Home Treatment for Individuals Suffering From Severe Addictive Disorders

Not Applicable

Recruiting

• Conditions: Substance Use Disorders
• Interventions: Other: Hospital-like treatment in patients' home; Other: standard inpatient treatment

• Registration Number: NCT05563363
• Lead Sponsor: Louise Penzenstadler

Brief Summary

Home Treatment (HT) has been successfully implemented in adult psychiatry in several countries including Switzerland. Patients with addiction problems were generally excluded even if the latter was not the main diagnosis. On the other hand, community treatments have successfully been established for these individuals. The investigators have recently offered HT to persons with severe addictive disorders which was well accepted.

The investigators intend to conduct a pilot study to prepare a large-scale study if successful. The investigators intend to compare HT to treatment as usual (regular inpatient treatment) on a specialized ward with respect to readmission rates during 6 months after discharge. The data show that 70.8% of all readmissions occur during the first 6 months. Therefore, a period of 6 months is considered an adequate time interval to sufficiently answer this pilot study's question.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-09-23
• Study First Submitted QC: 2022-09-28
• Study First Posted: 2022-10-03
• Study Start: 2022-12-01
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-27
• Last Update Posted: 2024-03-28
• Primary Completion: 2024-12-31
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Substance use disorder
• age 18 or above
• sufficient french language skills
• competent subjects
• consent to randomization progress

Exclusion Criteria

• organic brain disease or developmental disorder
• non voluntary admission
• severe somatic comorbidity
• History of complicated substance withdrawal
• acute suicidal ideation
• aggressive behavior
• acute psychiatric disease such as mania or psychosis
• distance to center (must be reachable within 60 minutes)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Home treatment	Hospital-like treatment in patients' home	Home visits by care staff at the same frequency as in hospital
Standard inpatient treatment	standard inpatient treatment	Inpatient treatment on hospital ward

Primary Outcome Measures

Name	Time	Method
readmission rates	6 month post-discharge	Number of readmissions to hospital during the 6 months following discharge

Secondary Outcome Measures

Name	Time	Method
time to readmission	6 months	Number of days between discharge and readmission during the 6 months following discharge
patient satisfaction	6 months	Patient satisfaction measured with the S-ANQ (https://www.anq.ch/en/), a questionnaire used by all Swiss hospitals to measure patient satisfaction with treatment. The questionnaire includes 6 questions which are marked from 0 not at all satisfied to 5 = very satisfied. Scoring 0 (not at all satisfied) to 30 (very satisfied)
number of emergency room visits	6 months	number of emergency room visits during the 6 months following discharge
length of hospitalization	6 months	total number of days spent in hospital during the 6 months following discharge
clinical outcome	6 months	clinical outcomes measured with Health of the Nation Outcome scale (HoNOS) scoring 0 (no symptoms) to 48 (high symptom level) and the Brief Symptom Check-List (short form of the Brief Symptom Inventory), scoring 0-53 items (higher score = more symptoms). Measured at the start and end of intervention/hospital treatment.

Trial Locations

Locations (1)

Geneva University Hospital; 🇨🇭 Geneva, Switzerland