Chronic Medical Conditions, Prisoners, Psychiatric Condition, Substance Use Disorder (SUD), Substance Use History
Conditions
Brief summary
The goal of this clinical trial is to learn if a short program for people being released from prison can help connect them to medical care. The main question it aims to answer is: * Will there be more non-emergency, outpatient clinic visits? Researchers will compare the number of clinic visits between people who use a Nurse Case Manager (NCM) to people in enhanced usual care. Participants will: * Complete surveys * Talk to a study team member 2-3 times, or talk to a study team member 2-3 times and talk to an NCM 6-11 times
Detailed description
The objective of this clinical trial is to test the effectiveness of a transitional care program adapted to meet the healthcare needs of adults after release from prison. The goal of the transitional care intervention being tested is to help the study participants connect to primary care within 60 days of release through weekly check-in calls. Participants in this study are enrolled approximately 6 months before their anticipated release. One group will receive weekly phone calls for up to 60 days post-release. Additionally, novel, linked administrative datasets will be leveraged to enhance, contextualize, and clarify policy implications of the clinical trial results.
Interventions
OTHERIn-person visit with study team member
Participants meet with a study team member before they are released from prison.
OTHERIn-person visit with NCM
Participants meet with a NCM before they are released from prison.
OTHERPhone calls and texts
Study team member calls and texts participants after they are released from prison.
OTHERPhone calls and texts - NCM
Nurse case manager calls and texts participants after they are released from prison.
Sponsors
University of Wisconsin, Madison
National Institute on Drug Abuse (NIDA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age 18 or older * eligibility for WI Medicaid and intention to enroll before release * substance use history (i.e., "have you ever considered your alcohol or drug use to be a problem?"), and * living with, or history of, a chronic medical or psychiatric condition other than substance use disorder. This is defined as ever having been diagnosed with a medical or psychiatric chronic condition, or currently taking prescription medications for a chronic condition. * able to read, understand, and speak English.
Exclusion criteria
* ineligible for WI Medicaid * no substance use history * not living with, or no history of, chronic medical or psychiatric condition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants who attend a Non-Emergency Outpatient Visit within 60 Days of Release From Prison | 2 months post-release, approximately 5 months on study |
Secondary
| Measure | Time frame |
|---|---|
| Number of participants who attend a Non-Emergency Outpatient Visit for Substance Use Disorder within 60 Days of Release From Prison | 2 months post-release, approximately 5 months on study |
Countries
United States
Contacts
CONTACTMaggie Chilsen
PRINCIPAL_INVESTIGATORMarguerite Burns
University of Wisconsin, Madison
Outcome results
None listed