Intervention for Persons With Co-Occurring Disorders Leaving Residential Tx
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- New York University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Use of aftercare services
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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:
- •Anyone under the age of 18
- •Non-English speaking individuals due to limited resources
- •Individuals who are considered vulnerable/protected populations, including children, pregnant women, and prisoners.
- •Individuals judged by clinical treatment staff to be in immediate crisis, i.e., suicide watch or inadequate decisional capacity to participate in the study.
Arms & Interventions
Critical Time Intervention-Residential
CTI-R is a 9-month, assertive outreach and linkage program.
Intervention: Critical Time Intervention-Residential (CTI-R) (Behavioral)
Critical Time Intervention-Residential
CTI-R is a 9-month, assertive outreach and linkage program.
Intervention: Enhanced Usual Discharge Services-Residential (Behavioral)
Enhanced Usual Discharge-Residential
The enhanced usual discharge condition includes usual discharge services plus enhanced transition services.
Intervention: Enhanced Usual Discharge Services-Residential (Behavioral)
Outcomes
Primary Outcomes
Use of aftercare services
Time Frame: 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)
Enrollment
Time Frame: Baseline
Proportion of participants enrolled in the study as measured by the research records
Change in retention
Time Frame: 3, 6, 9, and 12 months
Proportion of participants completed the study as measured by the research records
Short-term Relapse
Time Frame: 3 months
Proportion of participants who relapsed (i.e., substance use) as measured by Addiction Severity Index
Housing
Time Frame: 3 months
Proportion of participants housed at the time of discharge
Secondary Outcomes
- Short-term Social Support(3 months)
- Change in Relapse(3, 6, and 9 months)
- Long-term Social Support(12 months)
- Long-term Self-Efficacy(12 months)
- Short-term Self-Efficacy(3 months)
- Change in Social Support(3, 6, and 9 months)
- Change in Mental Health(3, 6, and 9 months)
- Short-term Mental Health(3 months)
- Change in Self-Efficacy(3, 6, and 9 months)
- Long-term Relapse(12 months)
- Long-term Mental Health(12 months)