Michael P Bogenschutz, Dennis M Donovan, Raul N Mandler, Harold I Perl, Alyssa A Forcehimes, Cameron Crandall, Robert Lindblad, Neal L Oden, Gaurav Sharma, Lisa Metsch, Michael S Lyons, Ryan McCormack, Wendy Macias-Konstantopoulos, Antoine Douaihy
IMPORTANCE: Medical treatment settings such as emergency departments (EDs) present important opportunities to address problematic substance use. Currently, EDs do not typically intervene beyond acute medical stabilization. OBJECTIVE: To contrast the effects of a brief intervention with telephone boosters (BI-B) with those of screening, assessment, and referral to treatment (SAR) and minimal screening only (MSO) among drug-using ED patients. DESIGN, SETTING, AND PARTICIPANTS: Between October 2010 and February 2012, 1285 adult ED patients from 6 US academic hospitals, who scored 3 or greater on the 10-item Drug Abuse Screening Test (indicating moderate to severe problems related to drug use) and who were currently using drugs, were randomized to MSO (n = 431), SAR (n = 427), or BI-B (n = 427)...
November 2014: JAMA Internal Medicine