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A Comprehensive Peer Mentor-based Disease Management Program for Medically Complex Substance Users

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2009 by Johns Hopkins University.
Recruitment status was  Not yet recruiting
Sponsor:
Collaborator:
Healthways, Inc.
Information provided by:
Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT00993395
First received: October 9, 2009
Last updated: NA
Last verified: October 2009
History: No changes posted

October 9, 2009
October 9, 2009
January 2010
December 2013   (final data collection date for primary outcome measure)
adherence to first prescription refill after discharge [ Time Frame: 60 days ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
  • Adherence to first medical appointment [ Time Frame: 60 days ] [ Designated as safety issue: No ]
  • Rate of readmission and emergency department visits [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • Length of stay in a recovery program [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Number of days without substance use [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • Acquisition of medical insurance [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • acquisition of long-term housing [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • Acquisition of financial support [ Time Frame: 3 years ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
A Comprehensive Peer Mentor-based Disease Management Program for Medically Complex Substance Users
A Comprehensive Peer Mentor-based Disease Management Program for Medically Complex Substance Users

Substance-using adults are admitted to hospital for medical complication from their drug and alcohol use at very high rates; yet, their care is often defined by low rates of referral to addiction treatment programs and recidivism. In 1997, we instituted an integrated medical-substance use treatment program at Johns Hopkins, the First Step Day Hospital, designed for intensive post-acute care of previously hospitalized substance using adults. We have shown that patients with dual diagnoses admitted to First Step more often complete their course of medical care and stay in recovery longer than patients not admitted to First Step.(1;2) On discharge from First Step, patients are medically stable and drug-free. Their substance abuse care is transferred to an out-patient substance abuse treatment facility and their medical care is transferred to their primary care provider. Unfortunately, many patients are lost to follow-up during this transition. We believe that a peer mentor-based disease management program (PM) can provide continuity of care that begins in First Step and continues after discharge thereby increasing the proportion of patients who remain in treatment for their addiction and medical conditions. Peer mentors are persons from the target community who have been in recovery for 5 or more years. In cooperation with patients and providers, peer mentors improve the integration of care, quality of care, and access to healthcare services. This pilot study will test the effectiveness of a peer mentor-based disease management program. The specific aims are to compare the impact of the PM intervention verses enhanced usual care on outcomes in three domains (1) medical/psychiatric health status, (2) addiction recovery, and (3) social resource acquisition. If successful, this study will provide evidence supporting a larger randomized controlled trial of the impact of field workers on post-acute care among patients with dual diagnoses.

Not Provided
Interventional
Not Provided
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Substance Addiction
Behavioral: peer mentor-based disease management
peer mentor-based disease management focused on three domains: medical care, recovery, and social stabilization
Experimental: Peer Mentor Intervention
peer mentor-based disease management focusing on three domains: medical care, recovery, and social stabilization
Intervention: Behavioral: peer mentor-based disease management
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Not yet recruiting
160
December 2013
December 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • All patients admitted to an intensive day hospital focused on medically complex substanse users are eligible for enrolment

Exclusion Criteria:

  • Inability to provide informed consent
Both
Not Provided
No
Contact: Noreen Krause, BS 4109553753 nkrause1@jhmi.edu
United States
 
NCT00993395
NA_00020931
No
Jeffery Hunter Young, Assistant Professor, Johns Hopkins University
Johns Hopkins University
Healthways, Inc.
Not Provided
Johns Hopkins University
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP