This study will compare three alternative interventions in the ED to promote substance abuse assessment, referral, and treatment entry: 1) a 5 session strengths-based case management model (SBCM); 2) a 2-session motivational enhancement therapy (MET); or 3) a one-time brief informational feedback (BIF) session. The primary outcome variables for this trial include follow-through on receiving an assessment and referral, treatment engagement, degree of treatment completion, alcohol-related measures, healt service utilization, health status changes, and psychosocial factors.

Condition	Intervention
Alcohol Abuse	Behavior: Strengths Based Case Management  Behavior: Motivational Enhancement Therapy  Behavior: Brief Informational Feedback

Ages Eligible for Study:  18 Years and above,  Genders Eligible for Study:  Both

Criteria

Inclusion Criteria:

• (1) adults age 18 and over presenting to the Emergency Department at Hurley Medical Center within 24 hours of an injury; (2) ability to provide informed consent.

For intervention portion of the project: (1) meets DSM-IV criteria for alcohol abuse or dependence in the following year. (Patients who meet abuse/dependence criteria for alcohol may also be using other drugs. They will be included in the study ONLY if they do not meet criteria for past year drug abuse/dependence).

Exclusion Criteria:

• (1) adult patients who do not understand English; (2) prisoners; (3) pregnant women; (4) institutionalized patients (e.g. nursing home residents); (5) adults classified by medical staff as "Level 1 trauma"; (6) adults deemed unable to provide informed consent (e.g. intoxication, mental incompetence, under guardianship); (7) patients treated in the ED for suicide attempts and sexual assault; (8) patients meeting past year drug abuse/dependence criteria; and (9) patients who have been in treatment for alcohol or other drug abuse/dependence in the previous year.

Please refer to this study by ClinicalTrials.gov identifier  NCT00234221

Lynn S Massey, MSW      734-998-7454  Ext. 319    lsmassey@med.umich.edu

Michigan
      Hurley Medical Center, Flint,  Michigan,  48503,  United States

Study chairs or principal investigators

Frederic C Blow, PhD,  Principal Investigator,  University of Michigan   

Study ID Numbers:  1R01AA014665-01A1
Last Updated:  December 29, 2005
Record first received:  October 4, 2005
ClinicalTrials.gov Identifier:  NCT00234221
Health Authority: United States: Institutional Review Board
ClinicalTrials.gov processed this record on 2006-01-10