UNIVERSITY OF MASSACHUSETTS
the goal of the proposed study is to adapt and test the evidence-based collaborative care model (CCM) for homeless women with alcohol use disorders (AUD), including the continuum of risky drinking, abuse and dependence, in a large Health Care for the Homeless (HCH) primary care setting. While the CCM has been well documented in improving a range of outcomes among primary care patients with chronic conditions, it has not been tested specifically with homeless populations, and evidence for its efficacy in managing AUD is yet to be reported. The proposed study is also responsive to the NIAAA Extramural Advisory Board Final Recommendations by developing an intervention in a setting that has received insufficient attention, i.e., general health services (NIAAA, 2007).The specific study aims are:1. To finalize an adaptation of the Collaborative Care Model for homeless women with AUD and risky drinking, including a) preparation of a treatment protocol (manual, training, and tracking) and b) assessment of intervention feasibility, acceptability, and fidelity; 2. To conduct a small randomized trial to determine the effectiveness of the CCM for homeless women with AUD and risky drinking on increasing initiation, engagement, and retention in treatment; and 3. To establish preliminary outcomes and effect sizes for the effectiveness of the CCM on alcohol use disorders, alcohol use consequences, mental and physical functioning and housing outcomes among homeless women to inform a larger scale RCT.