|
Revised: |
December 5, 2006 |
Study Site: |
The Miriam Hospital/Brown University School of Medicine |
Study Name: |
Outreach and Methadone for Former Inmates (SAMHSA CSAT) (The MOD Study) |
Study Status: |
Enrolling subjects |
Principal Investigator: |
Josiah Rich, MD, MPH |
Years of Funding: |
Sept. 2002 – Sept 2007 |
Study Aims: |
The purpose of the project is to increase access to methadone for recently incarcerated heroin addicts in order to reduce recidivism, improve health, and increase personal stability; and to provide linkage to treatment and preventive services.
The Objectives are:
- To set up an outreach program and a network of methadone maintenance providers for ex-offenders.
- To enroll 120 formerly incarcerated persons in methadone maintenance therapy each year for 5 years (total enrolled = 600).
- To provide linkage to testing and treatment services for co-morbid conditions of HIV/AIDS, hepatitis B and C, and mental illness.
- To conduct the required federal data collection and a local evaluation, and disseminate the results of the program.
|
Study or Clinic Location |
The Miriam Hospital; Rhode Island Department of Corrections; Methadone Treatment Facilities |
# of Participants: |
Goal: |
120 per year totaling 600 over 5 years |
Enrolled: |
Still in start-up phase – 0 enrolled |
Inclusion Criteria: |
Eligible participants must be (1) incarcerated within the previous two years; (2) opiate dependent with active heroin use or heroin use during the month preceding incarceration; (3) age 18 years or older; (4) meet the requirements for entry into methadone maintenance (i.e., one year history of opiate dependence); (5) English-, Spanish- or Portuguese-speaking; (5) plan to remain in Rhode Island for 12 months; (6) able to give informed consent. |
Exclusion Criteria: |
|
Definition of Drug Use |
Opiate addicted for at least one year |
Participant Characteristics: |
% Female: |
N=200 (33%) |
% HIV+ |
No projected number of HIV+, though we will enroll participants at the Immunology Center |
% DU (IDU or non-IDU) |
100% |
Study Domains: |
Evaluation Outcomes
- time from referral (discharge) to enrollment in methadone treatment
- duration on methadone treatment
- ongoing drug use while on methadone treatment (mandatory urine drug testing while in methadone treatment facility)
- recidivism (self-report and confirmed with the Department of Corrections)
- quality of life
|
Data collection instruments: |
Eligibility Screen; Government Performance and Reporting Act tool (mandated by funder) and the Addiction Severity Index both administered at baseline, 6 and 12 months Chart abstraction forms for methadone clinics (methadone dose; toxicity screen; lab work; counseling attendance; program status) and abstraction of prison records – recidivism and charge |
