Substance Use Disorders
Conditions
Brief summary
Retrospective analysis to evaluate impact of an in-home addiction treatment program on first responders with substance use disorder.
Detailed description
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.
Interventions
BEHAVIORALIn-Home Addiction Treatment Program
* 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
Sponsors
In-Home Addiction Treatment Institute, Inc.
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Retention in Treatment | Measured throughout 365 day duration of anticipated length of stay | Participation in In-Home Addiction Treatment Program using length of stay reports |
| Brief Addiction Monitor questionnaire | Conducted monthly throughout 365 day anticipated length of stay in program | Measure change in client report of symptoms related to substance use disorder |
| Positive Outcomes Measures Survey | Completed at week 3 or 4, Week 30, Week 35, Week 44, and Week 50 throughout 52 week anticipated length of program participation | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relapse rates | Randomly administered throughout 365 day anticipated length of program participation | Occurrence of substance use measured through urine drug screening and breathalyzer tests |
| Hospitalization | Measured throughout 365 day anticipated length of program participation | Occurrence of Emergency Room and Inpatient hospital admissions |
| Detox and Residential Admissions | Measured throughout 365 day anticipated length of program participation | Occurrence of residential treatment and detox admission |
Countries
United States
Outcome results
None listed