Specialty: Mental Health, Primary sub-specialty: Addictions - alcohol
Conditions
Interventions
Participants are randomised to one of two groups using an electronic allocation system.
Control group: Participants will receive care as usual (CAU). This may include treatment of pre
Sponsors
King's College London
South London and Maudsley NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria as of 05/06/2017: 1. Age 18 years or over 2. Able to understand English sufficiently well to obtain informed consent and complete the assessment questionnaires 3. ICD-10 diagnosis of alcohol dependence 4. Willing to provide informed consent to participate in the trial 5. Has been admitted at least two times to in-patient care in any of the participating NHS trusts with at least one diagnosis wholly attributable to alcohol, within a one year period or 6. Has at least ten presentations to an Emergency Department in any of the participating NHS trusts, within a one year period or 7. Has at least four presentations to an Emergency Department in any of the participating NHS trusts, within a month or 8. Has been admitted at least one time to in-patient care with a diagnosis wholly attributable to alcohol and has at least four presentations to an Emergency Department in any of the participating NHS trusts, within a one year period Original inclusion criteria: 1. Age 18 years or over 2. Able to understand English sufficiently well to obtain informed consent and complete the assessment questionnaires 3. Has been admitted at least three times to in-patient care in any of the three NHS trusts within King’s Health Partners with at least one diagnosis wholly attributable to alcohol, within a one year period 4. ICD-10 diagnosis of alcohol dependence 5. Willing to provide informed consent to participate in the trial
Exclusion criteria
Exclusion criteria: 1. Unable to give informed consent 2. Experiencing severe mental of physical illness likely to preclude active participation in the treatment or research follow up 3. Already in receipt of assertive outreach services or participation in another trial 4. Dependence on opiates or stimulants 5. Has a severe cognitive impairment as determined by Mini Mental State Examination score of = 10 6. Has a history of violence to staff or is registered under MAPPA 7. Street homeless or has no recourse to public funds
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent days abstinent in the 90 days prior to 12 months follow up measured using the Time Line Follow Back (TLFB) Form 90 administered at baseline, 6 and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Drug use will be measured using the Time Line Follow Back (TLFB) Form 90 at baseline, 6 and 12 months 2. Alcohol related problems will be assessed using the Alcohol Problems Questionnaire (APQ) at baseline, 6 and 12 months 3. Severity of dependence will be measured using the Severity of Alcohol Dependence Questionnaire (SADQ) at baseline, 6 and 12 months 4. Health related quality of life will be measured using the EQ-5D-5L and the Short-Form Health Survey at baseline, 6 and 12 months 5. Participants’ use of services will be measured using the Alcohol and Drug Adapted Adult Service Use Schedule (AD-SUS) at baseline, 6 and 12 months 6. Potential mechanisms of action of assertive outreach treatment will be measured using the Readiness to Change questionnaire and the Important People and Activities Inventory at baseline, 6 and 12 months 7. The therapeutic relationship between the participants and the care providers will be measured using the STAR rating scale at 12 months | — |
Countries
United Kingdom
Outcome results
None listed