A Practical Clinical Trial of Coordinated Care Management to Treat Substance Use Disorders among Public Assistance Beneficiaries

Autor/inn/en	Morgenstern, Jon; Hogue, Aaron; Dauber, Sarah; Dasaro, Christopher; McKay, James R.
Titel	A Practical Clinical Trial of Coordinated Care Management to Treat Substance Use Disorders among Public Assistance Beneficiaries
Quelle	In: Journal of Consulting and Clinical Psychology, 77 (2009) 2, S.257-269 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0014489
Schlagwörter	Welfare Recipients; Substance Abuse; Self Disclosure (Individuals); Measures (Individuals); Outcomes of Treatment; Clinical Psychology; Critical Incidents Method; Intervention; African Americans; Hispanic Americans; Males; Integrated Services + Suchen Sie Ihr Suchwort? Sozialhilfeempfänger; Sozialhilfeempfängerin; Drug use; Drug consomption; Drogenkonsum; Messdaten; Klinische Psychologie; Afroamerikaner; Hispanic; Hispanoamerikaner; Male; Männliches Geschlecht
Abstract	This study tested whether coordinated care management (CCM), a continuity of care intervention for substance use disorders (SUD), improved rates of abstinence when compared with usual welfare management for substance-using single adults and adults with dependent children applying for public assistance. The study was designed as a practical clinical trial and was implemented in partnership with a large city welfare agency. Participants were 421 welfare applicants identified via SUD screening and assigned via an unbiased computerized allocation program to a site that provided either CCM (n = 232) or usual care (UC; n = 189). Outcomes were assessed for 1 year postbaseline with self-reports and biological measures of substance use. As hypothesized, for participants not enrolled in methadone maintenance programs (n = 313), CCM clients received significantly more services than did UC clients. Nonmethadone CCM also showed significantly higher abstinence rates (odds ratio = 1.75; 95% confidence interval = 1.12, 2.76; d = 0.31) that emerged early in treatment and were sustained throughout follow-up. In contrast, no treatment services or outcome effects were found for methadone maintenance clients (n = 108). Findings suggest that CCM is promising as a wraparound to SUD treatment for welfare recipients. (Contains 2 tables and 3 figures.) (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10