Substance Use Treatment and Recovery Team

Completed · Not applicable

Conditions studied: Opioid-use Disorder, Opioid-Related Disorders

In brief

This study is a multi-site, randomized pragmatic trial being conducted at three diverse sites. The study, called the Substance Use Treatment and Recovery Team (START), will evaluate whether a collaborative care team increases the use of two interventions-medication for opioid use disorder (MOUD), and opioid use disorder (OUD) focused discharge planning-among hospitalized patients with OUD, and improves linkage to follow-up care relative to usual care. The START consists of an addiction medicine specialist and a care manager who will use evidence-based tools to decrease barriers to MOUD and engage patients with post-discharge OUD care. A total of 414 patients will be randomized from Cedars-Sinai Medical Center in Los Angeles, the University of New Mexico Hospital in Albuquerque, and Baystate Health in Springfield, Massachusetts to receive either START or usual care, stratifying by prior MOUD exposure and site.

Key facts

Study ID

NCT05086796

Run by

Cedars-Sinai Medical Center

People needed

325

Starts

2021-11-11

Expected to finish

2023-12-19

Last updated by the study team

2025-01-23

Who can join

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

You may qualify if…

• Admitted to an inpatient bed at Cedars-Sinai Medical Center (CSMC),University of New Mexico Hospital (UNM), or Baystate Health (BH)
• Age 18 and older
• Have a probable OUD diagnosis, defined by scores of > 3 on the opioid section of the Alcohol, Smoking, and Substance Involvement Screening test (ASSIST)
• Speaks English or Spanish as primary language
• Willing to participate in follow-up calls and interview by telephone and able to provide contact information for follow-up calls
• Able to provide informed consent

You may not qualify if…

• Currently receiving FDA-approved medication treatment for an opioid use disorder
• < 6 months life expectancy

Where it is running

• Cedars Sinai Medical Center — Los Angeles, California, United States
• Baystate Medical Center — Springfield, Massachusetts, United States
• University of New Mexico Hospital — Albuquerque, New Mexico, United States

Full record on ClinicalTrials.gov

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