Promoting Alcohol Treatment Engagement Post-hospitalization
Trial Parameters
Brief Summary
This study is a 3-arm randomized clinical trial to evaluate the effectiveness of hospital-initiated Alcohol Use Disorder treatment, involving a Brief Negotiated Interview (with referral and telephone booster) alone, BNI+facilitated provision of MAUD, BNI+facilitated provision of MAUD+CBT4CBT on AUD treatment engagement, alcohol use and healthcare utilization.
Eligibility Criteria
Inclusion Criteria: * hospitalized at Yale New Haven Hospital (YNHH) * meet Diagnostic and Statistical Manual (DSM-5) criteria for a moderate to severe AUD (regardless of primary reason for hospitalization) consistent with clinical guidelines for MAUD initiation * \>1 heavy drinking day by TLFB in 30 days prior to hospitalization * willing to consider MAUD * willing and able to be contacted for follow-up * provide written informed consent Exclusion Criteria: * have been engaged in formal AUD treatment in the past 30 days (i.e., excluding mutual help groups, such as Alcoholics Anonymous) * meet DSM-5 criteria for untreated moderate to severe opioid use disorder * self-reported or urine testing confirming pregnancy, nursing, or trying to conceive * life-threatening or unstable medical, surgical, or psychiatric condition that prohibits study participation * inability to provide \>1 collateral contact for a friend or family member * anticipate being unable to return for follow-up assessmen