Evaluating the Impact of the Bridge Clinic in Patients With Opioid Use Disorder

Vanderbilt University Medical Center

Status: Completed

Conditions: Opioid-use Disorder; Opioid Use

Treatments: Other: Bridge Clinic; Other: Usual Care

Study type: Interventional

Funder types: Other

Identifiers

NCT04084392

191269

Details and patient eligibility

About

This study aims to determine whether referral to the Bridge Clinic reduces overall index hospital length of stay when compared to direct referral to a long-term outpatient addiction provider for patients with active opioid use disorder (OUD) being considered for medications-for-addiction treatment (MAT).

Enrollment: 335 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Inpatients at VUH with active OUD being considered for MAT.
• Patient accepting a transitional prescription for buprenorphine-naloxone or IM naltrexone whose outpatient plans are not fixed

Exclusion criteria

• Deemed ineligible for referral to outpatient Bridge Clinic by the Addiction Consult Team (examples include but are not limited to patients with severe, active co-occurring psychiatric disorders requiring a higher level of psychiatric care or patients for whom methadone maintenance is deemed the best choice of MAT).
• Patients previously randomized in this study.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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335 participants in 2 patient groups

Usual Care

Active Comparator group

Description:

Participants randomized to this arm will receive care as usual.

Treatment:

Other: Usual Care

Bridge Clinic

Active Comparator group

Description:

Participants randomized to this arm will be referred to the Bridge Clinic to facilitate identification and referral to an outpatient provider for addiction treatment.

Treatment:

Other: Bridge Clinic