Defining “success”

Families who need Rehab at Home are families with complex addiction situations.  RAH signature is rarely considered unless there have been repeated, failed treatment experiences.  RAH success rates should be compared to general addiction recovery rates with caution.

Additionally, success is not defined solely in terms of abstinence.  Success for a chronic condition is defined by an overall assessment of lasting stability, functionality, and minimizing relapses.  (Abstinence is an assumed success criterion in most all cases.)

Determining Outcome:

A professional interviewer, not involved in the case, interviews all key family members to assure an objective perspective on outcome.  (Generally, this occurs in person but sometimes over the phone if the substance abusing loved one is an adult we interview them, if an adolescent we generally do not.)

In all interviews we ask the following questions:

• How did you first hear about RAH?
• What was it about RAH that gave you hope and helped you in your decision to use RAH services?
• What had the family tried before, if anything?
• How would you describe what was happening and how you were feeling before starting RAH?
• How would you describe how you were feeling during RAH?
• How would you describe how you are feeling now that RAH has been completed
• How was RAH different from other treatments in the past (IP? OP? Other?)
• What was it about what the coaches did, or how they did it, that you feel was specifically helpful in the process?
• What suggestions do you have about how these services might be improved?
• What would you like to tell another family who is wondering how to help a loved one with a problem and is considering RAH?
• Is there anything else you would like us to know?

Following the interview, the director consults with the RAH team and the assessor to determine the outcome status based on:

• The opinion of all key family members and client
• Whether clear and lasting behavior changes have occurred and are being maintained two months post RAH or five months after the commencement of RAH.
• The opinion of the staff 

**There have been no families that have dropped out of the program.  Additionally the first year of RAH clientele were not placed in the study because we did have our outcome study set up at that time.

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