Clinical trial NCT02670902: Intervention for Persons Leaving Residential Substance Abuse Treatment
Official title: Intervention for Persons With Co-Occurring Disorders Leaving Residential Tx
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Substance Use Disorders
Keywords: Residential substance use treatment
Transition
Lead sponsor: New York University
Sponsor class: OTHER
First posted: 2016-02-02
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.

Eligibility criteria: 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.

Primary outcomes:
measure: Enrollment
timeFrame: Baseline
measure: Change in retention
timeFrame: 3, 6, 9, and 12 months
measure: Short-term Relapse
timeFrame: 3 months
measure: Use of aftercare services
timeFrame: 3 months
measure: Housing
timeFrame: 3 months
Secondary outcomes:
measure: Short-term Social Support
timeFrame: 3 months
measure: Short-term Self-Efficacy
timeFrame: 3 months
measure: Short-term Mental Health
timeFrame: 3 months
measure: Change in Relapse
timeFrame: 3, 6, and 9 months
measure: Long-term Relapse
timeFrame: 12 months
measure: Change in Social Support
timeFrame: 3, 6, and 9 months
measure: Long-term Social Support
timeFrame: 12 months
measure: Change in Self-Efficacy
timeFrame: 3, 6, and 9 months
measure: Long-term Self-Efficacy
timeFrame: 12 months
measure: Change in Mental Health
timeFrame: 3, 6, and 9 months
measure: Long-term Mental Health
timeFrame: 12 months
Other outcomes:
Locations:
city: New York
country: United States
facility: New York University
state: New York
Study officials:
affiliation: New York University
name: Jennifer I Manuel, PhD
role: PRINCIPAL_INVESTIGATOR
References: