A Brief Community Linkage Intervention for Dually Diagnosed Individuals

Completed · Not applicable

Conditions studied: Schizophrenia, Psychotic Disorders, Substance-Related Disorders, Bipolar Disorder

In brief

Surveys suggest that up to 80% of veterans with a persistent mental illness have a co-occurring substance use disorder. Substance abuse among this population is problematic and often results in poor engagement in treatment and thus, frequent hospitalizations and an unstable illness course. Regarding treatment engagement, data from a VA New Jersey facility indicated that 50% of those veterans discharged from the acute psychiatric hospital unit to outpatient care did not attend their initial screening appointment and another 30% dropped out within six weeks. To assist with the transition from inpatient to outpatient care, we previously developed an eight-week augmentation intervention entitled, Time-Limited Case Management (TLC). TLC integrates evidence-based interventions of 1) Dual Recovery Therapy; 2) Critical Time Intervention Case Management along with 3) Peer Support with the goal of assisting individuals with the transition from inpatient to outpatient care.

Key facts

Study ID

NCT00137267

Run by

US Department of Veterans Affairs

People needed

102

Starts

2005-06-01

Expected to finish

2009-06-01

Last updated by the study team

2015-05-15

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male and female patients over 18 years old.
• Patients who have a substance abuse disorder and a diagnosis of schizophrenia, schizoaffective disorder, or bipolar I disorder.
• Patients seeking outpatient treatment for the above disorders from the VA.
• Physically mobile
• Agree to take public transportation if they do not have other private sources.

You may not qualify if…

• Patients who only have either a mental health problem, or a substance abuse problem, but not both.
• Patients who do not have a residence where they can stay upon discharge from the hospital.
• Patients who are not sufficiently medically or psychiatrically stable to participate in residential or outpatient treatment. Those patients could be re-evaluated for the study once stabilized.
• Patients exclusively engaged in methadone maintenance programs.
• Patients who represent a serious suicide risk.

Where it is running

• Edith Nourse Rogers Memorial Veterans Hospital, Bedford — Bedford, Massachusetts, United States
• VA New Jersey Health Care System, East Orange — East Orange, New Jersey, United States

Full record on ClinicalTrials.gov

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