Post-Hospital Intervention for Veterans With Comorbid Bipolar and Substance Use Disorders
Purpose
This trial aims to evaluate the effectiveness of a novel intervention for Veterans with co-occurring bipolar and substance use disorders following a psychiatric hospitalization. Half of the participants will receive a specialized psychosocial intervention program, while the other half will receive an enhanced safety monitoring program, both provided in addition to their routine care.
Conditions
- Bipolar Disorder
- Substance Use Disorders
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Diagnosis of a mood disorder - Diagnosis of a substance use disorder (drug and/or alcohol) - Taking at least one psychiatric medication
Exclusion Criteria
- Unable to speak and read English - Younger than age 18
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Integrated Treatment Adherence Program for Veterans (ITAP-VA) |
A combination of in-person and phone sessions along with significant other involvement over 6 months post-hospitalization. |
|
|
Active Comparator Safety Assessment and Follow-up Evaluation (SAFE) |
Enhanced symptom monitoring and safety evaluation over 6 months post-hospitalization. |
|
Recruiting Locations
More Details
- Status
- Recruiting
- Sponsor
- VA Office of Research and Development
Detailed Description
This randomized controlled trial will evaluate the effectiveness of a psychosocial intervention designed to improve treatment adherence in Veterans with comorbid bipolar disorder and substance use disorders (BP-SUD) following a psychiatric hospitalization. Participants will be randomized to either the specialized psychosocial intervention or an enhanced safety monitoring program, both as adjuncts to VA treatment as usual. Veterans with BP-SUD will be recruited from the Providence VAMC inpatient psychiatric unit and assessed at baseline and at 3 (mid-treatment), 6 (post-treatment), and 9-month post-discharge.
