Home Treatment for Individuals Suffering From Severe Addictive Disorders
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Hospital-like treatment in patients' home, standard inpatient treatment.
- Who it may be relevant to
- Registry conditions: Substance Use Disorders. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Switzerland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
A Pilot Study on Home Treatment for Individuals Suffering From Severe Addictive Disorders
Overview
Home Treatment (HT) has been successfully implemented in adult psychiatry in several countries including Switzerland. Patients with addiction problems were generally excluded even if the latter was not the main diagnosis. On the other hand, community treatments have successfully been established for these individuals. The investigators have recently offered HT to persons with severe addictive disorders which was well accepted. The investigators intend to conduct a pilot study to prepare a large-scale study if successful. The investigators intend to compare HT to treatment as usual (regular inpatient treatment) on a specialized ward with respect to readmission rates during 6 months after discharge. The data show that 70.8% of all readmissions occur during the first 6 months. Therefore, a period of 6 months is considered an adequate time interval to sufficiently answer this pilot study's question.
Interventions
- Other Hospital-like treatment in patients' home
Hospital-like treatment in patients' home. Caregivers, medical doctors and social workers will make several visits per day to the patients' home. 24/7 contact is available. - Other standard inpatient treatment
Inpatient treatment on addiction ward
Primary outcome measures
- readmission rates [Time frame: 6 month post-discharge]
Secondary outcome measures (5)
- time to readmission [Time frame: 6 months]
- length of hospitalization [Time frame: 6 months]
- number of emergency room visits [Time frame: 6 months]
- clinical outcome [Time frame: 6 months]
- patient satisfaction [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- Substance use disorder
- age 18 or above
- sufficient french language skills
- competent subjects
- consent to randomization progress
Exclusion criteria
- organic brain disease or developmental disorder
- non voluntary admission
- severe somatic comorbidity
- History of complicated substance withdrawal
- acute suicidal ideation
- aggressive behavior
- acute psychiatric disease such as mania or psychosis
- distance to center (must be reachable within 60 minutes)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Switzerland · 1 center
- Geneva University Hospital — Geneva
Identifiers
NCT: NCT05563363 · not yet available