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Published in: Community Mental Health Journal 2/2012

01-04-2012 | Brief Report

A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial

Authors: David Smelson, David Kalman, Miklos F. Losonczy, Anna Kline, Usha Sambamoorthi, Lauren St. Hill, Kathy Castles-Fonseca, Douglas Ziedonis

Published in: Community Mental Health Journal | Issue 2/2012

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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.
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Metadata
Title
A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial
Authors
David Smelson
David Kalman
Miklos F. Losonczy
Anna Kline
Usha Sambamoorthi
Lauren St. Hill
Kathy Castles-Fonseca
Douglas Ziedonis
Publication date
01-04-2012
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 2/2012
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-010-9346-9

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