Effects of In-Home Addiction Treatment for First Responders

Study Overview
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Brief Summary
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Retrospective analysis to evaluate impact of an in-home addiction treatment program on first responders with substance use disorder.

Detailed Description
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The purpose of this retrospective study is to evaluate the effects of in-home addiction treatment on first responders with substance use disorder. Treatment engagement, hospitalizations, detox and residential addiction treatment admissions, and lethal overdoses will be measured. Although not the primary focus, recidivism and relapse will be measured.

Official Title
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Effects of an In-Home Treatment Program for First Responders With Substance Use Disorder: A Retrospective Analysis

Conditions
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Substance Use Disorders

Intervention / Treatment
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* Behavioral: In-Home Addiction Treatment Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Client is or has been a first responder Client enrolled in Aware Recovery Care after April 2017 Client discharged from Aware Recovery Care before March 2019 Client has primary substance use disorder diagnosis Exclusion Criteria: Client has never been first responder Client moved out of service area or lost insurance during care

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| First Responders in In-Home Addiction Treatment Program<br>- First responders (individual who does or has worked as a police officer, fire fighter, corrections officer, military police, emergency medical technician, paramedic, parole or probation officer) | Behavioral: In-Home Addiction Treatment Program<br>* Treatment was delivered per treatment protocol Primary IHAT Care Team consisted of a licensed Care Coordinator (LPN, RN, MSW, LPC, or LMFT) and two Recovery Advisors Urine drug screens administered randomly Appointments were scheduled per protocol for 52 weeks Within first two weeks of care, all clients are provided an evaluation by a psychiatrist to ensure fitness for program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of Retention in Treatment | Participation in In-Home Addiction Treatment Program using length of stay reports | Measured throughout 365 day duration of anticipated length of stay | 
| Brief Addiction Monitor questionnaire | Measure change in client report of symptoms related to substance use disorder | Conducted monthly throughout 365 day anticipated length of stay in program | 
| Positive Outcomes Measures Survey | Measures changes in quality of life using client self-report inquiring about employment, connection to care team, community engagement using yes/no/not applicable response scale | Completed at week 3 or 4, Week 30, Week 35, Week 44, and Week 50 throughout 52 week anticipated length of program participation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Relapse rates | Occurrence of substance use measured through urine drug screening and breathalyzer tests | Randomly administered throughout 365 day anticipated length of program participation | 
| Hospitalization | Occurrence of Emergency Room and Inpatient hospital admissions | Measured throughout 365 day anticipated length of program participation | 
| Detox and Residential Admissions | Occurrence of residential treatment and detox admission | Measured throughout 365 day anticipated length of program participation |