CRP + S&A for Substance Use Disorders
(CRP and S&A Trial)
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: VA Office of Research and Development
Disqualifiers: Auditory impairment, Visual impairment, Acutely psychotic
No Placebo Group
Trial Summary
What is the purpose of 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.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the treatment CRP + S&A for Substance Use Disorders?
Collegiate Recovery Programs (CRPs) have shown promising outcomes, such as low relapse rates and above-average academic achievement, by providing peer-driven support on college campuses for students recovering from substance use issues. This suggests that similar supportive and structured environments, like CRP + S&A, could be effective in promoting recovery.
12345How is the Combined Recovery Program (CRP) treatment for substance use disorders different from other treatments?
The Combined Recovery Program (CRP) is unique because it is a peer-driven recovery support model specifically designed for college students, providing a supportive community on campus to help maintain sobriety and encourage academic success, which is not typically a focus of other substance use disorder treatments.
12367Eligibility Criteria
This trial is for veterans with substance use problems who are inpatients at the Charleston VA Psychiatric unit. Participants must understand English, be able to consent, complete assessments, and commit to therapy sessions and follow-ups. They should have used substances within the last 30 days and meet criteria for a current substance use disorder.Inclusion Criteria
You have used drugs or alcohol in the 30 days before being admitted to the study.
You currently have a diagnosis of alcohol or drug addiction according to certain guidelines.
I am willing to attend 6 therapy sessions and follow-up assessments.
+3 more
Exclusion Criteria
You have hearing or vision problems that will make it difficult to participate in the study.
You cannot speak or understand English.
You are currently experiencing severe mental confusion or delusions.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Inpatient Treatment
Participants receive the Combined Recovery Program (CRP) and/or Treatment-as-usual (TAU) on the inpatient unit
6 sessions
Inpatient stay
Home Telehealth Program
Participants receive the Stable and Able (S&A) telehealth program for additional support post-discharge
3 months
Follow-up
Participants are monitored for treatment engagement and substance use outcomes at 1 and 3 months post-treatment
3 months
Follow-up at 1 and 3 months
Participant Groups
The study compares three treatments: Combined Recovery Program (CRP) with six group sessions on the unit; Stable & Able (S&A), a telehealth program before discharge providing support up to 3 months; and Treatment-as-usual (TAU), which includes various recovery-related mental health topics.
3Treatment groups
Experimental Treatment
Active Control
Group I: Combined Recovery Program (CRP)+Treatment-as-usual (TAU)Experimental Treatment1 Intervention
Combined Recovery Program (CRP) is a six-session motivational enhancement and daily living skills therapy workshop provided while on the inpatient unit. Attendance of CRP will be in addition to Treatment as Usual (TAU), that is, standard inpatient programming.
Group II: CRP+ Stable & Able (S&A)+TAUActive Control2 Interventions
Combined Recovery Program (CRP) a six-session motivational enhancement and daily living skills therapy workshop provided while on the inpatient unit, plus a home telehealth program (Stable \& Able) which begins on day 1 of hospital discharge. Attendance of CRP and S\&A will be in addition to TAU, that is, standard inpatient programming.
Group III: Treatment-as-usual only (TAU):Active Control1 Intervention
TAU will only receive the usual care on the inpatient unit including medical and medication management.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Ralph H. Johnson VA Medical Center, Charleston, SCCharleston, SC
Loading ...
Who Is Running the Clinical Trial?
VA Office of Research and DevelopmentLead Sponsor
References
In college and in recovery: Reasons for joining a Collegiate Recovery Program. [2018]Collegiate Recovery Programs (CRPs), a campus-based peer support model for students recovering from substance abuse problems, grew exponentially in the past decade, yet remain unexplored.
A multi-site study of emerging adults in collegiate recovery programs at public institutions. [2021]Collegiate Recovery Programs (CRPs) are campus-based support programs for substance use and recovery needs among college students. These CRPs utilize a variety of program activities and components aimed at promoting healthy development and sobriety while encouraging college retention among participants.
Collegiate Recovery Communities Programs: What do we know and what do we need to know? [2023]As the broad construct of recovery increasingly guides addiction services and policy, federal agencies have called for the expansion of peer-driven recovery support services. The high prevalence of substance use and abuse in colleges and universities in the U.S. constitute a significant obstacle to pursuing an education for the unknown number of youths who have attained remission from substance use dependence. Collegiate Recovery Programs (CRPs) are an innovative and growing model of peer-driven recovery support delivered on college campuses. Although no systematic research has examined CRPs, available site-level records suggest encouraging outcomes: low relapse rates and above average academic achievement. The number of CRPs nationwide is growing, but there is a noticeable lack of data on the model, its students and their outcomes. We review the literature supporting the need for the expansion of CRPs, present information on the diversity of CRP services and outline key areas where research is needed.
Acceptance of Non-Abstinence as an Outcome Goal for Individuals Diagnosed With Substance Use Disorders: A Narrative Review of Published Research. [2020]Natural recovery and treatment outcome studies published over the past four decades indicate that some individuals with substance use problems moderate their consumption of alcohol and other drugs. Concurrently, a growing number of investigations have assessed service providers' attitudes regarding non-abstinence goals.
The three missing elements in the treatment of substance use disorders: Lessons from the physician health programs. [2016]To make recovery, and not relapse, the expected outcome of the treatment of moderate to severe substance use disorders, 3 currently missing elements would need to be emphasized: (1) the definition of long-term recovery as the goal of all treatment and post-treatment interventions; (2) the provision of sustained post-treatment monitoring and professional and peer support, including drug testing; and (3) the insistence by others around the patients on sustained abstinence as crucial for those suffering from moderate to severe and prolonged substance use disorders. Each of these 3 elements is central to the distinctive care management system of the state physician health programs. This approach to the long-term management of substance use disorders fits with the new direction of healthcare for serious, chronic diseases-away from isolated, and expensive acute care episodes of care and toward sustained chronic disease management with long-term monitoring, support, and early re-intervention if and when needed.
Promoting recovery in an evolving policy context: what do we know and what do we need to know about recovery support services? [2023]As both a concept and a movement, "recovery" is increasingly guiding substance use disorder (SUD) services and policy. One sign of this change is the emergence of recovery support services that attempt to help addicted individuals using a comprehensive continuing care model. This paper reviews the policy environment surrounding recovery support services, the needs to which they should respond, and the status of current recovery support models. We conclude that recovery support services (RSS) should be further assessed for effectiveness and cost-effectiveness, that greater efforts must be made to develop the RSS delivery workforce, and that RSS should capitalize on ongoing efforts to create a comprehensive, integrated and patient-centered health care system. As the SUD treatment system undergoes its most important transformation in at least 40years, recovery research and the lived experience of recovery from addiction should be central to reform.
A review of the community reinforcement approach in the treatment of opioid dependence. [2019]This article reviews the Community Reinforcement Approach (CRA) in the treatment of opioid dependence. It covers the use of CRA with both methadone maintenance patients and patients withdrawing from opioids. The data reviewed in the use of CRA in combination with methadone maintenance shows improvement in a number of areas. These include the reduction of opioid use, as well as other drugs of abuse, improved legal status, less psychiatric symptoms, and improved vocational and social functioning. CRA coupled with vouchers can assist in retaining patients in treatment long enough to improve opioid detoxification rates from buprenorphine and coupled with naltrexone may sustain abstinence. Further, the use of a standardized computerized format may extend the utility of CRA.