Calls and Coordination for Transitions of Care at Re-entry

This study is looking at whether a program of calls and coordination can help people being released from prison connect with medical care. Researchers want to see if this program leads to more non-emergency, outpatient (clinic) visits within 60 days of release. You could join if you are 18 or older, plan to enroll in WI Medicaid, have a history of substance use, and have a chronic medical or psychiatric condition. The study compares people who receive phone calls and texts from a study team member to those who also work with a Nurse Case Manager (NCM). This study is currently unclear on its recruitment status.

Study design
This interventional study plans to enroll 488 participants. It compares two groups: one receiving calls and texts from a study team member, and another also receiving calls and texts from a Nurse Case Manager.
What's involved
You would complete surveys and talk to a study team member 2-3 times. Some participants will also talk to a Nurse Case Manager 6-11 times, and receive weekly phone calls for up to 60 days after release.
Compensation
Not stated in the trial record.
Follow-up
Participants are followed for 2 months after release from prison to measure outpatient visits.

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NCT06794983

Calls and Coordination for Transitions of Care at Re-entry

Recruiting
NAAges 18+InterventionalSupportive care
University of Wisconsin, Madison
~488 participants
Updated 2026-03-13 on ClinicalTrials.gov
What's tested:In-person visit with study team memberIn-person visit with NCMPhone calls and textsPhone calls and texts - NCM

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of participants who attend a Non-Emergency Outpatient Visit within 60 Days of Release From Prison
Measured over 2 months post-release, approximately 5 months on study
Prisoners
Substance Use History
Chronic Medical Conditions
Psychiatric Condition
Substance Use Disorder (SUD)
1 sites across 1 states
Wisconsin1
  • Marguerite Burns · PRINCIPAL_INVESTIGATOR · University of Wisconsin, Madison

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Eligibility criteria

Inclusion

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

ineligible for WI Medicaid
no substance use history
not living with, or no history of, chronic medical or psychiatric condition
  • Number of participants who attend a Non-Emergency Outpatient Visit within 60 Days of Release From Prison2 months post-release, approximately 5 months on study