None listed
Conditions
Brief summary
This is one of very few randomised trials on case management in a European setting. It examined the impact of case management on substance abuse and access to treatment after discharge from court-ordered institutional care. Court-ordered patients with substance abuse (n=36) were randomly assigned to either case management or treatment-as-usual during six months in aftercare. Data was collected at intake, at conclusion of intervention and at 6 month’s follow-up with a follow-up rate of 97%. Significant others and social workers were interviewed about the patients' need and use of care at intake and during aftercare. Significantly more patients in the case management group were abstinent during intervention. No differences were detected in regard to access to care between study groups. A subgroup analysis showed that patients with a continuous drug abuse had greater access to care and significantly more days in inpatient care. Our findings suggest that case management is useful in order to retain abstinence in aftercare following court-ordered treatment. The social welfare and hospital care systems seem to provide care irrespective of case manager-intervention. The study design, interventions and assessments instruments were well received by patients with 90% consent to participation but needs to be replicated with a larger population.
Interventions
Case management according to Comprehensive Case Management for Substance Abuse Treatment,
Treatment Improvement Protocol (TIP) Series 27. U.S. Department of Health and Human Services.
The case manager and patient assessed the situation using ten different instruments. The case manager, patient, social worker and institutional staff planned the interventions for the first six months in aftercare. The case manager and patient met at least once a week to plan for the week. The case manager monitore
Case management according to Comprehensive Case Management for Substance Abuse Treatment, Treatment Improvement Protocol (TIP) Series 27. U.S. Department of Health and Human Services. The case manager and patient assessed the situation using ten different instruments. The case manager, patient, social worker and institutional staff planned the interventions for the first six months in aftercare. The case manager and patient met at least once a week to plan for the week. The case manager monitored the plans together with patient. The case manager, patient and social worker met with social worker once a month to plan interventions. The case manager sent in description of interventions to project leader once a week and got weekly feed-back on adherence to manual. Interventions were according to plan and could include relapse intervention, visit to psychiatric out-patient unit, coffee with relatives etc.
Sponsors
Marianne Larsson Lindahl
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Court-order to involuntary care, residency in one of nine municipalities, involuntary care in one of three institutions
Exclusion criteria
No exclusion criteria.
Outcome results
None listed