Linking Services to Patient Needs for Improved Patient Outcomes (CASPAR)

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Treatment Research Institute
ClinicalTrials.gov Identifier:
NCT01813864
First received: June 24, 2010
Last updated: March 14, 2013
Last verified: March 2013
  Purpose

The proposed Quality Improvement Initiative study is a health services research project in community-based substance abuse treatment programs. The primary goals are to use training and technology transfer to match services to client needs, increase the number of services received by clients, and improve client outcomes. This is a two phase study in which we compare clients pre-intervention to clients post-intervention.

Clients from Phase II (Post-Intervention) compared to Phase I (Pre-Intervention) will:have treatment plans that better match the problems reported at assessment; receive services that better match their needs, as reported during the assessment/intake; show better results during treatment performance on the Treatment Services Review (TSR), including attending a greater percentage of their scheduled treatment sessions and increased satisfaction with the Treatment Planning process; show better client outcomes at 3 month follow-up on primary drug and alcohol measures, including Breathalyzer and urine drug screen, and secondary personal health and social functioning measures such as days medical problems, days psychiatric problems, days employed, days of conflict with family members, etc.


Condition Intervention
Substance Abuse
Behavioral: CASPAR/Treatment Planning

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Linking Services to Patient Needs for Improved Patient Outcomes (CASPAR)

Further study details as provided by Treatment Research Institute:

Primary Outcome Measures:
  • Better client outcomes at 3 month follow-up on primary drug and alcohol measures [ Time Frame: 3 months post treatment start. ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Better client outcomes at 3 month follow-up on secondary personal health and social functioning measures such as days medical problems, days psychiatric problems, days employed, days of conflict with family members, etc. [ Time Frame: 3-months post treatment start. ] [ Designated as safety issue: No ]
  • Increased satisfaction with the Treatment Planning process. [ Time Frame: Assessed at 2, 4, 8 and 12 weeks. ] [ Designated as safety issue: No ]
  • Improved match between patient problems and treatment plan & services received. [ Time Frame: Up to 3-months post treatment start. ] [ Designated as safety issue: No ]

    Improved match between:

    1. Patient problems identified at admission and treatment plan.
    2. Patient problems identified at admission and services received.


Enrollment: 352
Study Start Date: August 2004
Study Completion Date: July 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: CASPAR Resource Guide
Treatment Enhanced/CASPAR-- All counselors in this study will receive a training and take part in the experimental arm of the study in Phase 2.
Behavioral: CASPAR/Treatment Planning
All counselors in the study will receive additional training in treatment planning and the CASPAR Resource Guide software to easily identify and link patients to services not available at substance abuse treatment centers such as General Educational Development (GED) training, dental clinics, job training, etc.
Other Names:
  • CASPAR
  • Technology Tranfer
  • Assessment

Detailed Description:

This protocol will specifically target identified organizational barriers by implementing the CASPAR system as a site-wide Quality Improvement Initiative (QI Initiative) study and enrolling seven sites in Bucks and Montgomery Counties in Pennsylvania and in the Southern New Jersey region who (1) were the most active sites in participating in the focus groups and provided feedback that led to the development of the new Quality Improvement protocol, (2) want to focus organizational effort and attention on improving treatment planning and problem-services matching, (3) met additional inclusion criteria (detailed below). They are all located within Bucks and Montgomery Counties in Pennsylvania and within a 70 mile radius of Atlantic City, New Jersey.

Executive directors at all invited programs will sign a Letter of Agreement (LoA) with Treatment Research Institute (TRI) that as an organization they will support their counselors in attending training, providing individualized treatment plans as well as monthly individualized sessions dedicated to problem-service matching; will add items necessary to their assessment to make sure it is equally comprehensive as the Addiction Severity Index (ASI), and will allow TRI to recruit clients for follow-up to evaluate the effectiveness of the QI Initiative implementation. The LoA will detail all site-specific expectations, along with benefits to the program, including free counselor and supervisor training (along with Certified Addictions Counselor (CAC) and Certified Alcohol Drug Counselor (CADC) credits), free software, and monetary compensation, $2,000 for site participation in Phase I of the study and $3,000 for site participation in Phase II of the study. Directors will also be provided with a detailed Director Information Sheet outlining aspects of the Quality Improvement Initiative outlined in the LoA.

TRI staff will provide counselors and supervisors with the treatment planning training as well as the CASPAR Resource Guide software and training on its use. These activities will be initiated as an organization-wide Quality Improvement Initiative, and as such, will be implemented with all counselors at each program. No data will be collected from the counselors, nor will we discuss or report on client outcomes grouped by counselor.

This will be a 2-Phase project. TRI staff will recruit up to 6 eligible clients per counselor prior to providing the CASPAR training and up to 6 additional clients after providing training. Based on current data from the sites, we expect a minimum of 36 counselors to be involved in the Quality Improvement Initiative.

Update June 1st 2009 - Based on current recruitment levels achieved and analysis needs, we are projecting recruitment of approximately 320 subjects.

We will continue to evaluate the effectiveness of this enhanced protocol by addressing the same aims and using primarily the same client instruments previously approved by this Institutional Review Board (IRB, some have been modified, see full discussion below). We will compare client outcomes before (Phase I) and after the individualized treatment planning and problem-service matching components are introduced (Phase II). As before, we expect to see pre-post differences in problem-treatment plan matching, treatment plan-service matching, and in the number and appropriateness of services clients receive; we also expect to see pre-post differences in client outcome such as treatment attendance, treatment retention, breathalyzer, and urinalysis results, the same measures and outcomes in the original design.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • currently attending substance abuse treatment

Exclusion Criteria:

  • incarceration
  • under 18
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01813864

Locations
United States, New Jersey
SODAT
Camden, New Jersey, United States, 08103
Cape Counseling
Cape May Court House, New Jersey, United States, 08210
Genesis Counseling
Collingswood, New Jersey, United States, 08108
SODAT
Woodbury, New Jersey, United States, 08096
United States, Pennsylvania
Aldie Counseling
Bensalem, Pennsylvania, United States, 19020
Aldie Counseling
Doylestown, Pennsylvania, United States, 19118
Malvern Institute
King of Prussia, Pennsylvania, United States, 19406
Sponsors and Collaborators
Treatment Research Institute
Investigators
Principal Investigator: Deni Carise, PhD. Treatment Research Institute
  More Information

No publications provided

Responsible Party: Treatment Research Institute
ClinicalTrials.gov Identifier: NCT01813864     History of Changes
Obsolete Identifiers: NCT00797147
Other Study ID Numbers: R01-DA015125, 5R01DA015125-05
Study First Received: June 24, 2010
Last Updated: March 14, 2013
Health Authority: United States: Institutional Review Board
United States: Federal Government

Keywords provided by Treatment Research Institute:
treatment planning
resource guide
service matching
Service matching for substance abuse clients
CASPAR resource guide
Improved treatment planning

ClinicalTrials.gov processed this record on September 18, 2014