Sober living houses for alcohol and drug dependence: 18-month outcomes.
Sober living houses for alcohol and drug dependence: 18-month outcomes.
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DOI：
10.1016/j.jsat.2010.02.003
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发表时间：
2010-06
影响因子：
3.9
通讯作者：
Galloway G
中科院分区：
文献类型：
--
作者：
Polcin DL;Korcha RA;Bond J;Galloway G
许多试图戒除药物的人面临的一个主要挑战是找到一个稳定的生活环境，以支持持续的恢复。清醒生活之家（Sober living houses，SLHs）是一个没有酒精和毒品的生活环境，通过强调参与12步小组和社会支持来支持禁欲。在许多优点中，它们在经济上是自给自足的，居民可以想呆多久就呆多久。虽然SLH可用于住院治疗后的住房转介，而客户参加门诊治疗，监禁后，或作为替代治疗，他们一直没有得到充分的研究和利用。为了描述SLH居民的结果，我们在进入SLH的一周内以及6个月、12个月和18个月的随访中采访了245名个人。89%的人至少完成了一次后续采访。结果包括成瘾严重程度指数（ASI），简明症状量表（BSI），酒精和药物使用的措施。协变量包括人口统计学特征，12步参与和物质使用的社会网络。无论转诊来源如何，ASI量表（酒精、药物和就业）、BSI精神病严重程度、逮捕以及酒精和药物使用均有所改善。社交网络中的物质使用几乎可以预测所有的结果指标。参与12步组预测逮捕和酒精和药物使用较少。SLH的居民在各个方面都有改善。其他研究应使用随机设计来确定SLH的因果效应。结果支持的重要性的关键组成部分的恢复模式所使用的SLH：1）参与12步组和2）发展社会支持系统，减少酒精和毒品使用者。
A major challenge facing many individuals attempting to abstain from substances is finding a stable living environment that supports sustained recovery. Sober living houses (SLHs) are alcohol and drug-free living environments that support abstinence by emphasizing involvement in 12-step groups and social support for recovery. Among a number of advantages, they are financially self-sustaining and residents can stay as long as they wish. Although SLHs can be used as housing referrals after inpatient treatment, while clients attend outpatient treatment, after incarceration, or as an alternative to treatment, they have been understudied and underutilized. To describe outcomes of SLH residents we interviewed 245 individuals within one week of entering SLHs and at 6, 12 and 18-month follow up. Eighty-nine percent completed at least one follow-up interview. Outcomes included the Addiction Severity Index (ASI), Brief Symptom Inventory (BSI), and measures of alcohol and drug use. Covariates included demographic characteristics, 12-step involvement and substance use in the social network. Regardless of referral source, improvements were noted on ASI scales (alcohol, drug, and employment), psychiatric severity on the BSI, arrests, and alcohol and drug use. Substance use in the social network predicted nearly all outcome measures. Involvement in 12-step groups predicted fewer arrests and lower alcohol and drug use. Residents of SLHs made improvements in a variety of areas. Additional studies should use randomized designs to establish causal effects of SLHs. Results support the importance of key components of the recovery model used by SLHs: 1) involvement in 12-step groups and 2) developing social support systems with fewer alcohol and drug users.
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影响因子：
3.9
作者：
Forman, RF;Svikis, D;Blaine, J
通讯作者：
Blaine, J
DOI：
10.15288/jsa.2003.64.579
发表时间：
2003-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Bond, J;Kaskutas, LA;Weisner, C
通讯作者：
Weisner, C
影响因子：
3.4
作者：
Polcin, Douglas L.;Beattie, Martha
通讯作者：
Beattie, Martha
影响因子：
2.8
作者：
Polcin, Douglas L.;Henderson, Diane McAllister
通讯作者：
Henderson, Diane McAllister
影响因子：
3.9
作者：
MCLELLAN, AT;KUSHNER, H;ARGERIOU, M
通讯作者：
ARGERIOU, M