
Effectiveness of Extended Treatment for Drug Dependence (ETDD) in the City Study
Cocaine DependenceThis protocol (a supplement to 805466) is to test whether our telephone continuing care model can be implemented successfully by "real world" publicly funded programs. Participants will be recruited from Philadelphia's Department of Behavioral Health - run drug programs. The investigators will train city telephone care managers to deliver our telephone continuing care intervention to patients in this program. The investigators will randomize 200 to receive this intervention or usual care and follow them for 12 months.

Cognitive Behavioral Treatment of Posttraumatic Stress Disorder Enhanced by Virtual Reality for...
Posttraumatic Stress DisorderSubstance AbuseThis study is exploring the use of an intervention designed to treat PTSD in individuals with comorbid PTSD and substance abuse resulting from the attacks of September 11 or from military service in Iraq. A cognitive behavioral treatment protocol will be used to treat PTSD. The exposure component of the protocol will be enhanced with the use of virtual reality in which the client will view a virtual environment while describing their trauma.

Developing Violence Prevention Therapy for Substance Abusers
Substance Use DisordersViolenceThe purpose of this project is to develop and pilot test a violence prevention intervention for men and women in treatment for substance use problems.

A Randomized Acceptability and Safety Study of the Transfer From Subutex to Suboxone in Opioid-...
Opiate DependenceDrug DependencePost-marketing commitment to the European Medicines Agency to conduct a prospective, controlled study of the transfer from Subutex to Suboxone.

Motivational Enhancement Therapy to Improve Treatment Utilization in Pregnant Substance Users -...
Substance-Related DisordersThe purpose of this study is to compare Motivational Enhancement Therapy (MET) with standard drug abuse treatment among pregnant women.

Motivational Enhancement for Spanish Speaking Individuals - 1
Substance-Related DisordersThe purpose of this study is to compare a three-session Spanish version of Motivational Enhancement Therapy (MET) to standard treatment to see how well MET engages and retains Spanish-speaking clients in outpatient substance abuse treatment.

Counseling Conditions for Buprenorphine in a Primary Care Clinic - 1
Heroin DependenceOpioid-Related Disorders2 moreThe purpose of this study is to compare the Standard Medical Management (SMM) vs. SMM enhanced with additional education about addiction and recovery (Enhanced Medical Management, EMM)

Integrated Intervention for Substance Abusers With Depressive Disorders
Substance-Related DisordersDepressive DisorderThis study is a randomized clinical trial comparing outcomes of Integrated Cognitive Behavioral Treatment plus standard medications for veterans with both substance use disorders, depressive disorders versus the most commonly administered form of therapy for substance use disorders and depression, Twelve Step Facilitation (AA/NA model) group treatment plus medications.

Pharmacotherapy for Schizophrenic Drug Users - 6
Cocaine-Related DisordersSubstance-Related Disorders1 moreThe purpose of this study is to evaluate maintenance neuroleptics for Schizophrenic patients who are cocaine abusers.

Health Insurance Instability and Mortality Among Patients Receiving Bup Tx for OUD
Opioid Use DisorderOpioid Overdose1 moreThe goal of this multi-site observational cohort study is to link electronic health records (EHR) with novel data sources to examine insurance instability and its association with all-cause and overdose mortality in adult patients who received medications for opioid use disorder (MOUD). The main objectives of the study are: Objective 1. Perform data linkage of a cohort of patients who received MOUD with the National Death Index using a probabilistic algorithm for matching records to ascertain fact and cause of death relative to treatment and insurance status. Objective 2: Assess the association of insurance instability and risk of death, including all-cause mortality and drug- and alcohol-related overdose mortality.