Calls and Coordination for Transitions of Care at Re-entry (Call2Care)

University of Wisconsin (UW)

Status: Enrolling

Conditions: Chronic Medical Conditions; Prisoners; Substance Use History; Substance Use Disorder (SUD); Psychiatric Condition

Treatments: Other: Phone calls and texts - NCM; Other: In-person visit with study team member; Other: Phone calls and texts; Other: In-person visit with NCM

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06794983

A538500 (Other Identifier)

2024-1669

Protocol Version 11/8/2024 (Other Identifier)

SMPH/POP HEALTH SCI/POP HLTH (Other Identifier)

2R01DA047889-06 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of this clinical trial is to learn if a short program for people being released from prison can help connect them to medical care. The main question it aims to answer is:

• Will there be more non-emergency, outpatient clinic visits?

Researchers will compare the number of clinic visits between people who use a Nurse Case Manager (NCM) to people in enhanced usual care.

Participants will:

• Complete surveys
• Talk to a study team member 2-3 times, or talk to a study team member 2-3 times and talk to an NCM 6-11 times

Full description

The objective of this clinical trial is to test the effectiveness of a transitional care program adapted to meet the healthcare needs of adults after release from prison. The goal of the transitional care intervention being tested is to help the study participants connect to primary care within 60 days of release through weekly check-in calls. Participants in this study are enrolled approximately 6 months before their anticipated release. One group will receive weekly phone calls for up to 60 days post-release. Additionally, novel, linked administrative datasets will be leveraged to enhance, contextualize, and clarify policy implications of the clinical trial results.

Enrollment: 488 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 18 or older
• eligibility for WI Medicaid and intention to enroll before release
• substance use history (i.e., "have you ever considered your alcohol or drug use to be a problem?"), and
• living with, or history of, a chronic medical or psychiatric condition other than substance use disorder. This is defined as ever having been diagnosed with a medical or psychiatric chronic condition, or currently taking prescription medications for a chronic condition.
• able to read, understand, and speak English.

Exclusion criteria

• ineligible for WI Medicaid
• no substance use history
• not living with, or no history of, chronic medical or psychiatric condition

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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488 participants in 2 patient groups

Phone Group

Experimental group

Description:

Participants will receive phone calls and texts.

Treatment:

Other: Phone calls and texts

Other: In-person visit with study team member

Phone + Nurse Case Manager (NCM) Group

Experimental group

Description:

Participants will work with a nurse case manager, who will call and text.

Treatment:

Other: In-person visit with NCM

Other: Phone calls and texts - NCM