The need for substance abuse after-care: Longitudinal analysis of Oxford House
The need for substance abuse after-care: Longitudinal analysis of Oxford House
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DOI：
10.1016/j.addbeh.2006.06.014
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发表时间：
2007-04-01
影响因子：
4.4
通讯作者：
Ferrari, Joseph R.
中科院分区：
文献类型：
--
作者：
Jason, Leonard A.;Davis, Margaret I.;Ferrari, Joseph R.
目的：有必要探讨社会支持和自我效能随着时间的推移而变化的过程中个人在恢复家园，并评估居民保持禁欲的程度，获得和维持就业，避免犯罪活动，并利用医疗保健系统，而在和离开这样的设置。设计：在最初的基线阶段招募住院医师并进行访谈，然后在随后的三个4个月间隔中再次进行访谈。牛津之家是为寻求支持、民主、互助环境的物质滥用和依赖问题的个人提供的康复之家住所。参与者：美国牛津楼居民的全国样本（n=897：604名男性，293名女性）。测量值：收集了关于戒酒、社会支持、自我效能、就业、犯罪史和医疗利用的信息。结果：累积戒酒的变化可通过支持酒精使用、戒酒自我效能和在OH居住的时间（即，小于对！6个月），即使在控制最初的时间花在OH。结论：结果表明，接受禁欲的支持，指导和信息，从恢复家庭成员致力于长期清醒的目标，可以提高居民的禁欲自我效能，使人恢复酒精和其他药物成瘾，以减少复发的概率。(c)2006爱思唯尔有限公司保留所有权利。
Aims: There is a need to explore the processes of social support and self-efficacy change over time among individuals in recovery homes, and to assess the extent to which residents remain abstinent, obtain and maintain employment, refrain from criminal activity, and utilize health care systems both while within the and after leaving such settings.Design: Residents were recruited and interviewed at an initial baseline phase and then re-interviewed at three subsequent 4-month intervals.Setting: Oxford Houses are recovery home residences for individuals with substance abuse and dependence problems who seek a supportive, democratic, mutual-help setting.Participants: A national US sample of Oxford House residents (n=897: 604 men, 293 women). Measurements: Information was gathered on abstinence, social support, self-efficacy, employment, criminal history, and medical care utilization.Findings: Change in cumulative abstinence was predicted by support for alcohol use, abstinence self-efficacy, and length of residency in OH (i.e., less than versus ! 6 months), even after controlling for initial time spent in OH.Conclusions: Results suggest that receiving abstinence support, guidance, and information from recovery home members committed to the goal of long-term sobriety may enhance residents' abstinence self-efficacy and enable persons recovering from alcohol and other drug addiction to reduce the probability of a relapse. (c) 2006 Elsevier Ltd. All rights reserved.