Home Treatment for Individuals Suffering From Severe Addictive Disorders

Phase

N/A

Condition

Opioid Use Disorder

Mood Disorders

Stimulant Use Disorder

Treatment

Hospital-like treatment in patients' home

standard inpatient treatment

Clinical Study ID

NCT05563363

not yet available

Ages > 18
All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Substance use disorder
age 18 or above
sufficient french language skills
competent subjects
consent to randomization progress

Exclusion

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)

Study Design