Alcohol and drug use disorders among homeless veterans: Prevalence and association with Supported housing outcomes
Alcohol and drug use disorders among homeless veterans: Prevalence and association with Supported housing outcomes
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DOI：
10.1016/j.addbeh.2013.02.002
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发表时间：
2014-02-01
影响因子：
4.4
通讯作者：
Rosenheck, Robert A.
中科院分区：
文献类型：
--
作者：
Tsai, Jack;Kasprow, Wesley J.;Rosenheck, Robert A.
本研究探讨了进入住房和城市发展-退伍军人事务部支持住房（HUD-VASH）计划的无家可归退伍军人中酒精和药物障碍的患病率及其与住房和临床结局的关系。共有29，143名无家可归的退伍军人被归类为：没有物质使用障碍，只有酒精使用障碍，只有药物使用障碍，或酒精和药物使用障碍。退伍军人在进入HUD-VASH之前的住房和临床状态进行了比较，并在进入该计划后6个月对14，086名HUD-VASH客户的结果进行了比较。在HUD-VASH之前，60%的计划进入者患有物质使用障碍，54%的物质使用障碍者患有酒精和药物使用障碍。患有酒精和药物使用障碍的无家可归的退伍军人比其他人有更广泛的无家可归历史，而那些患有任何物质使用障碍的人在上个月在过渡性住房或住宅治疗中度过了更多的夜晚。在HUD-VASH六个月后，患有物质使用障碍的客户继续报告更多的物质使用问题，即使在调整基线差异后，但住房结果没有差异。这些研究结果表明，尽管物质使用障碍和无家可归之间存在很强的关联，HUD-VASH计划能够成功地安置无家可归的退伍军人与物质使用障碍，虽然可能需要额外的服务来解决他们的物质滥用后，他们成为住房。爱思唯尔有限公司出版
This study examines the prevalence of alcohol and drug disorders among homeless veterans entering the Housing and Urban Development-Veterans Affairs Supported Housing (HUD-VASH) program and its association with both housing and clinical outcomes. A total of 29,143 homeless veterans were categorized as either having: no substance use disorder, only an alcohol use disorder, only a drug use disorder, or both alcohol and drug use disorders. Veterans were compared on housing and clinical status prior to admission to HUD-VASH and a smaller sample of 14,086 HUD-VASH clients were compared on their outcomes 6 months after program entry. Prior to HUD-VASH, 60% of program entrants had a substance use disorder and 54% of those with a substance use disorder had both alcohol and drug use disorders. Homeless veterans with both alcohol and drug use disorders had more extensive homeless histories than others, and those with any substance use disorder stayed more nights in transitional housing or residential treatment in the previous month. After six months in HUD-VASH, clients with substance use disorders continued to report more problems with substance use, even after adjusting for baseline differences, but there were no differences in housing outcomes. These findings suggest that despite strong associations between substance use disorders and homelessness, the HUD-VASH program is able to successfully house homeless veterans with substance use disorders although additional services may be needed to address their substance abuse after they become housed. Published by Elsevier Ltd.