The Emergency Department Longitudinal Integrated Care

Description

Collaborative care is a comprehensive patient-centered model of healthcare delivery targeting behavioral health or substance use that stems from the chronic disease management framework. The intervention being tested ('Emergency Department Longitudinal Integrated Care' or ED LINC) derives from the collaborative care model and has demonstrated feasibility in previous studies. This study expands on the model to test the effectiveness of the ED-LINC intervention when compared with usual care. The study team primarily hypothesizes that patients randomized to the ED-LINC intervention, when compared to patients randomized to usual care, will demonstrate: 1) significant reductions in self-report illicit opioid use, 2) significant increases in initiation and retention of medications for opioid use disorder, and 3) significant reductions in ED utilization.

Conditions

Opioid Use Disorder

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Study Overview

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Study Details

Study overview

Collaborative care is a comprehensive patient-centered model of healthcare delivery targeting behavioral health or substance use that stems from the chronic disease management framework. The intervention being tested ('Emergency Department Longitudinal Integrated Care' or ED LINC) derives from the collaborative care model and has demonstrated feasibility in previous studies. This study expands on the model to test the effectiveness of the ED-LINC intervention when compared with usual care. The study team primarily hypothesizes that patients randomized to the ED-LINC intervention, when compared to patients randomized to usual care, will demonstrate: 1) significant reductions in self-report illicit opioid use, 2) significant increases in initiation and retention of medications for opioid use disorder, and 3) significant reductions in ED utilization.

The Emergency Department Longitudinal Integrated Care Effectiveness Randomized Trial Targeting Opioid Use and Related Comorbidity From the ED

The Emergency Department Longitudinal Integrated Care

Condition
Opioid Use Disorder
Intervention / Treatment

-

Contacts and Locations

Seattle

Harborview Medical Center, Seattle, Washington, United States, 98104

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Aged 18 years or older
  • * Moderate or Severe OUD based on the Structured Clinical Interview for DSM Disorders (SCID)
  • * Currently have a phone or method of contact
  • * Able to provide a phone number and one additional piece of contact information
  • * Incarcerated or under arrest
  • * Non-English speaking
  • * Live beyond a 50 mile radius of Harborview Medical Center
  • * Require active resuscitation in the ED or other clinical area at the time of Research Assistant (RA) approach
  • * Are receiving palliative care services or hospice care for a chronic illness such as metastatic cancer
  • * Are in the ED or hospital for a primary psychiatric emergency such as suicidal ideation or attempt and require emergent evaluation by a Psychiatrist
  • * Receiving chronic opioid therapy (COT) defined as prescription opioids for most days out of the last 90 days for a chronic pain condition
  • * In the ED for sexual assault
  • * Enrolled or eligible for state-funded or hospital-funded care coordination program based on high utilization of the ED

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Washington,

Lauren K Whiteside, MD, MS, PRINCIPAL_INVESTIGATOR, University of Washington

Study Record Dates

2026-12-31