Improving Outcomes Among Medical/Surgical Inpatients With Alcohol Use Disorders
Alcohol Use Disorder
About this trial
This is an interventional health services research trial for Alcohol Use Disorder focused on measuring Alcohol Use Disorder
Eligibility Criteria
Inclusion Criteria:
Medical-surgical inpatients with alcohol use disorder at the Ann Arbor or Palo Alto VA. Specifically:
- in a current episode of medical-surgical care,
- meet DSM 5 criteria for an AUD
- no specialty addiction treatment or weekly mutual-help group attendance within 60 days prior to the inpatient episode,
- no restricted access due to infection control requirements (e.g., TB, MRSA, C. diff),
- no significant cognitive impairment,
- ongoing access to a cell or land line telephone,
- at least one contact who will continue to know the patient's contact information, and (8) not having participated in an interview for Aim 1 of this project.
Exclusion Criteria:
See inclusion criteria.
Sites / Locations
- VA Palo Alto Health Care System, Palo Alto, CA
- VA Ann Arbor Healthcare System, Ann Arbor, MI
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual Care
Intervention
Under usual care, when a patient screens positive on the AUDIT-C administered at intake, a provider (social worker, nurse) provides Brief Intervention (BI), i.e., tells the patient that problems are associated with alcohol use, and about recommended drinking limits; notes the patient as ready to change drinking or not, and as agreeing to treatment or not. If the patient agrees to treatment, specialty addiction services are notified.
Patients will attend one 50-minute individual session with a Decision Coach (a trained clinical provider, e.g., MSW). Patients in DO-MoST will also attend 6 biweekly 15-minute telephone sessions from the same Decision Coach.