Case Management for Crack Users Who Seek Treatment in CAPSad in Brazil

Effectiveness of Case Management for Crack Users Who Seek Treatment in CAPSad in Six Brazilian Capitals

The purpose of this study is to evaluate the effectiveness of a Case Management (CM) intervention in crack users applied in Psychosocial Care Centers - Alcohol and Drugs (CAPSad) by trained social workers, in comparison to CAPSad conventional treatment on 30 and 90 days, considering the following outcomes: treatment retention, abstinence and changes in severity scores of the sixth version of Addiction Severity Index (ASI6) scale. The study hypothesis are: 1) The CM is going to improve the retention of crack users (cases) during the 3-month follow-up compared with usual care (controls); 2)Individuals who received the intervention with GC are going to present a higher rate of abstinence; 3)The summary scores of the ASI6 will be significantly lower in cases than in controls, at the end of 3 months follow-up.

Inclusion Criteria:

• Diagnosis of crack abuse or dependence
• > 18 years old
• Initiating treatment (maximum of 1 month)

Exclusion Criteria:

• Homeless without permanent contact
• Psychotic symptoms during the intake interview