Intervention for Persons Leaving Residential Substance Abuse Treatment

New York University60 enrolled

Overview

This research uses a multi-phase approach to adapt and implement an established intervention, Critical Time Intervention, for a new population and setting among individuals with substance use who are at risk of relapse following residential substance abuse treatment. The goals of the study are to: (PHASE 1) identify challenges and strategies of community reentry among individuals in residential substance abuse treatment and their providers and social support networks (e.g., family, friends, community members); (PHASE 2) adapt CTI for individuals in residential substance abuse treatment to prepare them for discharge and transition back into the community; and (PHASE 3) conduct a pilot study to examine the feasibility, acceptability, and preliminary outcomes of the adapted CTI compared to enhanced usual discharge planning services.

This randomized pilot study will examine the feasibility, acceptability, and preliminary outcomes of the adapted CTI compared to enhanced usual discharge planning services. More specifically, 60 participants will be randomized to either CTI (n=30) or enhanced usual discharge planning services (n=30) at the time of discharge. Participants will complete a baseline interview (prior to randomization) and 3-, 6-, 9- and 12-month follow-up assessments post-discharge.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Substance Use Disorders

Interventions

Critical Time Intervention-Residential (CTI-R)BEHAVIORAL

CTI-R is a 9-month, time-limited intervention that aims to produce an enduring impact by effectively linking individuals to both professional services (substance abuse and health and mental health providers) and social supports (e.g., family and friends) and by providing emotional and practical support. Participants in the CTI-R condition will also receive usual discharge services from the residential substance abuse treatment program.

Enhanced Usual Discharge Services-ResidentialBEHAVIORAL

The enhanced usual discharge condition encompasses the regular discharge services offered at the residential treatment program plus enhanced transition services.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Eligible participants will be enrolled in residential substance abuse treatment and who are at least 18 years of age, speak English, and expect to be discharged within 3 months. Exclusion Criteria: * Individuals that do not meet the aforementioned inclusion criteria will be excluded from the study.More specifically, the following categories will be excluded: 1. Anyone under the age of 18 2. Non-English speaking individuals due to limited resources 3. Individuals who are considered vulnerable/protected populations, including children, pregnant women, and prisoners. 4. Individuals judged by clinical treatment staff to be in immediate crisis, i.e., suicide watch or inadequate decisional capacity to participate in the study.

Locations (1)

New York University

New York, New York, United States

Outcomes

Primary Outcomes

Enrollment

Proportion of participants enrolled in the study as measured by the research records

Time frame: Baseline

Change in retention

Proportion of participants completed the study as measured by the research records

Time frame: 3, 6, 9, and 12 months

Short-term Relapse

Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index

Time frame: 3 months

Use of aftercare services

Proportion of participants who were linked to aftercare services (i.e. substance use treatment) at the time of discharge as measured by the Treatment Service Review (TSR)

Time frame: 3 months

Housing

Proportion of participants housed at the time of discharge

Time frame: 3 months

Secondary Outcomes

Short-term Social Support

Level of social support as measured by the 8-item modified Medical Outcomes Study Social Support Survey

Time frame: 3 months

Short-term Self-Efficacy

Level of self-efficacy as measured by "I feel like I'm in control of my alcohol or drug use."

Time frame: 3 months

Short-term Mental Health

Level of mental health severity as measured by the Brief Symptom Inventory

Time frame: 3 months

Change in Relapse

Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index

Time frame: 3, 6, and 9 months

Long-term Relapse

Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index

Time frame: 12 months

Change in Social Support

Level of social support as measured by the 8-item modified Medical Outcomes Study Social Support Survey

Time frame: 3, 6, and 9 months

Long-term Social Support

Level of social support as measured by the 8-item modified Medical Outcomes Study Social Support Survey

Time frame: 12 months

Change in Self-Efficacy

Level of self-efficacy as measured by "I feel like I'm in control of my alcohol or drug use."

Time frame: 3, 6, and 9 months

Long-term Self-Efficacy

Level of self-efficacy as measured by "I feel like I'm in control of my alcohol or drug use."

Time frame: 12 months

Change in Mental Health

Level of mental health severity as measured by the Brief Symptom Inventory

Time frame: 3, 6, and 9 months

Long-term Mental Health

Level of mental health severity as measured by the Brief Symptom Inventory

Time frame: 12 months

Data from ClinicalTrials.gov

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