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CSAT Grant
Increasing Substance Abuse Treatment Compliance for
Persons with Traumatic Brain Injury
The Center for Substance Abuse Treatment (CSAT) in the
Substance Abuse and Mental Health Services Administration (SAMHSA) awarded
a 3-year grant to Ohio State University to study methods of improving
the ability to engage individuals with traumatic brain injuries in treatment
for co-existing substance abuse problems. John D. Corrigan, PhD, is the
Principal Investigator and Jennifer Bogner, PhD, the co-Prinicipal Investigator.
Co-investigators are Dennis Moore EdD, from the SARDI Project at Wright
State University, and Allen Heinemann PhD, from the Rehabilitation Institute
of Chicago.
There is growing evidence that persons with traumatic
brain injury and substance abuse problems have significantly worse outcomes
when compared to persons with traumatic brain injury alone. "Mainstream"
providers of substance abuse services experience difficulties trying to
serve these individuals who have impaired cognitive, emotional and/or
physical functioning. Ohio State University's TBI Network and the CAM
Program operated by the SARDI Project at Wright State University both
use a case management approach to serving this difficult to treat population.
Program evaluation results suggest that this is a potentially effective
treatment model; however, its success rate would be improved by finding
better ways to retain clients in treatment. This challenge is the basis
of the research project.
The grant is an exploratory research project that will recruit 144 subjects into a randomized, controlled trial of three methods of intervention to increase retention in treatment: reduction of logistical barriers, motivational interviewing, and provision of financial incentives. The goal of this project is to determine which, if any, of these three approaches merit in-depth study as a method of sustaining participation in treatment for this population. Results are expected to generalize to any discreet period early in the relationship building process that potentially could be the focus of a subsequent, full scale study.