Inpatient Link to Addiction Recovery- a Pilot Program
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Substance Use Disorders
- Sponsor
- Prisma Health-Upstate
- Enrollment
- 103
- Locations
- 1
- Primary Endpoint
- Change in Engagement in Recovery Services
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The objective of this proposal is to link inpatients to a certified peer support specialist through FAVOR-Greenville and determine the effectiveness of recovery coaching on patient outcomes.This study will evaluate the impact of initiating peer recovery coaching during SUD patients' hospitalization on engagement in recovery services, addiction severity, and quality of life compared to the current standard of care.
Detailed Description
The United States is in the midst of a drug overdose crisis: the rate of substance use, overdose, and substance abuse-related economic costs is rapidly increasing. Despite the prevalence of Substance Abuse Disorder (SUD), only 10% of SUD patients receive treatment. The initial link into care is often one of the hardest barriers to overcome due to wait times, complex systems to navigate, and fluctuating motivation. Hospitalization is often a time when patients are more receptive to SUD treatment. One potential effective treatment approach is peer recovery support services. Currently at Greenville Memorial Hospital, there is no direct link between hospitalization and outpatient care for patients with SUD, making it difficult to start or continue the recovery process. Thus, the goal of this study is to evaluate the impact of the initiation of peer recovery services during hospitalization on addiction severity and quality of life. By establishing a successful inpatient link to recovery treatment, this study may lead to the development of an effective method of care that can readily be implemented into the healthcare system.
Investigators
Prerana Roth
Clinical Assistant Professor
Prisma Health-Upstate
Eligibility Criteria
Inclusion Criteria
- •Age 18 or older
- •English speaking;
- •Identified by healthcare provider as having Substance Use Disorder
- •Recent substance use
- •Currently admitted to the Medical Teaching Services, general medicine hospitalist services, or Infectious Disease Consult service at Greenville Memorial Hospital
Exclusion Criteria
- •Are unable to provide informed consent (intubation, confusion, etc.) during hospitalization
- •Are admitted for marijuana use only
- •Are pregnant
Outcomes
Primary Outcomes
Change in Engagement in Recovery Services
Time Frame: intervals of 1, 2, 3, and 6 months post-baseline assessment
Active involvement in recovery care services, including but not limited to Alcoholics Anonymous Narcotics Anonymous, individual counseling, methadone/suboxone program, etc. This information is obtained from self-report surveys administered by medical students in both conditions at both baseline and each follow-up.
Change in Substance Use Frequency
Time Frame: intervals of 1, 2, 3, and 6 months post-baseline assessment
Frequency of substance use assessed using the 13-item Addiction Severity Index (ASI-Lite). The scale asks how many days in the last 30 days participants used each of several substances. The range of responses is 0 - 30 with higher scores indicating higher/greater severity of substance use.
Secondary Outcomes
- Change in Self-Reported Quality of Life Assessment(intervals of 1, 2, 3, and 6 months post-baseline assessment)