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Article
A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial
Psychiatry Publications and Presentations
  • David A. Smelson, University of Massachusetts Medical School
  • David Kalman, University of Massachusetts Medical School
  • Miklos F. Losonczy, New Jersey HealthCare System
  • Anna Kline, University of Medicine and Dentistry
  • Usha Sambamoorthi, University of Massachusetts Medical School
  • Lauren St. Hill, VA New Jersey Healthcare System
  • Kathy Castles-Fonseca, VA New Jersey Healthcare System
  • Douglas M. Ziedonis, University of Massachusetts Medical School
UMMS Affiliation
Department of Psychiatry
Date
9-23-2010
Document Type
Article
Medical Subject Headings
Mental Disorders; Substance-Related Disorders; Inpatients; Outpatients; Treatment Outcome
Disciplines
Abstract
Study objectives were to evaluate a brief intervention designed to facilitate outpatient engagement following an inpatient psychiatric stay for individuals with mental illness and substance use. A total of 102 veterans were randomly assigned to one of two conditions: (1) Time Limited Care-Coordination (TLC), an eight-week co-occurring disorders intervention or (2) a matched attention (MA) control condition in the form of health education sessions. Both groups also received treatment as usual in inpatient and outpatient settings. Sixty-nine percent of TLC participants attended an outpatient appointment within 14 days of discharge, compared to only 33% of MA participants (P < 0.01). TLC participants were also more likely to be engaged in outpatient services at the end of the intervention period (44 vs. 22%, P < 0.01). This study provided evidence that an eight-week intervention could improve treatment engagement. Research is currently underway to examine impact of TLC intervention beyond the 8 week study period.
Rights and Permissions
Citation: Community Ment Health J. 2010 Sep 22. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
20859765
Citation Information
David A. Smelson, David Kalman, Miklos F. Losonczy, Anna Kline, et al.. "A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial" (2010) ISSN: 0010-3853 (Linking)
Available at: http://works.bepress.com/douglas_ziedonis/89/