Intervention for Persons Leaving Residential Substance Abuse Treatment

Not Applicable

Completed

• Conditions: Substance Use Disorders
• Interventions: Behavioral: Critical Time Intervention-Residential (CTI-R); Behavioral: Enhanced Usual Discharge Services-Residential

• Registration Number: NCT02670902
• Lead Sponsor: New York University

Brief Summary

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.

Detailed Description

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 Timeline

• Study First Submitted: 2016-01-25
• Study First Submitted QC: 2016-02-01
• Study First Posted: 2016-02-02
• Study Start: 2017-05-01
• Primary Completion: 2020-05-01
• Study Completion: 2020-12-31
• Status Verified: 2022-05
• Last Update Submitted: 2022-10-31
• Last Update Posted: 2022-11-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Critical Time Intervention-Residential	Critical Time Intervention-Residential (CTI-R)	CTI-R is a 9-month, assertive outreach and linkage program.
Critical Time Intervention-Residential	Enhanced Usual Discharge Services-Residential	CTI-R is a 9-month, assertive outreach and linkage program.
Enhanced Usual Discharge-Residential	Enhanced Usual Discharge Services-Residential	The enhanced usual discharge condition includes usual discharge services plus enhanced transition services.

Primary Outcome Measures

Name	Time	Method
Enrollment	Baseline	Proportion of participants enrolled in the study as measured by the research records
Change in retention	3, 6, 9, and 12 months	Proportion of participants completed the study as measured by the research records
Short-term Relapse	3 months	Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index
Housing	3 months	Proportion of participants housed at the time of discharge
Use of aftercare services	3 months	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)

Secondary Outcome Measures

Name	Time	Method
Short-term Social Support	3 months	Level of social support as measured by the 8-item modified Medical Outcomes Study Social Support Survey
Change in Relapse	3, 6, and 9 months	Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index
Long-term Social Support	12 months	Level of social support as measured by the 8-item modified Medical Outcomes Study Social Support Survey
Long-term Self-Efficacy	12 months	Level of self-efficacy as measured by "I feel like I'm in control of my alcohol or drug use."
Short-term Self-Efficacy	3 months	Level of self-efficacy as measured by "I feel like I'm in control of my alcohol or drug use."
Change in Social Support	3, 6, and 9 months	Level of social support as measured by the 8-item modified Medical Outcomes Study Social Support Survey
Change in Mental Health	3, 6, and 9 months	Level of mental health severity as measured by the Brief Symptom Inventory
Short-term Mental Health	3 months	Level of mental health severity as measured by the Brief Symptom Inventory
Change in Self-Efficacy	3, 6, and 9 months	Level of self-efficacy as measured by "I feel like I'm in control of my alcohol or drug use."
Long-term Relapse	12 months	Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index
Long-term Mental Health	12 months	Level of mental health severity as measured by the Brief Symptom Inventory

Trial Locations

Locations (1)

New York University; 🇺🇸 New York, New York, United States