Project Health Link: Connecting Patients With Services
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 19 - 60 |
| Updated: | 4/21/2016 |
| Start Date: | November 2005 |
| End Date: | December 2009 |
Services Interventions for Injured ED Problem Drinkers
This study will compare three alternative interventions in the emergency department (ED) to
promote substance abuse assessment, referral, and treatment entry: 1) a 5 session
strengths-based case management model (SBCM); 2) a 2-session motivational enhancement
therapy (MET); or 3) a one-time brief informational feedback (BIF) session. The primary
outcome variables for this trial include follow-through on receiving an assessment and
referral, and treatment engagement. Additional outcomes include degree of treatment
completion, alcohol-related measures, health service utilization, health status changes, and
psychosocial factors.
promote substance abuse assessment, referral, and treatment entry: 1) a 5 session
strengths-based case management model (SBCM); 2) a 2-session motivational enhancement
therapy (MET); or 3) a one-time brief informational feedback (BIF) session. The primary
outcome variables for this trial include follow-through on receiving an assessment and
referral, and treatment engagement. Additional outcomes include degree of treatment
completion, alcohol-related measures, health service utilization, health status changes, and
psychosocial factors.
Inclusion Criteria:
- (1) adults age 19 - 60 presenting to the Emergency Department at Hurley Medical
Center within 24 hours of an injury; (2) ability to provide informed consent.
For intervention portion of the project: (1) meets DSM-IV criteria for alcohol abuse or
dependence in the following year. (Patients who meet abuse/dependence criteria for alcohol
may also be using other drugs. They will be included in the study only if they do not meet
criteria for past year drug abuse/dependence).
Exclusion Criteria:
- (1) adult patients who do not understand English; (2) prisoners; (3) pregnant women;
(4) institutionalized patients (e.g. nursing home residents); (5) adults classified
by medical staff as "Level 1 trauma"; (6) adults deemed unable to provide informed
consent (e.g. intoxication, mental incompetence, under guardianship); (7) patients
treated in the ED for suicide attempts and sexual assault; (8) patients meeting past
year drug abuse/dependence criteria; and (9) patients who have been in treatment for
alcohol or other drug abuse/dependence in the previous year.
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