Housing for Recovery Initiative
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ClinicalTrials.gov Identifier: NCT05341830 |
Recruitment Status :
Not yet recruiting
First Posted : April 22, 2022
Last Update Posted : April 22, 2022
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Recovery housing is a substance-free group home for those exiting drug and alcohol treatment. Individuals live in a recovery-focused environment with others traveling the same journey. Ohio Recovery Housing (ORH) creates and maintains standards of excellence for recovery housing in the state. Each house decides how it operates, with four different "levels" of housing available. These environments have the potential to help build a strong foundation in recovery to improve health, employment, and housing outcomes.
ORH and LEO will launch a quasi-experimental study to measure the impact of recovery housing for individuals with substance use disorders. The design relies on variation in the availability of program spots to identify effects. Invitations to join a home will come from a waitlist. As the length of the waitlist is unrelated to applicant characteristics, movement off the waitlist can be considered essentially random. The research team will compare those who receive services to those who do not.
The researchers hypothesize that those who participate in recovery housing will have improved health, employment, and housing outcomes compared to individuals who do not receive recovery housing services.
Condition or disease | Intervention/treatment | Phase |
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Substance-related Disorders Alcohol-related Disorders Housing | Behavioral: Recovery housing | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 2430 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Study participants will be added to one of two arms, treatment (recovery housing) or control (no recovery housing), through a structured waitlist. If a placement in recovery housing becomes available for an individual within two weeks of when they are placed on the waitlist for housing, they will be in the treatment group. If a placement does not become available for an individual within two weeks of when they are added to the waitlist, they will be in the control group. |
Masking: | None (Open Label) |
Primary Purpose: | Supportive Care |
Official Title: | The Effect of Recovery Housing on Patients' Health, Housing, and Employment Outcomes |
Estimated Study Start Date : | April 18, 2022 |
Estimated Primary Completion Date : | March 31, 2026 |
Estimated Study Completion Date : | March 31, 2026 |
Arm | Intervention/treatment |
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Experimental: Recovery Housing
Individuals in this arm will have access to a placement in recovery housing and the associated services. Recovery housing organizations provide individuals recovering from substance use disorders with housing and a variety of services, including transportation, rental assistance, life skills, family services, and educational and employment opportunities.
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Behavioral: Recovery housing
Recovery housing provides housing and other services to individuals who are recovering from substance-use disorders. They provide a substance-free living environment, as well as services to assist residents with life in recovery. These services include connections to employment and educational opportunities, help obtaining documentation such as a driver's license, connection to mutual aid, and assistance building life skills. |
No Intervention: No Recovery Housing
Individuals in this arm will not receive a placement in recovery housing. When possible, they will be informed about other available services in their community.
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- Difference in maintenance of sobriety between treatment and control groups [ Time Frame: 12 months after study enrollment ]Using survey data, we will quantify the effect of recovery housing participation on maintaining sobriety past 30 days and 6 months after the treatment group leaves housing. We will also measure the types of substances used (for example, alcohol, opioids,
- Differences in measures of personal relationships between treatment and control groups [ Time Frame: 12 months after study enrollment ]We will use survey data to measure personal relationship outcomes, such as marital/cohabitation status and whether individuals have children in the custody of child welfare.
- Differences in measured health and social insurance coverage between treatment and control groups [ Time Frame: Up to 30 months after study enrollment ]We will use survey data to measure whether individuals have health insurance coverage other than Medicaid and whether they are enrolled in SNAP or TANF. We will use administrative data from the state of Ohio to measure Medicaid, SNAP, and TANF utilization.
- Differences in criminal justice system involvement between treatment and control groups [ Time Frame: Up to 30 months after study enrollment ]We will measure criminal justice outcomes by linking to publicly available criminal records, like county jail and state prison bookings records, as well as through survey data.
- Differences in measures of housing stability between treatment and control groups [ Time Frame: Up to 30 months after study enrollment ]We will use survey data to measure individuals' living arrangements (for example, in a house or apartment owned or leased in their own name, in a shared home or apartment, etc.) We will also ask retrospective questions about how many address changes they have had since exiting the waitlist. We will also measure housing stability with administrative data from Notre Dame's Infutor database.
- Difference in measured health care access and utilization between treatment and control groups [ Time Frame: Up to 30 months after study enrollment ]Using survey data, we will measure whether the respondent has a primary care provider, number of doctors' office visits, number of emergency department visits, number of prescription drug fills, and number of inpatient hospital stays in the previous six months. We will also survey individuals' self-reported physical and mental health status as well as a PHQ-2 screener for depression. We will also measure number of doctors' office visits, number of emergency department visits, number of prescription drug fills, and number of inpatient hospital stays in the previous six months using Ohio Medicaid data. We will use the Master Death Index to measure mortality.
- Difference in measurement of employment and financial well-being between treatment and control groups [ Time Frame: Up to 30 months after study enrollment ]We will use survey data to measure whether the individual has been employed over the last quarter, quarterly labor earnings, usual hours worked per week, and weeks worked over the past quarter. We also plan to use administrative data from the Ohio Department of Job and Family Services to collect data on whether the individual was employed in the last quarter and quarterly earnings. We will collect data on credit scores and use of credit from Experian.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Individuals must have a history of, or a current problem with, substance abuse
- Individuals must be interested in starting or maintaining a lifestyle in which they do not use illicit drugs or drink alcohol
- Individuals must understand that recovery housing programs do not provide psychiatric services
- Individuals must be in recovery and prepared to live in a recovery housing environment
Exclusion Criteria:
- Individuals who are under the age of 18
- Individuals who do not consent to study participation
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 ClinicalTrials.gov identifier (NCT number): NCT05341830
Contact: Adrienne Sabety, PhD | 574-631-6208 | asabety@nd.edu | |
Contact: Eileen Mostyn, BA | 574-631-1665 | emostyn@nd.edu |
Principal Investigator: | Adrienne Sabety, PhD | University of Notre Dame | |
Principal Investigator: | Mary Kate Batistich, PhD | University of Notre Dame | |
Principal Investigator: | William Evans, PhD | University of Notre Dame | |
Principal Investigator: | Thomas Gregoire, PhD | Ohio State University | |
Principal Investigator: | Danielle Gray, MPH | Ohio Recovery Housing |
Responsible Party: | Adrienne Sabety, Wilson Family LEO Assistant Professor of Economics, University of Notre Dame |
ClinicalTrials.gov Identifier: | NCT05341830 |
Other Study ID Numbers: |
21-09-6787 |
First Posted: | April 22, 2022 Key Record Dates |
Last Update Posted: | April 22, 2022 |
Last Verified: | April 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Substance-Related Disorders Alcohol-Related Disorders Chemically-Induced Disorders Mental Disorders |