Adolescent Outpatient and Continuing Care Study

Completed · Phase 3

Conditions studied: Substance Abuse, Substance Dependence

In brief

The purpose of this study was to evaluate the effectiveness and cost-effectiveness of two types of outpatient treatment with and without Assertive Continuing Care (ACC) for 320 adolescents with substance use disorders. Study participants were randomly assigned to one of four conditions: (a) Chestnut's Bloomington Outpatient Treatment (CBOP) without ACC; (b) CBOP with ACC; (c) Motivational Enhancement Therapy/Cognitive Behavior Therapy-7 session model (MET/CBT7) without ACC; and (d) MET/CBT7 with ACC. Based on prior quasi and experimental studies, the investigators hypothesized that MET/CBT would be more effective and cost-effective than CBOP in terms of increasing days abstinent and decreasing substance abuse problems. Additionally, the investigators hypothesized that the groups receiving ACC would have significantly better outcomes than the groups without ACC. Lastly, the investigators hypothesized that adding ACC to MET/CBT would be the most cost-effective option in terms of days abstinent.

Key facts

Study ID

NCT01381133

Run by

Chestnut Health Systems

People needed

320

Starts

2002-09-01

Expected to finish

2008-12-01

Last updated by the study team

2013-08-14

Who can join

Age: 12 and older, up to 18. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 12-18 years old
• met ASAM's (2001) Patient Placement Criteria for Level I outpatient treatment based on a substance abuse or dependence diagnosis and six dimensional admission criteria (i.e., severity of intoxication/withdrawal, physical health, emotional/behavioral health, treatment readiness, relapse potential, and recovery environment)
• attended an admission appointment

You may not qualify if…

• "stepped-down" from residential treatment and were therefore more severe than adolescents who entered outpatient treatment from the community
• were recommended only for individual counseling, as both outpatient treatment conditions had group components
• were a ward of the state
• did not have a parent/guardian present during admission to outpatient treatment
• appeared to have insufficient mental capacity to provide informed consent
• did not speak English with sufficient ability to understand study procedures and instruments

Where it is running

• Chestnut Health Systems — Bloomington, Illinois, United States

Full record on ClinicalTrials.gov

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