Opiate Addiction Clinical Trial
Official title:
Randomized Controlled Trial on the Effectiveness of Immediate Versus Delayed Access to Hospital-based Addiction Services
Hypothesis: Patients who are addicted to opioids or alcohol will have reduced substance use,
health care utilization if they have immediate and convenient access to pharmacotherapy and
addiction counselling.
Summary: This randomized trial will compare two different interventions for 124 alcohol and
opioid-addicted patients admitted to either Women's Own Detox (WOD) at the University Health
Network or the Withdrawal Management Service (WMS) at Saint Michael's Hospital (SMH. The
Delayed Intervention group will receive a card with contact information for the St.
Michael's Hospital and Women's College Hospital addiction medicine services. The Rapid
Intervention group will be seen by an addiction physician from one of these services, within
a day or two of their admission to the WOD or the SMH WMS. The addiction physician will
prescribe buprenorphine or anti-alcohol medications, and the physician, nurse and/or
therapist will provide ongoing counseling, follow-up and shared care with the family
physician. Outcomes (measured at 6 and 12 months) include treatment retention, health care
utilization and cost, medications prescribed, and alcohol and opioid use.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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