Emergency Medicine Peer Outreach Worker Engagement for Recovery

Part of paid clinical trials in Providence, Rhode Island.

Sponsor
University of California, Los Angeles
Study ID
NCT06320015
Status
Recruiting
Apply to this trial

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Substance Misuse Assistance Response Team (SMART) — BEHAVIORAL
    The study intervention is engagement with a Substance Misuse Assistance Response Team (SMART) community health worker-peer recovery specialist (PCHW). SMART PCHWs engage ED patients with substance use disorders and facilitates ED services provision and linkages to outpatient care. Services provided include supporting ED initiation of buprenorphine, harm reduction services, social services (transportation, housing assistance, etc.), and engagement in peer recovery, behavioral health services, and addiction treatment services. Services are provided at the time of the ED visit. A subgroup of patients is provided short term case management and outpatient services navigation depending on PCHW caseload availability and individual needs.
  • Usual Care Group — OTHER
    Patient not seen by a SMART community health worker in the emergency department. Care and treatment referral at discretion of emergency department treating team.

Study Details

This is an observational, prospective case-control study evaluating the effects of an emergency department community health worker-peer recovery specialist program (PCHW), the Substance Misuse Assistance Response Team (SMART). Aims of this study are to 1) understand participant experiences working with a SMART PCHW and identify possible mechanisms for successful recovery linkage; 2) Evaluate SMART effectiveness on patient-centered outcomes, building recovery capital, and recovery linkage; 3) Evaluate SMART implementation and effectiveness on patient outcomes over time. Using a combination of surveys and data linkages to state administrative databases, study investigators will prospectively compare changes in addiction treatment engagement, recovery capital, health related social needs, acute care utilization, and death between people receiving a ED PCHW and those who do not. After consenting to study participation, participants will complete surveys at time of study enrollment and 3 and 6 months after their initial ED visit. Primary outcomes include engagement in addiction treatment, social services engagement, acute care utilization, and mortality will be assessed through linkages to state administrative databases.

Key Dates

Start date
Jul 1, 2024
Status verified
Sep 2025
Primary completion
Sep 30, 2026
Completion
Oct 31, 2026

Study Design

Enrollment
400 participants (estimated)

Arms

  • Arm: SMART Participant
    Emergency department patients at with a substance use disorder who have received SMART services
  • Arm: Usual Care
    Emergency department patients with a substance use disorder who have not received SMART services

Primary Outcome Measure

Treatment engagement [ Time Frame: Will compare differences in treatment engagement between study arms 3 and 6 months after study enrollment. ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Rhode Island HospitalProvidenceRhode Island02903
Ashley Gaipo
[email protected]
(401) 444-3374
Taneisha Wilson, MD (PRINCIPAL_INVESTIGATOR)

Find similar trials in Providence, RI

By condition
Substance use disorder
By specialty
Behavioral healthAddiction medicine
By research site
Rhode Island Hospital· Providence, RI

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