Housing Status, Psychiatric Symptoms, and Substance Abuse Outcomes Among Sober Living House Residents over 18 Months.
Housing Status, Psychiatric Symptoms, and Substance Abuse Outcomes Among Sober Living House Residents over 18 Months.
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DOI：
10.1097/adt.0000000000000105
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发表时间：
2017-09
影响因子：
1.1
通讯作者：
Korcha R
中科院分区：
文献类型：
--
作者：
Polcin DL;Korcha R
研究表明，进入清醒生活康复之家（SLHs）的个人在药物滥用问题，就业和逮捕方面取得了显着，持续的改善。目前的研究评估了18个月内SLH居民住房状况的变化，以及住房状况和精神痛苦对药物滥用结果的相对影响。241名男性和58名女性，年龄均在18岁及以上，在进入20个SLH的第一周内接受了采访，并在6个月、12个月和18个月随访时再次接受采访。在进入SLH和18个月的随访期间，无家可归者从16%下降到4%，边缘住房从66%下降到46%，稳定住房从13%上升到27%。精神疾病的严重程度通常为轻度至中度，但在18个月的研究期间仍显示出改善。多变量模型显示，更严重的精神痛苦和不稳定的住房居民的药物滥用的结果。相对于有稳定住房的人，那些无家可归或边缘住房的人有更差的结果，而那些在SLH的人有更好的结果。总的来说，我们得出结论，个人进入SLHs显示改善住房状况和精神痛苦，这两者都与更好的药物滥用的结果。
Studies show individuals entering sober living recovery houses (SLHs) make significant, sustained improvement on measures of substance abuse problems, employment, and arrests. The current study assessed changes in housing status among SLH residents over 18 months and the relative influences of housing status and psychiatric distress on substance abuse outcomes. Two hundred forty one men and 58 women, all age 18 and older, were interviewed within their first week of entering 20 SLHs and again at 6-, 12-, and 18-month follow-up. Between entry into the SLHs and 18-month follow-up homelessness declined from 16% to 4%, marginal housing declined from 66% to 46%, and stable housing increased from 13% to 27%. Psychiatric severity was generally mild to moderate in severity, but nevertheless showed improvement over the 18-month study period. Multivariate models showed worse substance abuse outcomes for residents with higher psychiatric distress and unstable housing. Relative to persons with stable housing, those who were homeless or marginally housed had worse outcomes and those in SLHs had better outcomes. Overall, we conclude that individuals entering SLHs show improvement in housing status and psychiatric distress, both of which are associated with better substance abuse outcomes.