rdf:type |
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lifeskim:mentions |
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pubmed:issue |
2
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pubmed:dateCreated |
2009-3-24
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pubmed:abstractText |
This study tested whether coordinated care management (CCM), a continuity of care intervention for substance use disorders (SUD), improved rates of abstinence when compared with usual welfare management for substance-using single adults and adults with dependent children applying for public assistance. The study was designed as a practical clinical trial and was implemented in partnership with a large city welfare agency. Participants were 421 welfare applicants identified via SUD screening and assigned via an unbiased computerized allocation program to a site that provided either CCM (n = 232) or usual care (UC; n = 189). Outcomes were assessed for 1 year postbaseline with self-reports and biological measures of substance use. As hypothesized, for participants not enrolled in methadone maintenance programs (n = 313), CCM clients received significantly more services than did UC clients. Nonmethadone CCM also showed significantly higher abstinence rates (odds ratio = 1.75; 95% confidence interval = 1.12, 2.76; d = 0.31) that emerged early in treatment and were sustained throughout follow-up. In contrast, no treatment services or outcome effects were found for methadone maintenance clients (n = 108). Findings suggest that CCM is promising as a wraparound to SUD treatment for welfare recipients.
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pubmed:grant |
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-11419234,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-12590046,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-12713198,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-1334156,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-14526066,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-15078233,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-15612844,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-15699297,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-15787954,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-15863782,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-16055766,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-16767856,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-16912008,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-17018819,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-17023123,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-1737971,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-18269366,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-18612572,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-3233245,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-3719049,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-6471323,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-7860812,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-8889403,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-9807526,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-9881538,
http://linkedlifedata.com/resource/pubmed/commentcorrection/19309185-9926553
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1939-2117
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pubmed:author |
|
pubmed:issnType |
Electronic
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pubmed:volume |
77
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
257-69
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pubmed:dateRevised |
2011-7-27
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pubmed:meshHeading |
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pubmed:year |
2009
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pubmed:articleTitle |
A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries.
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pubmed:affiliation |
National Center on Addiction and Substance Abuse, Columbia University, New York, NY 10032, USA. jm977@columbia.edu
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't,
Research Support, N.I.H., Extramural
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