C4 Innovations, LLC — Department of Health and Human Services SBIR Phase I: NIDA

Description

Enter the text here that is the new abstract information for your application This section must be no longer than lines of text Substance use disorder SUD is a chronic relapsing disease However current systems of care typically respond to SUD as an acute problem requiring short term residential and or outpatient treatment As currently treated people with SUD continue to have high relapse rates with few opportunities for long term recovery and relapse prevention supports One approach to continuous care is for substance use counselors to engage clients in systematically monitoring their own progress and to offer therapeutic feedback in response This approach aligns with the Institute of Medicineandapos s explicit recommendation for the use of client monitoring systems which offer continuous monitoring and feedback allowing the counselor to intervene when needed The SUD field has begun to explore promising strategies for using monitoring and feedback including through the use of technologies such as telephone and mobile devices Building on NIDA funded research on RecoveryTrack a computer based client outcomes monitoring system OMS the Center for Social Innovation LLC C has partnered with Treatment Research Institute TRI to develop and evaluate RecoveryTrack Mobile A Monitoring and Feedback Intervention RT M The goal of this intervention to be developed into a mobile application is to mitigate the risk of relapse among clients during and after outpatient treatment using an evidence based OMS assessment This extends continuous monitoring beyond the clinical setting and into a clientandapos s day to day environment Clients will complete core RecoveryTrack assessment questions weekly and daily and the results will be used to prompt feedback or support from the counselor and family friends and or sponsors that the client has elected to connect with the app The app will include recovery supports such as motivational and alert messages information and resource links that promote recovery and wellness During Phase we will conduct a small scale pilot study that is designed to evaluate feasibility and counselor and client acceptability of RT M and to determine whether RT M supports clientsandapos post discharge functioning We will use quantitative and qualitative methods to evaluate the product intervention prototype in order to provide proof of concept for a larger Phase effectiveness study We will recruit a sample of clients n and counselors n from a large medical center in Philadelphia PA that offers outpatient drug and alcohol services Quantitative data will be collected through baseline and follow up assessments one month post discharge using instruments with strong psychometric properties to measure changes in substance use and other relevant functional indicators as well as urine testing Qualitative and quantitative data will be collected on counselors and clients to understand their use of and experiences with the app and the intervention and suggestions for Phase The project will be informed and enhanced by a Community Advisory Board of former clients and counselors Building on recent research for substance dependence monitoring and feedback interventions the Center for Social Innovation and Treatment Research Institute will develop and evaluate RecoveryTrack Mobile A Monitoring and Feedback Intervention Using the evidence based RecoveryTrack client outcomes monitoring system assessment as a component in combination with clinical integration and interactive wraparound recovery supports the app aims to mitigate relapse risk and concurrent functional problems among clients during and after outpatient treatment for substance use disorders