Effectiveness of Assertive Continuing Care for Youth

March 10, 2010 updated by: Chestnut Health Systems
Following discharge from residential treatment 324 adolescents are randomly assigned to Assertive Continuing Care with and without motivational incentives in a 2 x 2 factorial design. Clinical outcomes are assessed at 3, 6, 9, and 12 months post discharge.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

342

Phase

  • Phase 3

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years to 18 years (ADULT, CHILD)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year
  • Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention

Exclusion Criteria:

  • left residential treatment prior to the seventh day
  • did not return to a target county at discharge
  • showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process
  • were deemed dangerous to themselves or others during treatment
  • were a ward of child protective services and inaccessible for the intervention
  • met DSM-IV criteria for pathological gambling
  • were discharged to the state department of corrections
  • were already participating in a treatment study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: FACTORIAL

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Assertive Continuing Care (ACC)
Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.
Behavioral: ACC
Weekly community based behavioral counseling and case management
Behavioral: UCC
recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.
EXPERIMENTAL: Contingency Management (CM)
Using a prize drawing system (no, low, medium and large value prizes) with adolescents could earn escalating prize drawing opportunities by completing verifiable pro-social activities and providing negative urine test and breath alcohol test results.
Behavioral: UCC
recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.
Behavioral: CM
Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results
EXPERIMENTAL: ACC + CM
This arm is the combination of arms 1 and 2.
Behavioral: ACC
Weekly community based behavioral counseling and case management
Behavioral: UCC
recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.
Behavioral: CM
Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results
ACTIVE_COMPARATOR: Usual Continuing Care (UCC)
UCC consists of a discharge recommendation to seek aftercare services at nearest treatment provider to where the patient lived. This service primarily consisted of outpatient group counseling.
Behavioral: UCC
recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Chestnut Health Systems

Collaborators

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2003

Primary Completion (ACTUAL)

January 1, 2008

Study Registration Dates

First Submitted

March 10, 2010

First Submitted That Met QC Criteria

March 10, 2010

First Posted (ESTIMATE)

March 11, 2010

Study Record Updates

Last Update Posted (ESTIMATE)

March 11, 2010

Last Update Submitted That Met QC Criteria

March 10, 2010

Last Verified

March 1, 2010

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 1018-1201

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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