Contingency Management of Alcohol Abuse in the Severely Mentally ILL (NCT01567943) | Clinical Trial Compass
CompletedNot Applicable
Contingency Management of Alcohol Abuse in the Severely Mentally ILL
United States123 participantsStarted 2012-03
Plain-language summary
The investigators will evaluate the efficacy of a comprehensive 12-week contingency management intervention for treating alcohol dependence for persons with severe mental illness who are seen within the context of a community mental health center setting. The primary contingency will be submission of alcohol-free urines. Additional reinforcers will be provided for intensive outpatient addiction treatment attendance. Reinforcers will be vouchers or actual items useful for day-to-day living. Participants will be 120 adults diagnosed with alcohol dependance and severe mental illness.
Who can participate
Age range18 Years – 65 Years
SexALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. Currently receiving psychiatric \[AND intensive outpatient addiction treatment\] at Community Psychiatric Clinic (CPC).
✓. Aged 18 to 65 years.
✓. Ability to understand written and spoken English language.
✓. DSM-IV diagnosis of alcohol dependence as assessed by the MINI psychiatric interview.
✓. Diagnosis of current serious mental illness: schizophrenia, schizoaffective disorders, bipolar disorder I or II, or recurring major depressive disorders as assessed by the MINI psychiatric interview.
✓. Alcohol use in the month prior to study entry: self-reported alcohol use of 5 days or more during the 30 days prior to study entry (5 drinking days/month is selected based on previous research reporting alcohol use in 18% of days assessed in a sample of psychiatric outpatients with co-occurring SUDs \& SMI).120
✓. A CPC treating clinician must affirm the potential participant is safe to participate in the study.
Exclusion criteria
✕. A significant risk of dangerous alcohol withdrawal: a history of alcohol detoxification or seizure in the last 12 months AND participant or clinician concern that abstinence will induce dangerous alcohol withdrawal.
What they're measuring
1
Alcohol Use as Assessed by Ethyl Glucuronide Detection in Urine
Timeframe: Over 16 weeks of treatment (repeated measure)
✕. DSM-IV diagnosis of current (last year) drug dependence as assessed by the MINI interview.
✕. Any medical/psychiatric condition, or severity of that condition, that in the opinion of the PI, would compromise safe study participation.
✕. Chart defined organic brain disorder or dementia.
✕. Inability to provide informed consent as measured by the University of California San Diego Brief Assessment of Capacity to Consent (UBACC), a tool designed to screen for ability to provide informed consent for research. If indicated by the UBACC screening process, the more comprehensive MacCAT-CR will be used.