Recovery Housing and Drug Abuse Treatment Outcome
1 other identifier
interventional
243
1 country
1
Brief Summary
Reinforcement-Based Therapy (RBT) is an intensive outpatient substance abuse treatment that includes relapse prevention skills training, goal setting, help with finding employment and abstinence-contingent rent payment for recovery housing in the community. It is meant to provide motivation for continued abstinence while enhancing social stability. In this study, treatment was offered to inner city opiate and cocaine users immediately following a brief medically-supported residential detoxification. Previous research had shown that RBT produces 3- month outcomes superior to those for patients who are referred to outpatient treatment in the community. The present study compared outcomes for patients (N = 243) randomly assigned to receive abstinence-contingent recovery housing with (full RBT) or without additional intensive counseling or to receive usual care referral to outpatient treatment following detoxification. Outcomes were similar at 3- and 6-month follow-ups for those who received recovery housing with (full RBT) and without additional counseling and both these treatments were superior to usual care referral. Study findings support the efficacy of post-detoxification recovery housing with or without counseling for opiate and cocaine users.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2001
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2001
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedFirst Submitted
Initial submission to the registry
March 28, 2014
CompletedFirst Posted
Study publicly available on registry
September 11, 2017
CompletedSeptember 11, 2017
September 1, 2017
7.2 years
March 28, 2014
September 7, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
abstinence from opiates and cocaine
Free in the community plus self report of no drug use in past 30 days verified with negative urine screen.
6 months post randomization
Study Arms (3)
Recovery housing plus counseling
EXPERIMENTALIntensive counseling in a 5-day per week program plus abstinence-contingent rent payment in a community recovery house. Intervention lasts 12 weeks with follow-up at 12 and 24 weeks post treatment entry.
Recovery Housing only
EXPERIMENTALAbstinence-contingent payment for recovery housing rent in absence of any formal counseling. Intervention lasts 12 weeks with follow-up at 12 and 24 weeks post treatment entry.
Usual Care Referral
ACTIVE COMPARATORParticipants receive referral resources for community substance abuse counseling and recovery housing but no formal treatment or help with rent payments. All participate in follow-up data collection.
Interventions
Participants receive 3 months of abstinence-contingent program-supported rent payment in community recovery housing. They also receive intensive outpatient counseling (both individual and group) focused on relapse prevention skills training, goal setting, employment seeking and recreational activities.
Participants are referred to an outpatient program of their choosing with an appointment made for them.
Participant may receive up to 3 months of abstinence-contingent rent payment in community recovery housing but is not invited to participate in intensive counseling.
Eligibility Criteria
You may qualify if:
- completes residential detoxification for use of opiates and/or cocaine
- willing to go to outpatient aftercare
- agrees to random assignment; signs informed consent
You may not qualify if:
- moving out of town
- primary substance use does not include opiates or cocaine
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Behavioral Pharmacology Research Unit
Baltimore, Maryland, 21224, United States
Related Publications (1)
Tuten M, DeFulio A, Jones HE, Stitzer M. Abstinence-contingent recovery housing and reinforcement-based treatment following opioid detoxification. Addiction. 2012 May;107(5):973-82. doi: 10.1111/j.1360-0443.2011.03750.x. Epub 2012 Feb 28.
PMID: 22151478RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Maxine Stitzer, Ph.D.
Johns Hopkins University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 28, 2014
First Posted
September 11, 2017
Study Start
April 1, 2001
Primary Completion
June 1, 2008
Study Completion
December 1, 2008
Last Updated
September 11, 2017
Record last verified: 2017-09