Collaborative Care for Alcohol Use Disorders in the Patient-centered Medical Home
Alcohol-Related Disorders, Alcohol Drinking, Alcoholism
About this trial
This is an interventional treatment trial for Alcohol-Related Disorders focused on measuring Drinking, Excessive drinking, Alcohol use disorders, Primary Care
Eligibility Criteria
Inclusion Criteria:
- Exceed NIAAA weekly or daily guidelines
- receive care at the 865 clinic
- are fluent in English
- are willing to provide signed, informed consent to participate
- available to complete research follow-ups
- are able to read English at the eighth grade or higher level and show no evidence of significant cognitive impairment
Exclusion Criteria:
- Meet DSM-V criteria for drug dependence other than for marijuana or nicotine
- on probation or parole
- have a serious psychiatric illness (e.g., psychotic disorder, bipolar disorder, severe major depression, etc.) that is likely to require pharmacologic treatment or that is currently treated with psychotropic medication; organic mood or mental disorders, or substantial suicide or violence risk
Sites / Locations
- Northwell Health
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Other
Other
Other
Other
At-Risk Drinkers (AR)
Problem Drinkers (PD)
AD with physiological withdrawal (AD-W)
AD with complex presentation (AD-CMPLX)
AR will receive feedback about their drinking and brief advice along with follow up assessments.
PD will be offered a choice of either an evidence-based behavioral intervention(Motivational Enhancement Therapy) or medication (Naltrexone) plus medication management. These participants will also receive follow up assessments.
AD-W will referred to outpatient detoxification as part of standard care, unless medically contraindicated, and will be offered medication (naltrexone) plus medication management as or an evidence-based behavioral intervention (Modified Behavioral Self-Control Therapy [MBSCT]) adapted from our two prior protocols. These participants will also receive follow up assessments.
AD-CMPLX will receive a referral to specialty substance use disorder treatment and also receive follow up assessments.