Impact of Combined Recovery Program and Home Telehealth Among Veterans With Substance Use Disorders in the VA Inpatient Setting

What this Trial Is About

This research aims to evaluate how well three types of treatments work to improve outcomes for Veterans with substance use problems admitted to a psychiatric inpatient unit. The study focuses on Veterans diagnosed with substance use disorders who often face challenges such as co-occurring mental illness, homelessness, and high rates of hospital readmissions. It seeks to understand if combining different treatment approaches can help reduce substance use, improve recovery, and enhance quality of life. The study compares three treatment approaches: the Combined Recovery Program (CRP), a six-session group therapy focusing on motivation and life skills provided during inpatient stay; the Stable & Able (S&A) Home Telehealth program, which offers daily support for up to three months after discharge; and Treatment-as-Usual (TAU), which includes standard inpatient mental health sessions. Participants are randomly assigned to receive CRP with TAU, CRP plus S&A with TAU, or TAU alone. The CRP and S&A aim to support recovery and stable living, including skills like money management and home maintenance. Participants start the study during their inpatient stay with CRP and/or TAU, and may continue with the S&A program after discharge. They will be evaluated at baseline, one month, and three months after treatment starts. Researchers will measure alcohol and drug use, attendance at treatment and support sessions, community involvement, mental health status, and quality of life. The study includes interviews with participants and staff to explore factors that affect treatment success. The total participation time spans from inpatient admission through three months post-discharge.

CRP and S&A for Inpatient Veterans