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RecruitingNot ApplicableNCT06794983

Calls and Coordination for Transitions of Care at Re-entry

Health Systems Innovations for Supporting Transitions of Care for Incarcerated People Living With Substance Use Disorders

Sponsor

University of Wisconsin, Madison

Enrollment

488 participants

Start Date

Sep 19, 2025

Study Type

INTERVENTIONAL

Conditions

Chronic medical conditionsSubstance Use Disorder (SUD)PrisonersSubstance Use HistoryPsychiatric Condition

Summary

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

Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • 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 Criteria3

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

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Interventions

OTHERIn-person visit with study team member

Participants meet with a study team member before they are released from prison.

OTHERIn-person visit with NCM

Participants meet with a NCM before they are released from prison.

OTHERPhone calls and texts

Study team member calls and texts participants after they are released from prison.

OTHERPhone calls and texts - NCM

Nurse case manager calls and texts participants after they are released from prison.

Locations(1)

University of Wisconsin

Madison, Wisconsin, United States

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NCT06794983

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