"Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study".
"Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study".
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DOI：
10.1186/s12954-021-00560-x
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发表时间：
2021-11-08
影响因子：
4.4
通讯作者：
Slesnick N
中科院分区：
文献类型：
--
作者：
Kelleher KJ;Famelia R;Yilmazer T;Mallory A;Ford J;Chavez LJ;Slesnick N
经历无家可归的年轻人面临使用阿片类药物和其他物质的高风险，精神健康结果差，暴露于创伤和其他风险。提供稳定的住房有可能成为一种强有力的预防性干预措施，但支持性住房计划最常在长期无家可归的成年人或患有严重精神疾病的成年人中进行研究。住房优先模式并不以戒酒为前提提供支持性住房，它可能会减少无家可归的成年人的药物使用。在本研究中，我们试行了一种调整后的住房优先加预防服务模式，该模式是为在美国经历无家可归的年轻人(18-24岁)定制的。预防服务被添加到住房优先模式，包括以青年为中心的宣传服务、激励性访谈和艾滋病毒风险预防服务。该模型在一项单臂研究(n = 21)中试用，以评估住房优先模型的可行性、可接受性和初步疗效，为期6个月，为更大规模的随机试验做准备。我们使用重复测量ANOVA来测试酒精和药物使用(使用天数百分比；酒精或药物使用后果)、住房稳定性、社会网络支持和认知扭曲在6个月的随访中的变化。共有17名青年完成了研究(85%保留)，高比例的青年在6个月的随访期内得到了稳定的住房。干预服务的参与率很高，平均为13.57次宣传，1.33次心肌梗塞，0.76次艾滋病毒预防。酒精的使用并没有随着时间的推移发生明显的变化。然而，吸毒个人的吸毒、吸毒后果和认知扭曲以及青少年社交网络的规模显著减少。住房优先模式似乎是可行的，青年参与了支持性干预服务。这项研究表明，适应的住房优先模式有可能被提供给经历无家可归的年轻人，并可能改善结果，为更大规模的干预随机试验铺平道路。
Young adults experiencing homelessness are at high risk of opioid and other substance use, poor mental health outcomes, exposure to trauma, and other risks. Providing access to stable housing has the potential to act as a powerful preventive intervention, but supportive housing programs have been studied most often among chronically homeless adults or adults with serious mental illness. The Housing First model, which does not precondition supportive housing on sobriety, may reduce drug use in homeless adults. In the present study, we piloted an adapted model of Housing First plus prevention services that was tailored to the needs of young adults (18–24 years) experiencing homelessness in the USA. Preventive services were added to the Housing First model and included youth-centered advocacy services, motivational interviewing, and HIV risk prevention services. This model was piloted in a single-arm study (n = 21) to assess the feasibility, acceptability, and initial efficacy of a Housing First model over a 6-month period in preparation for a larger randomized trial. We use repeated measures ANOVA to test for changes in alcohol and drug use (percent days of use; alcohol or drug use consequences), housing stability, social network support, and cognitive distortions over 6 months of follow-up. A total of 17 youth completed the study (85% retention), and a high proportion of youth were stably housed at 6-month follow-up. Participation in intervention services was high with an average of 13.57 sessions for advocacy, 1.33 for MI, and 0.76 for HIV prevention. Alcohol use did not change significantly over time. However, drug use, drug use consequences, and cognitive distortions, and the size of youths’ social networks that were drug using individuals decreased significantly. The Housing First model appeared to be feasible to deliver, and youth engaged in the supportive intervention services. The study demonstrates the potential for an adapted Housing First model to be delivered to youth experiencing homelessness and may improve outcomes, opening the way for larger randomized trials of the intervention.
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影响因子：
4.2
作者：
Linton, Sabriya L.;Celentano, David D.;Mehta, Shruti H.
通讯作者：
Mehta, Shruti H.
影响因子：
4.2
作者：
Kirst, Maritt;Zerger, Suzanne;Stergiopoulos, Vicky
通讯作者：
Stergiopoulos, Vicky
影响因子：
3.3
作者：
Carmona, Jasmin;Slesnick, Natasha;Letcher, Amber
通讯作者：
Letcher, Amber
影响因子：
1.8
作者：
Padgett, DK;Gulcur, L;Tsemberis, S
通讯作者：
Tsemberis, S
影响因子：
12.7
作者：
Tsemberis, S;Gulcur, L;Nakae, M
通讯作者：
Nakae, M