Substance Abuse
Conditions
Brief summary
To conduct an 8-week randomized trial evaluating the feasibility and efficacy of adding CBT4CBT to treatment as usual in a community based primary care program in a population of 60 individuals who meet current DSM criteria for substance use disorder other than nicotine.
Detailed description
The investigators will conduct an initial evaluation of the computer program as an enhancement of treatment as usual in a community-based primary care clinic. Sixty individuals with a current DSM-IV alcohol or substance use disorder will be randomly assigned to either (1) treatment as usual, or (2) treatment as usual plus exposure to the 'CBT for CBT' program over a period of 8 weeks. Primary outcomes will be retention in treatment and reduction in drug use over 8 weeks. Secondary outcomes include treatment utilization
Interventions
Treatment normally offered at this primary care clinic
Sponsors
Study design
Eligibility
Inclusion criteria
* Are 18 years of age or older. * Are applying for outpatient substance abuse treatment * Meet current DSM-IV criteria for cocaine, marijuana, opioid, alcohol or other stimulant use disorder * Are sufficiently stable for 8 weeks of outpatient treatment * Can commit to 8 weeks of treatment and are willing to be randomized to treatment * Are willing to provide locator information.
Exclusion criteria
* Have an untreated bipolar or schizophrenic disorder * Have a current legal case pending such that incarceration during the 8 week protocol is likely * Are in need of detoxification from alcohol, opioids or benzodiazepines
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| retention in treatment | 0 - 8 weeks | subjects returning for treatment at primary care unit and completing CBT4CBT program for those assigned |
| reduction in drug use | 0 - 8 weeks | Using urine and breathalyzer screening for negative drug and alcohol testing |
Countries
United States