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Recruiting NCT06794983

Calls and Coordination for Transitions of Care at Re-entry

No phase Interventional Prisoners Substance Use History Chronic Medical Conditions Psychiatric Condition

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: In-person visit with study team member, In-person visit with NCM, Phone calls and texts, Phone calls and texts - NCM.
Who it may be relevant to
Registry conditions: Prisoners, Substance Use History, Chronic Medical Conditions, Psychiatric Condition. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Health Systems Innovations for Supporting Transitions of Care for Incarcerated People Living With Substance Use Disorders

Overview

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

  • Other In-person visit with study team member
    Participants meet with a study team member before they are released from prison.
  • Other In-person visit with NCM
    Participants meet with a NCM before they are released from prison.
  • Other Phone calls and texts
    Study team member calls and texts participants after they are released from prison.
  • Other Phone calls and texts - NCM
    Nurse case manager calls and texts participants after they are released from prison.

Primary outcome measures

  • Number of participants who attend a Non-Emergency Outpatient Visit within 60 Days of Release From Prison [Time frame: 2 months post-release, approximately 5 months on study]
Secondary outcome measures (1)
  • Number of participants who attend a Non-Emergency Outpatient Visit for Substance Use Disorder within 60 Days of Release From Prison [Time frame: 2 months post-release, approximately 5 months on study]

Eligibility criteria

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

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Supportive care

Study locations

United States · 1 center
  • University of Wisconsin — Madison

Identifiers

NCT: NCT06794983 · 2024-1669 · 2R01DA047889-06 · A538500 · Protocol Version 11/8/2024 · SMPH/POP HEALTH SCI/POP HLTH

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗