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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
Who can join
Ages 18 and older · All sexes
Full eligibility criteria
Inclusion Criteria: * 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 Criteria: * ineligible for WI Medicaid * no substance use history * not living with, or no history of, chronic medical or psychiatric condition
About the study
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
What is being tested
- In-person visit with study team member (other)
- In-person visit with NCM (other)
- Phone calls and texts (other)
- Phone calls and texts - NCM (other)
Sponsor: University of Wisconsin, Madison · Participants: 488 · Started: Sep 19, 2025
Contact the study team
- Maggie Chilsen · Phone: 608-263-2704
Official record on ClinicalTrials.gov — NCT06794983
Locations in the U.S.
| Wisconsin | University of Wisconsin, Madison |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.