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Recovery Housing and Drug Abuse Treatment Outcome

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03278496
Recruitment Status : Completed
First Posted : September 11, 2017
Last Update Posted : September 11, 2017
Information provided by (Responsible Party):
Johns Hopkins University

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.

Condition or disease Intervention/treatment Phase
Mental and Behavioral Disorders Due to Use of Cocaine: Harmful Use Opiate Addiction Behavioral: Recovery Housing plus Counseling Behavioral: Usual Care Referral Behavioral: Recovery Housing Only Not Applicable

Detailed Description:

Aims To conduct a randomized, controlled trial of abstinence-contingent recovery housing delivered with or without intensive day treatment among individuals exiting residential opioid detoxification.

Design Random assignment to one of three conditions: recovery housing alone (RH), abstinence-contingent recovery housing with reinforcement-based treatment RBT (RH + RBT) or usual care (UC). RH and RH + RBT participants received 12 weeks of paid recovery housing contingent upon drug abstinence. RH + RBT participants also received 26 weeks of RBT, initiated concurrently with recovery housing. Assessments were conducted at 1, 3 and 6 months after treatment enrollment.

Setting Out-patient drug-free substance abuse treatment program in Baltimore, Maryland.

Participants Patients (n = 243) who completed medication-assisted opioid detoxification.

Measurements Primary outcome was drug abstinence (opioid- and cocaine-negative urine and no self-reported opioid or cocaine use in the previous 30 days). Secondary outcomes included abstinence at all time-points (1, 3 and 6 months), days in recovery housing and employment.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 243 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Recovery Housing and Drug Abuse Treatment Outcome
Study Start Date : April 2001
Actual Primary Completion Date : June 2008
Actual Study Completion Date : December 2008

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Recovery housing plus counseling
Intensive 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.
Behavioral: Recovery Housing plus Counseling
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.

Experimental: Recovery Housing only
Abstinence-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.
Behavioral: Recovery Housing Only
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.

Active Comparator: Usual Care Referral
Participants 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.
Behavioral: Usual Care Referral
Participants are referred to an outpatient program of their choosing with an appointment made for them.

Primary Outcome Measures :
  1. abstinence from opiates and cocaine [ Time Frame: 6 months post randomization ]
    Free in the community plus self report of no drug use in past 30 days verified with negative urine screen.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • completes residential detoxification for use of opiates and/or cocaine
  • willing to go to outpatient aftercare
  • agrees to random assignment; signs informed consent

Exclusion Criteria:

  • moving out of town
  • primary substance use does not include opiates or cocaine

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03278496

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United States, Maryland
Behavioral Pharmacology Research Unit
Baltimore, Maryland, United States, 21224
Sponsors and Collaborators
Johns Hopkins University
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Principal Investigator: Maxine Stitzer, Ph.D. Johns Hopkins University
Publications of Results:
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Responsible Party: Johns Hopkins University Identifier: NCT03278496    
Other Study ID Numbers: DA13003
First Posted: September 11, 2017    Key Record Dates
Last Update Posted: September 11, 2017
Last Verified: September 2017
Keywords provided by Johns Hopkins University:
substance abuse treatment
outpatient counseling
Additional relevant MeSH terms:
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Substance-Related Disorders
Opioid-Related Disorders
Behavior, Addictive
Problem Behavior
Compulsive Behavior
Impulsive Behavior
Chemically-Induced Disorders
Mental Disorders
Behavioral Symptoms