older receiving treatment for addiction in specialty addiction treatment programs licensed in California who are Medicaid beneficiaries.

Brief summary: California counties are in the process of implementing a Centers for Medicare and Medicaid Services Medicaid 1115 Substance Use Disorder (SUD) demonstration. The demonstration requires that patients be assigned to addiction treatment settings and levels of care systematically, using comprehensive biopsychosocial assessments and guided by the American Society of Addiction Medicine (ASAM) patient placement criteria.

RTI International, a nonprofit research institute, and University of California Los Angeles (UCLA) Integrated Substance Abuse Programs have been awarded a contract from the Patient Centered Outcomes Research Institute (PCORI) to study the effects of the ASAM implementation in California. The California 1115 SUD demonstration provides a unique opportunity to learn about the benefits and challenges resulting from system-wide implementation of ASAM criteria.

The study will involve surveying patients in counties that are using the ASAM criteria and in counties that have not yet adopted the ASAM criteria. Medicaid patients receiving addiction treatment will be offered the opportunity participate in the study and to be surveyed about their experiences in treatment. The study will also analyze data from the California Outcomes Management System (CalOMS) and conduct interviews with providers, patients, and policymakers in the state. The results of the study will help inform California's efforts to continually improve its addiction treatment systems to better meet the needs of it communities. This study will also produce important and useful information to patients seeking treatment for addiction, and their providers, SUD system administrators, and payers.


Eligibility criteria: Inclusion Criteria:

* Individuals age 19 or older
* Receiving treatment for addiction in specialty addiction treatment programs licensed in California who are Medicaid beneficiaries.

Exclusion Criteria:

* Less than 19 years old
* Not receiving treatment for addiction in specialty addiction treatment programs licensed in California
* Not Medicaid beneficiaries

Primary outcomes:
measure: Treatment Retention
timeFrame: Up to one year
measure: Substance Use Reduction
timeFrame: Up to one year
Secondary outcomes:
measure: Treatment setting used at treatment initiation
timeFrame: Up to one year
measure: Treatment option communication
timeFrame: Up to one year
Other outcomes:
Locations:
city: Research Triangle Park
country: United States
facility: RTI International
state: North Carolina
Study officials:
affiliation: RTI International
name: Tami Mark, PhD, MBA
role: PRINCIPAL_INVESTIGATOR
References: