Treatment for Psychological and Drug Abuse Problems
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 10/2/2013 |
| Start Date: | December 2009 |
| Contact: | Kori Kindbom, MA |
| Email: | kindbom@jhmi.edu |
| Phone: | 410-550-0984 |
Maximizing Effectiveness of Integrated Treatment Approaches
The purpose of the study is to evaluate methods to help people in substance abuse treatment
receive better psychiatric care. Patients enrolled in the study will be offered three
months of standard psychiatric treatment, which consists of weekly individual counseling and
group counseling, as well as regular appointments with a psychiatrist. Patients will be
randomly assigned to standard psychiatric care or standard psychiatric care plus voucher
incentives. These incentives can be earned by successfully attending all scheduled
psychiatric appointments each week. The investigators expect that patients in the voucher
condition will attend more psychiatric sessions, which will lead to greater reductions in
psychiatric distress.
Male and female opioid-dependent patients at Addiction Treatment Services with any current
psychiatric disorder (N = 100) will be randomly assigned to one of two psychiatric service
conditions: 1) reinforced on-site integrated care (ROIC), with voucher incentives contingent
on attending weekly psychiatric sessions; or 2) standard on-site integrated care (SOIC).
Participants in both conditions will receive access to the same schedule and range of
psychiatric and substance abuse treatment services. Participants will be assessed for
3-months post-randomization to determine rates of service utilization and adherence to
psychiatric care, changes in scope and severity of psychiatric and psychosocial problems,
and rates of drug use and treatment retention. Positive findings would have considerable
heuristic and health care policy and practice implications. The entire study, including
dissemination of the major findings at a national meeting and submission of the first
manuscript, is designed to be completed within 2-years.
Inclusion Criteria:
- At least 18 years of age
- Voluntarily seeking psychiatric treatment
- Meets DSM-IV criteria for opiate dependence
- Meets FDA/CSAT guidelines for methadone maintenance
- Meets DSM-IV criteria for at least one current psychiatric disorder
Exclusion Criteria:
- Pregnancy
- Onset or acute exacerbation of a medical illness requiring immediate and intense care
- An organic mental disorder (e.g., delirium, dementia)
- Current participation in psychiatric care
- Mandatory psychiatric treatment
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