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- Title
A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial.
- Authors
Smelson, David; Kalman, David; Losonczy, Miklos; Kline, Anna; Sambamoorthi, Usha; Hill, Lauren; Castles-Fonseca, Kathy; Ziedonis, Douglas
- Abstract
Study objectives were to evaluate a brief intervention designed to facilitate outpatient engagement following an inpatient psychiatric stay for individuals with mental illness and substance use. A total of 102 veterans were randomly assigned to one of two conditions: (1) Time Limited Care-Coordination (TLC), an eight-week co-occurring disorders intervention or (2) a matched attention (MA) control condition in the form of health education sessions. Both groups also received treatment as usual in inpatient and outpatient settings. Sixty-nine percent of TLC participants attended an outpatient appointment within 14 days of discharge, compared to only 33% of MA participants ( P < 0.01). TLC participants were also more likely to be engaged in outpatient services at the end of the intervention period (44 vs. 22%, P < 0.01). This study provided evidence that an eight-week intervention could improve treatment engagement. Research is currently underway to examine impact of TLC intervention beyond the 8 week study period.
- Subjects
NEW Jersey; MENTAL illness treatment; CHI-squared test; CLINICAL trials; DUAL diagnosis; VETERANS; CLASSIFICATION of mental disorders; NOSOLOGY; PEER counseling; PROBABILITY theory; RESEARCH funding; STATISTICAL sampling; STATISTICS; SUBSTANCE abuse; COMORBIDITY; DATA analysis; RANDOMIZED controlled trials; DESCRIPTIVE statistics
- Publication
Community Mental Health Journal, 2012, Vol 48, Issue 2, p127
- ISSN
0010-3853
- Publication type
Report
- DOI
10.1007/s10597-010-9346-9