Intervention for Persons Leaving Residential Substance Abuse Treatment

New York University (NYU)

Status: Completed

Conditions: Substance Use Disorders

Treatments: Behavioral: Enhanced Usual Discharge Services-Residential; Behavioral: Critical Time Intervention-Residential (CTI-R)

Study type: Interventional

Funder types: Other

Identifiers

NCT02670902

K01DA035330

Details and patient eligibility

About

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.

Full 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.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Critical Time Intervention-Residential

Experimental group

Description:

CTI-R is a 9-month, assertive outreach and linkage program.

Treatment:

Behavioral: Critical Time Intervention-Residential (CTI-R)

Behavioral: Enhanced Usual Discharge Services-Residential

Enhanced Usual Discharge-Residential

Active Comparator group

Description:

The enhanced usual discharge condition includes usual discharge services plus enhanced transition services.

Treatment:

Behavioral: Enhanced Usual Discharge Services-Residential