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Project Health Link: Connecting Patients With Services

This study has been completed.
Information provided by (Responsible Party):
Frederic C. Blow, University of Michigan Identifier:
First received: October 4, 2005
Last updated: April 11, 2016
Last verified: April 2016
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.

Condition Intervention
Alcohol Abuse
Behavioral: Strengths Based Case Management
Behavioral: Motivational Enhancement Therapy
Behavioral: Brief Informational Feedback

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Services Interventions for Injured ED Problem Drinkers

Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • receipt of assessment [ Time Frame: 3 and 6 months post-baseline ] [ Designated as safety issue: No ]
  • treatment entry [ Time Frame: 3 and 6 months post-baseline ] [ Designated as safety issue: No ]

Enrollment: 686
Study Start Date: November 2005
Study Completion Date: December 2009
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Strengths Based Case Management Model (SBCM)
The Strengths Based Case Management Model (SBCM) consists of 5 case-management sessions designed to promote linkage and engagement in assessment and treatment services, while assisting with the patient's perceived needs, as well as personal strengths and barriers to linkage and engagement.
Behavioral: Strengths Based Case Management
Active Comparator: Motivational Enhancement Therapy (MET)
The MET therapist will conduct 2 motivational enhancement sessions to work through the content of an educational workbook targeting the participant's alcohol use/abuse with the goal of negotiating a 'contract' to: 1) link to services, with the eventual goal of seeking and receiving specialized alcohol treatment; or 2) provide a strategy to self-monitor alcohol use, consider consequences, and later seek assessment.
Behavioral: Motivational Enhancement Therapy
Active Comparator: Brief Informational Feedback (BIF) session
Subjects will receive brief informational feedback on the results of their alcohol screening and assessment and encouragement to seek treatment.
Behavioral: Brief Informational Feedback


Ages Eligible for Study:   19 Years to 60 Years   (Adult)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

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.
  Contacts and Locations
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Please refer to this study by its identifier: NCT00234221

United States, Michigan
Hurley Medical Center
Flint, Michigan, United States, 48503
Sponsors and Collaborators
University of Michigan
Principal Investigator: Frederic C Blow, PhD University of Michigan
  More Information

Responsible Party: Frederic C. Blow, Professor, University of Michigan Identifier: NCT00234221     History of Changes
Other Study ID Numbers: 1R01AA014665-01A1 
Study First Received: October 4, 2005
Last Updated: April 11, 2016
Health Authority: United States: Institutional Review Board
Individual Participant Data  
Plan to Share IPD: No

Additional relevant MeSH terms:
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders processed this record on October 21, 2016