Effects of In-Home Addiction Treatment for First Responders

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

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

Study Overview

• Status: Suspended
• Conditions: Substance Use Disorders
• Intervention / Treatment: Behavioral: In-Home Addiction Treatment Program

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.

• Study Type: Observational
• Enrollment (Actual): 15

Contacts and Locations

Study Locations

• United States
  • Connecticut
    • North Haven, Connecticut, United States, 06473
      • Aware Recovery Care

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Approximately 15 individuals with substance use disorder who are or have served as a first responder (police officer, fire fighter, corrections officer, military police, emergency medical technician, paramedic, parole or probation officer) and were enrolled in Aware Recovery Care's In-Home Addiction Treatment program between April 2017 and March 2019.

Description

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

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Retrospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

First Responders in In-Home Addiction Treatment Program; - 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; 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

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: In-Home Addiction Treatment Institute, Inc.
• Investigators: Principal Investigator: Sara Kaiser, MS Ed, LPN, In-Home Addiction Treatment Institute, Inc.

Study record dates

Study Major Dates

• Study Start (Actual): April 8, 2019
• Primary Completion (Anticipated): May 28, 2020
• Study Completion (Anticipated): July 28, 2020

Study Registration Dates

• First Submitted: April 5, 2019
• First Submitted That Met QC Criteria: April 5, 2019
• First Posted (Actual): April 9, 2019

Study Record Updates

• Last Update Posted (Actual): August 7, 2019
• Last Update Submitted That Met QC Criteria: August 5, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Chemically-Induced Disorders; Substance-Related Disorders
• Other Study ID Numbers: IHATI-2019-1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No