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Sponsored by: |
Department of Veterans Affairs |
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Information provided by: | Department of Veterans Affairs |
ClinicalTrials.gov Identifier: | NCT00012727 |
This project�s goal is to improve the quality of care and reduce treatment costs for veterans with substance abuse and psychiatric problems.
Condition | Intervention | Phase |
---|---|---|
Dual Diagnosis |
Procedure: Matching Symptom Severity to Service Intensity |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Matching, Outcomes and Costs in Substance Abuse/Psychiatric Treatment |
Estimated Enrollment: | 236 |
Study Completion Date: | August 2001 |
Arms | Assigned Interventions |
---|---|
1 | Procedure: Matching Symptom Severity to Service Intensity |
Background:
This project�s goal is to improve the quality of care and reduce treatment costs for veterans with substance abuse and psychiatric problems.
Objectives:
This project is evaluating a patient-treatment matching strategy to improve residential treatment for substance abuse patients with psychiatric disorders. Its immediate objective is to examine whether the matching strategy results in more effective and cost-effective treatment in VA programs.
We hypothesize that patients with severe clinical problems will have better outcomes when they are matched to service-intensive programs; patients with moderate problems will have better outcomes when they are matched to programs having a lower intensity of services. For both patient groups, community treatment should prove to be more cost-effective than hospital treatment.
Methods:
The project utilized a stratified randomized design. We paired each of three VA hospital programs that treat dual diagnosis patients and are high on intensity with a nearby high-intensity community residential facility (CRF) that contracts with the VA. We also paired four VA hospital and four CRFs that are low on intensity. Veterans who applied for substance abuse treatment at VA facilities were randomly assigned to either the VA hospital or CRF.
Patient assessments have been conducted at intake (N=230), discharge, and a 4-month follow-up. Primary outcomes are patients� severity of substance abuse and psychiatric problems. Secondary outcomes are patients� functional status and their VA and non-VA health care utilization and its costs.
Status:
Completed.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients must be entering a VA inpatient substance abuse or psychiatric treatment program and be clinically judged as appropriate for inpatient or community residential care.
Exclusion Criteria:
United States, California | |
VA Palo Alto Health Care System | |
Palo Alto, California, United States, 94304-1207 | |
VA Long Beach Health Care System | |
Long Beach, California, United States, 90822-5201 | |
VA Palo Alto Health Care System | |
Menlo Park, California, United States, 94025 | |
United States, Florida | |
North Florida/South Georgia Veterans Health System | |
Gainesville, Florida, United States, 32608 | |
United States, Nebraska | |
VA NE-Western IA Health Care System | |
Omaha, Nebraska, United States, 68105-1873 | |
United States, Oklahoma | |
VA Medical Center | |
Oklahoma City, Oklahoma, United States, 73104 | |
United States, Pennsylvania | |
VA Pittsburgh Health Care System | |
Pittsburgh, Pennsylvania, United States, 15240 | |
United States, Virginia | |
VA Medical Center | |
Hampton, Virginia, United States, 23667 |
Principal Investigator: | Christine Timko, PhD | VA Palo Alto Health Care System |
Responsible Party: | Department of Veterans Affairs ( Timko, Christine - Principal Investigator ) |
Study ID Numbers: | IIR 95-011 |
Study First Received: | March 14, 2001 |
Last Updated: | January 30, 2009 |
ClinicalTrials.gov Identifier: | NCT00012727 History of Changes |
Health Authority: | United States: Federal Government |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |