Project Health Link: Connecting Patients With Services

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00251173
Recruitment Status : Completed
First Posted : November 9, 2005
Last Update Posted : April 8, 2016
Information provided by (Responsible Party):
Frederic C. Blow, University of Michigan

Brief Summary:
The proposed study will compare three alternative interventions in the emergency department (ED) to promote linkage to substance abuse assessment, referral and treatment entry for those who meet abuse/dependence criteria for stimulants, cannabis, and/or non-injected opioids: (1) a 5-session Strengths-Based Case Management (SBCM) model; (2) a 2-session Brief Motivational Enhancement (BME); or (3) a one-time Brief Informational Feedback (BIF) session. The primary outcome variables for this trial include receiving an assessment and referral and treatment entry. Other outcomes include degree of treatment completion, substance-related measures, health service utilization, health status changes, and psychosocial factors.

Condition or disease Intervention/treatment Phase
Drug Abuse Behavioral: Strengths Based Case Management (SBCM) Behavioral: Motivational Enhancement Therapy (MET) Behavioral: Brief Informational Feedback (BIF) session Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 755 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Services Interventions for Injured ED Substance Abusers
Study Start Date : November 2005
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Arm Intervention/treatment
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 (SBCM)
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 substance use/abuse with the goal of negotiating a 'contract' to: 1) link to services, with the eventual goal of seeking and receiving specialized substance treatment; or 2) provide a strategy to self-monitor substance use, consider consequences, and later seek assessment.
Behavioral: Motivational Enhancement Therapy (MET)
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 (BIF) session

Primary Outcome Measures :
  1. receipt of assessment [ Time Frame: 3 and 6 months post-baseline ]
  2. treatment entry [ Time Frame: 3 and 6 months post-baseline ]

Information from the National Library of Medicine

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

Inclusion Criteria:

  • (1) adults age 19-60 presenting to the Hurley Medical Center ED within 24 hours of an injury; (2) ability to provide informed consent.

Additional inclusion criteria for intervention study: meets criteria for substance abuse or dependence for stimulants (cocaine powder, crack cocaine, methamphetamine, amphetamine), cannabis (marijuana, hashish), and or opioids (noninjected heroin, other opioids such as hydrocodone and oxycodone) in the previous year.

Exclusion Criteria:

  • (1) adult patients who do not understand English; (2) prisoners; (3) adults classified by medical staff as "Level 1 trauma"; (4) adults deemed unable to provide informed consent as stated above (e.g., intoxication, mental incompetence); (5) patients treated in the ED for suicide attempts and sexual assaults; (6) patients who have been in treatment for substance abuse in the past six months; (7) patients who are triaged to psychiatric emergency services; and (8) patients who report injecting heroin or other opiates in the past year.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00251173

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

Responsible Party: Frederic C. Blow, Professor, University of Michigan Identifier: NCT00251173     History of Changes
Other Study ID Numbers: 1R01DA016591-01A1 ( U.S. NIH Grant/Contract )
First Posted: November 9, 2005    Key Record Dates
Last Update Posted: April 8, 2016
Last Verified: April 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders