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Sponsored by: |
National Institute on Drug Abuse (NIDA) |
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Information provided by: | National Institute on Drug Abuse (NIDA) |
ClinicalTrials.gov Identifier: | NCT00536900 |
This is a randomized controlled trial to test whether a money-management based intervention reduces substance abuse.
Condition | Intervention | Phase |
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Substance Abuse |
Behavioral: Advisor-Teller Money Manager Behavioral: FIT |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Abstinence-Linked Money Management |
Estimated Enrollment: | 120 |
Study Start Date: | June 2004 |
Estimated Study Completion Date: | March 2008 |
Arms | Assigned Interventions |
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1: Experimental
ATM
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Behavioral: Advisor-Teller Money Manager
The acronym for the functions of ATM are TTT-- Teller (storing patient funds), Training patients by making and reviewing monthly budgets, and Treatment-Linked Spending in which weekly behavioral contracts link disbursement to completion of abstinence-related activities
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2: Active Comparator
FIT
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Behavioral: FIT
FIT (finance instruction therapy) involves review of a financial workbook and budgeting sheets
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While the Social Security Administration (SSA) no longer provides benefits for individuals disabled by drug abuse per se, approximately 50% of recipients have a concomitant substance abuse disorder. Supported by disability payments, this substance abuse impedes recovery/remission from the comorbid mental disorder. Money management is widely implemented in dual diagnosis treatment - in patients assigned payees to manage their funds and in patients receiving case management - but whether money management reduces substance abuse is unproven. If shown to be effective, money management-based therapy can be logically integrated into these existing arrangements. There is no specific substance abuse focus to standard payee and case management arrangements. We have developed a money management-based therapy called Advisor-Teller money manager (the bank-like acronym is ATM). ATM involves having a patient voluntarily allow a therapist/money manager to limit the patients' access to his/her funds, thus preventing unrestricted access to cash from cueing substance use. Patients meet with therapist/money managers at least weekly. Meetings begin with a review of the previous week's expenditures, including expenditures for drugs and alcohol, and an on-site urine toxicology test and breathalyzer. Patients then plan a budget that is incompatible with drug use by budgeting funds for direct payment of expenses (such as rent), abstinence-compatible activities and long-term goals. Budgeting and planning will develop patients' skills at managing their funds. Dispensing procedures build upon the principles of therapeutic contracting. Patients contract to receive their funds for specific expenditures and then review the next week whether the funds were spent as planned.
We are conducting a Stage 2 randomized clinical trial in which 120 patients will be randomly assigned to 36-weeks of either ATM or Finance Instruction Therapy (FIT), a low intensity intervention in which patients are given basic financial instruction to determine the efficacy of ATM in reducing substance use.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Inclusion Criteria
Exclusion Criteria:
Contact: Karen Ablondi, MPH | 203-974-7294 | Karen.Ablondi@yale.edu |
United States, Connecticut | |
Connecticut Mental Health Center | Recruiting |
New Haven, Connecticut, United States, 06519 |
Principal Investigator: | Marc I Rosen, M.D. | Yale University |
Study ID Numbers: | R01DA12952 |
Study First Received: | September 26, 2007 |
Last Updated: | September 27, 2007 |
ClinicalTrials.gov Identifier: | NCT00536900 History of Changes |
Health Authority: | United States: Federal Government |
Substance abuse Behavior therapy representative payee cocaine abuse |
alcohol abuse case management dual diagnosis |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin Cocaine Ethanol |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |