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Community Mental Health Journal

, Volume 48, Issue 2, pp 127–132 | Cite as

A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial

  • David SmelsonEmail author
  • David Kalman
  • Miklos F. Losonczy
  • Anna Kline
  • Usha Sambamoorthi
  • Lauren St. Hill
  • Kathy Castles-Fonseca
  • Douglas Ziedonis
Brief Report

Abstract

Study objectives were to evaluate a brief intervention designed to facilitate outpatient engagement following an inpatient psychiatric stay for individuals with mental illness and substance use. A total of 102 veterans were randomly assigned to one of two conditions: (1) Time Limited Care-Coordination (TLC), an eight-week co-occurring disorders intervention or (2) a matched attention (MA) control condition in the form of health education sessions. Both groups also received treatment as usual in inpatient and outpatient settings. Sixty-nine percent of TLC participants attended an outpatient appointment within 14 days of discharge, compared to only 33% of MA participants (P < 0.01). TLC participants were also more likely to be engaged in outpatient services at the end of the intervention period (44 vs. 22%, P < 0.01). This study provided evidence that an eight-week intervention could improve treatment engagement. Research is currently underway to examine impact of TLC intervention beyond the 8 week study period.

Keywords

Substance abuse Mental illness Behavioral therapy Case management Peer support Treatment engagement 

Notes

Acknowledgment

This research was supported by grants from the Department of Veterans Affairs-Health Services Research and Development Service: IIR-020-145 (Dr. Smelson). The authors wish to acknowledge the support by veterans who participated in this research.

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Copyright information

© US Government 2010

Authors and Affiliations

  • David Smelson
    • 1
    • 2
    Email author
  • David Kalman
    • 1
    • 2
  • Miklos F. Losonczy
    • 3
  • Anna Kline
    • 3
  • Usha Sambamoorthi
    • 2
    • 4
  • Lauren St. Hill
    • 3
  • Kathy Castles-Fonseca
    • 3
  • Douglas Ziedonis
    • 5
  1. 1.Center for Health, Quality, Outcomes and Economic ResearchEdith Norse Rogers VA Medical CenterBedfordUSA
  2. 2.Department PsychiatryUniversity of Massachusetts Medical SchoolWorcesterUSA
  3. 3.VA New Jersey Healthcare SystemLyonsUSA
  4. 4.Center for Healthcare Knowledge ManagementVA New Jersey Healthcare SystemEast OrangeUSA
  5. 5.Department PsychiatryUniversity of Massachusetts Medical School/UMass Memorial Health CareWorcesterUSA

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