A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial
Department of Psychiatry
Mental Disorders; Substance-Related Disorders; Inpatients; Outpatients; Treatment Outcome
Study objectives were to evaluate a brief intervention designed to facilitate outpatient engagement following an inpatient psychiatric stay for individuals with mental illness and substance use. A total of 102 veterans were randomly assigned to one of two conditions: (1) Time Limited Care-Coordination (TLC), an eight-week co-occurring disorders intervention or (2) a matched attention (MA) control condition in the form of health education sessions. Both groups also received treatment as usual in inpatient and outpatient settings. Sixty-nine percent of TLC participants attended an outpatient appointment within 14 days of discharge, compared to only 33% of MA participants (P < 0.01). TLC participants were also more likely to be engaged in outpatient services at the end of the intervention period (44 vs. 22%, P < 0.01). This study provided evidence that an eight-week intervention could improve treatment engagement. Research is currently underway to examine impact of TLC intervention beyond the 8 week study period.
DOI of Published Version
Community Ment Health J. 2010 Sep 22. Link to article on publisher's site
Community mental health journal
Smelson DA, Kalman D, Losonczy MF, Kline A, Sambamoorthi U, St. Hill L, Castles-Fonseca K, Ziedonis DM. (2010). A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders: Results of a Randomized Clinical Trial. Psychiatry Publications. https://doi.org/10.1007/s10597-010-9346-9. Retrieved from https://escholarship.umassmed.edu/psych_pp/448