Substance Use Disorders Clinical Trial
Official title:
Malmö Treatment Referral and Intervention Study
This study aims to study and implement active referral of heroin users from a syringe exchange programme to evidence-based treatment for heroin addiction. Patients are randomized to either a strength-based case management intervention or a control group, while both groups receive referral to medical investigation for inclusion in substitution treatment for heroin addiction. The hypothesis is that syringe exchange can be used for referral to effective treatment, and that a strength-based intervention can increase the number of patients who are successfully referred and enter treatment.
Patients attending the syringe exchange programme of Malmö, Sweden, and who are using heroin
as their primary drug of abuse and who live in the catchment area of Malmö Addiction Centre,
will be addressed, and patients willing to participate will undergo a baseline interview and
will be referred to medical examination for decision to start substitution treatment to
treat heroin dependence. Half of patients will be randomized to a strength-based case
management intervention, hypothesized to facilitate treatment entry, and half of patients
will be randomized to a control condition involving only referral.
The study will measure the number of patients who successfully accept referral and initiate
substitution treatment for heroin dependence, comparing patients in intervention arm to
patients in the control condition (RCT design). Also, as a secondary outcome measure,
retention and treatment outcome (substance use and clinical characteristics) will be
compared between the two groups. In addition, this study will enable a number of
sub-analyses aiming to increase knowledge about heroin addicts' detailed substance use
pattern and clinical characteristics. Patients will be followed with respect to retention,
substance use and clinical picture for three years.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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