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Cost Effective Treatment for Dually Diagnosed Homeless

Primary Purpose

Cocaine Dependence, Mental Disorder, Homelessness

Status

Completed

Phase

Not Applicable

Locations

Study Type

Interventional

Intervention

contingency management and behavioral day treatment

About this trial

This is an interventional treatment trial for Cocaine Dependence focused on measuring cocaine dependence, mental disorder, dual diagnoses, homelessness

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: McKinney Act criteria for homelessness; DSM IV diagnosis for Cocaine Dependence; self-reported use within the last 2 weeks; psychological distress indicated by score of 70 on 1 or more Brief Symptom Inventory scales; willingness to participate; no plans to move from Birmingham area for 18 months; - Exclusion Criteria: cognitive impariment precluding informed consent; requiring immediate inpatient medical treatment

Sites / Locations

Outcomes

Primary Outcome Measures

abused drug abstinence measured by observed urine specimen testing weeks 1-52, and bimonthly months 13-18

Secondary Outcome Measures

abstinence, housing, employment and other outcomes at 0, 2, 6, 12 and 18 months.

Full Information

NCT ID

NCT00368524

First Posted

August 23, 2006

Last Updated

March 23, 2023

Sponsor

University of Alabama at Birmingham

1. Study Identification

Unique Protocol Identification Number

NCT00368524

Brief Title

Cost Effective Treatment for Dually Diagnosed Homeless

Official Title

Cost Effective Treatment for Dually Diagnosed Homeless

Study Type

Interventional

2. Study Status

Record Verification Date

August 2006

Overall Recruitment Status

Completed

Study Start Date

November 2001 (undefined)

Primary Completion Date

undefined (undefined)

Study Completion Date

November 2005 (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

University of Alabama at Birmingham

4. Oversight

5. Study Description

Brief Summary

This randomized controlled trial examined whether an abbreviated treatment using abstinence contingency management for housing and work/training (CM, n=103) with cocaine dependent, non-psychotic, dually diagnosed homeless persons, would show non-inferior outcomes compared to the full treatment (CM+, n=103). It was hypothesized that CM+ would show superior abstinence and retention outcomes, but that CM, with components derived from previously effective behavioral day treatment, would obtain non-inferior outcomes, defined as 75% or more of those observed for the full treatment (CM+) during active treatment months 1-6. The CM+ included all CM components but added behavioral day treatment that included voucher reinforcement of $7.50-15.00, for objective weekly therapeutic goal attainment in five domains of functioning: drug dependence, homelessness, unemployment, non-drug related recreational activities, and behavioral, health, or mental health problems. Abstinence was assessed by observed urine specimen collection and weekly testing weeks 1-52, and randomly, bi-monthly for months 13-18. Abstinence, homelessness, employment and other outcomes were also assessed at baseline, 2, 6, 12, and 18 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Cocaine Dependence, Mental Disorder, Homelessness, Unemployment

Keywords

cocaine dependence, mental disorder, dual diagnoses, homelessness

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

Single

Allocation

Randomized

Enrollment

160 (false)

8. Arms, Groups, and Interventions

Intervention Type

Behavioral

Intervention Name(s)

contingency management and behavioral day treatment

Primary Outcome Measure Information:

Title

abused drug abstinence measured by observed urine specimen testing weeks 1-52, and bimonthly months 13-18

Secondary Outcome Measure Information:

Title

abstinence, housing, employment and other outcomes at 0, 2, 6, 12 and 18 months.

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Jesse B. Milby, Ph.D. ABPP

Organizational Affiliation

University of Alabama at Birmingham

Official's Role

Principal Investigator

12. IPD Sharing Statement

Citations:

PubMed Identifier

15983278

Citation

Milby JB, Schumacher JE, Wallace D, Freedman MJ, Vuchinich RE. To house or not to house: the effects of providing housing to homeless substance abusers in treatment. Am J Public Health. 2005 Jul;95(7):1259-65. doi: 10.2105/AJPH.2004.039743.

Results Reference

background

PubMed Identifier

17512156

Citation

Milby JB, Schumacher JE, Vuchinich RE, Freedman MJ, Kertesz S, Wallace D. Toward cost-effective initial care for substance-abusing homeless. J Subst Abuse Treat. 2008 Mar;34(2):180-91. doi: 10.1016/j.jsat.2007.03.003. Epub 2007 May 23.

Results Reference

derived

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Cost Effective Treatment for Dually Diagnosed Homeless

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