About this trial
The purpose of this study is to evaluate how well three types of treatments work to improve the outcomes for people with substance use problems. Veterans admitted to the Charleston VA Psychiatric inpatient unit may be invited to participate. The three types of treatments that will be evaluated are:
1. Combined Recovery Program (CRP), a six-session treatment group delivered on the inpatient unit. 2. A Home Telehealth program, called Stable and Able (S\&A), provided just prior to discharge and provides additional support for up to 3 months 3. Treatment-as-usual (TAU), which is the treatment currently provided on the unit, consisting of various mental health topics and sessions designed to help with recovery.
Participation begins on the inpatient unit, beginning with CRP and/or TAU, and may continue with S\&A post discharge. Participants will be followed up at 1 and 3- months post treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Meeting DSM-V criteria for current SUD diagnosis of alcohol and/or illicit drug use disorder
Use of substances in past 30 days prior to date of index inpatient admission
Able to comprehend English
Able to provide informed consent
Disqualifiers
Auditory or visual impairment that would interfere with study procedures
Inability to speak or understand English
Acutely psychotic patients
Trial design
Parallel
Treatments tested in this trial
Combined Recovery Program
BehavioralA six-session treatment group designed to explore goals, values, and personal strengths about making a change for overall quality of life, health and well-being combined with skill building designed for helping to live a more stable life in their own home that will include money management for financial success and home maintenance.
Stable & Able (S&A)
BehavioralA 90-day Home Telehealth program designed to help maintain skills to stay sober.
Treatment groups
Trial outcomes
Primary outcomes
Standard Ethanol Content Units (SECs) Baseline
The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol at Baseline (e.g., the past 30 days is defined as 'Baseline'). Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents ALL standard drinks consumed within the stated time period.
Standard Ethanol Content Units (SECs) at 1 month
The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol in the 30 days after the first day of treatment. Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents ALL standard drinks consumed within the stated time period.
Standard Ethanol Content Units (SECs) at 3 month
The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol in the 60 days after the 1-month follow-up. Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents ALL standard drinks consumed within the stated time period.
Peak SEC at Baseline
The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol in the 30 days prior to baseline. Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents the most standard drinks consumed in a single day within the stated time period.
Secondary outcomes
Addiction Severity Index-Lite (ASI-Lite) at Baseline for Alcohol Use
The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity
Addiction Severity Index-Lite (ASI-Lite) at 1 month for Alcohol Use
The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity
Addiction Severity Index-Lite (ASI-Lite) at 3 month for Alcohol Use
The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity
Addiction Severity Index-Lite (ASI-Lite) at Baseline for Psychiatric Status
The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity
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