Clinical Trials

Inclusion Criteria:

• Age>=18 years;

• EHR clinical diagnosis of bipolar I disorder, bipolar II disorder, or schizoaffective disorder bipolar type

• Ability to read, write, and understand English

• Minimum DAST (1+) or audit-C score (3+)

• Access and willingness to use a mobile device for asynchronous (text) and synchronous (video) engagement with care

• Eligibility determined by ASAM Assessment

Exclusion Criteria: 

• Inability to provide written informed consent.

• Inability to understand English.

• Clinically unstable medical disease.

• Otherwise excluded for administrative reasons and/or clinician judgment.

• Needing a higher level of mental health care as demonstrated by ASAM[36] assessment; – completed by LADC or MD investigators

• Already admitted into or about to initiate treatment in another addiction treatment program.

• Currently attending High School.

• Pregnancy confirmed by self-report

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 05/18/2026. Questions regarding updates should be directed to the study team contact.