Kathlene Tracy1, Mark Burton, Charla Nich, Bruce Rounsaville. 1. Community Research and Recovery Program, Department of Psychiatry, New York University School of Medicine, New York, NY 10010, USA. kathleen.tracy@nyumc.org
Abstract
BACKGROUND: Often high recidivism substance-using patients have difficulty connecting to outpatient treatment contributing to greater functioning disturbances. Approaches to address this problem frequently are staff extensive. OBJECTIVE: This study evaluates the impact of peer mentorship and/or enhanced dual recovery treatment (DRT) on individuals who are inpatients, substance abusing, and have a history of high recidivism. The primary outcome is post-discharge treatment attendance. METHODS: In an inpatient Veterans Administration hospital setting, 96 patients with a history of high recidivism and current and/or past diagnosis of substance use disorders were randomized to either (i) Treatment As Usual (TAU), (ii) TAU + DRT + Mentorship for Addictions Problems to Enhance Engagement to Treatment (MAP-Engage), or (iii) TAU + MAP-Engage. RESULTS: Overall MAP-Engage was found to be comparable to the DRT + MAP-Engage and both of these conditions were significantly better than TAU alone at increasing adherence to post-discharge substance abuse, medical, and mental health outpatient appointments. CONCLUSION/SCIENTIFIC SIGNIFICANCE: MAP-Engage offers an alternative approach to address lack of attendance to outpatient treatment appointments post discharge that is relatively low in staff reliance.
RCT Entities:
BACKGROUND: Often high recidivism substance-using patients have difficulty connecting to outpatient treatment contributing to greater functioning disturbances. Approaches to address this problem frequently are staff extensive. OBJECTIVE: This study evaluates the impact of peer mentorship and/or enhanced dual recovery treatment (DRT) on individuals who are inpatients, substance abusing, and have a history of high recidivism. The primary outcome is post-discharge treatment attendance. METHODS: In an inpatient Veterans Administration hospital setting, 96 patients with a history of high recidivism and current and/or past diagnosis of substance use disorders were randomized to either (i) Treatment As Usual (TAU), (ii) TAU + DRT + Mentorship for Addictions Problems to Enhance Engagement to Treatment (MAP-Engage), or (iii) TAU + MAP-Engage. RESULTS: Overall MAP-Engage was found to be comparable to the DRT + MAP-Engage and both of these conditions were significantly better than TAU alone at increasing adherence to post-discharge substance abuse, medical, and mental health outpatient appointments. CONCLUSION/SCIENTIFIC SIGNIFICANCE: MAP-Engage offers an alternative approach to address lack of attendance to outpatient treatment appointments post discharge that is relatively low in staff reliance.
Authors: Edith M Williams; J Madison Hyer; Ramakrishnan Viswanathan; Trevor D Faith; Leonard Egede; Jim C Oates; Gailen D Marshall Journal: Hum Immunol Date: 2017-07-14 Impact factor: 2.850
Authors: Alison A Galbraith; David J Meyers; Dennis Ross-Degnan; Marguerite E Burns; Catherine E Vialle-Valentin; Marc R Larochelle; Sharon Touw; Fang Zhang; Meredith Rosenthal; Richard B Balaban Journal: Health Serv Res Date: 2017-12 Impact factor: 3.402
Authors: Jeffrey P Haibach; Michael Ann Haibach; Katherine S Hall; Robin M Masheb; Melissa A Little; Robyn L Shepardson; Anne C Dobmeyer; Jennifer S Funderburk; Christopher L Hunter; Margaret Dundon; Leslie R M Hausmann; Stephen K Trynosky; David E Goodrich; Amy M Kilbourne; Sara J Knight; Gerald W Talcott; Michael G Goldstein Journal: J Behav Med Date: 2016-09-27
Authors: Richard B Balaban; Fang Zhang; Catherine E Vialle-Valentin; Alison A Galbraith; Marguerite E Burns; Marc R Larochelle; Dennis Ross-Degnan Journal: J Gen Intern Med Date: 2017-05-18 Impact factor: 5.128
Authors: Richard B Balaban; Alison A Galbraith; Marguerite E Burns; Catherine E Vialle-Valentin; Marc R Larochelle; Dennis Ross-Degnan Journal: J Gen Intern Med Date: 2015-01-24 Impact factor: 5.128
Authors: Aaron D Fox; Pooja A Shah; Nancy L Sohler; Carolina M Lopez; Joanna L Starrels; Chinazo O Cunningham Journal: Subst Abus Date: 2014 Impact factor: 3.716