Effects of sustained abstinence among treated substance-abusing homeless persons on housing and employment.
Effects of sustained abstinence among treated substance-abusing homeless persons on housing and employment.
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DOI：
10.2105/ajph.2008.152975
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发表时间：
2010-05
影响因子：
12.7
通讯作者：
Kertesz SG
中科院分区：
文献类型：
--
作者：
Milby JB;Schumacher JE;Wallace D;Vuchinich R;Mennemeyer ST;Kertesz SG
我们研究了可卡因依赖的无家可归者是否有稳定的住房，并在他们进入一项比较2种治疗方法的随机对照试验后6个月、12个月和18个月就业。其中一组（n = 103）接受禁欲住房，职业培训和工作;另一组（n = 103）接受相同的干预加上认知行为日治疗。我们检查了基线和早期治疗变量与长期住房和就业的关系。虽然强化治疗组的戒烟率更高，但两组在长期住房和就业稳定性方面没有差异。然而，治疗期间连续数周的禁欲（以及在较小程度上，年龄较大和男性性别）预测长期住房和就业稳定性调整后的基线差异，就业，住房和治疗。我们的数据显示了禁欲与住房稳定的关系。将这些结果与越来越受欢迎的住房第一干预措施进行对比，揭示了我们在未来研究中需要解决的知识方面的重要差距。
We examined whether cocaine-dependent homeless persons had stable housing and were employed 6, 12, and 18 months after they entered a randomized controlled trial comparing 2 treatments. One group (n = 103) received abstinence-contingent housing, vocational training, and work; another group (n = 103) received the same intervention plus cognitive behavioral day treatment. We examined baseline and early treatment variables for association with long-term housing and employment. Although the enhanced-treatment group achieved better abstinence rates, the groups did not differ in long-term housing and employment stability. However, consecutive weeks of abstinence during treatment (and to a lesser extent, older age and male gender) predicted long-term housing and employment stability after adjustment for baseline differences in employment, housing, and treatment. Our data showed a relationship of abstinence with housing stability. Contrasting these results with the increasingly popular Housing First interventions reveals important gaps in our knowledge to be addressed in future research.