Evidence Based Sober Living Houses: A Multi-level Analysis
基于证据的清醒生活之家:多层次分析
基本信息
- 批准号:10224153
- 负责人:
- 金额:$ 58.74万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-09-01 至 2023-09-30
- 项目状态:已结题
- 来源:
- 关键词:AbstinenceAccreditationAffectAftercareAlcohol consumptionAlcoholsArchitectureAreaAttentionBackBiologicalCaliforniaCertificationCharacteristicsChronic DiseaseCommunitiesConflict (Psychology)ConsensusCountyCrimeDataDevelopmentDrug AddictionDrug usageEmploymentEnvironmentEnvironmental Risk FactorFamilyFeesFocus GroupsFundingGoalsGuidelinesHIV riskHousingIndividualInterventionLeadershipLegalLiteratureLocationLos AngelesMeasuresMedicalMental Health ServicesMethodsNeighborhoodsOutcomeOutcome MeasurePatient Self-ReportPharmaceutical PreparationsPharmacotherapyPositioning AttributePredictive FactorPrivatizationProceduresProcessProgram EvaluationPropertyPsychometricsPublic HealthRecommendationRecoveryReportingResearchResearch PersonnelRisk BehaviorsSafetySamplingServicesSeveritiesSocial CharacteristicsSocial EnvironmentSocial NetworkSocial PerceptionSocial supportSocioeconomic StatusSubstance Use DisorderSystemTimeTransportationUrineacute careaddictionalcohol abstinencealcohol measurementalcohol outlet densitybasecontextual factorscostdensityevidence baseexpectationexperiencefollow-upindexingmeetingsmultilevel analysisneglectoperationorganizational structureoutcome predictionprimary outcomerecruitresidencesecondary outcomesobrietysocialsocial organizationsubstance abuse treatmentsubstance usetreatment programtreatment services
项目摘要
ABSTRACT
Treatment for drug dependence is undergoing a paradigmatic shift that recognizes the limitations of acute care
interventions. There is a growing consensus that drug dependence represents a chronic disease process that
requires ongoing attention beyond formal treatment. Long-term professional treatment is prohibitive in part
because reduction of cost continues to be an important goal among private and public funders. There is
therefore an urgent need to identify non-professional interventions that can help sustain recovery after
treatment, or in some cases, serve as an alternative to it. This application builds upon our ongoing and previous
research assessing longitudinal outcomes of individuals residing in sober living houses (SLHs). The essential
characteristics of SLHs include an alcohol and drug free living environment and social support for abstinence.
SLHs are primarily financed through resident fees and residents in most houses can stay as long as they wish.
There are over 800 SLHs in California alone, yet there are few studies assessing outcomes. Our research on
SLHs shows that residents make significant, sustained (18-month) improvement on a variety of outcomes,
including alcohol and drug use, arrests, employment, and other areas of functioning. This application proposes
to study contextual factors neglected by our research to date, including how physical, social, and organizational
characteristics among a heterogeneous sample of SLHs and the neighborhoods where they are located affect
outcome. Factors assessed will include the social environment of houses, organizational and leadership
characteristics, and architecture (e.g., size, spatial layout, proximity to neighbors, safety, use of rooms, and
upkeep of the facility). We also examine the influence of neighborhood characteristics such as alcohol outlet
density and proximity, activity spaces, crime, socioeconomic status, density and proximity of 12-step meetings,
density and proximity of treatment services, and interactions between neighbors and SLH residents. Focus
groups with residents and house managers will inform implementation of study procedures and understanding
of quantitative findings. Procedures will include recruiting a sample of 600 individuals entering 40 purposively
selected SLHs in Los Angeles County. Primary outcomes will include substance use, HIV risk, arrests, and
employment. Multilevel modeling will parse out relative influences of individual, house, and neighborhood
factors on outcome at 6 and 12 months. Results will provide new data on house and neighborhood
characteristics that are critical for describing evidence-based SLHs and developing new standards based on
scientific findings. Current recovery house organizations, such as the National Alliance of Recovery Residences
(NARR), have standards primarily based on practical experience and anecdotal reports. There is therefore an
urgent need for research that can help them develop evidence-based house environments and neighborhood
locations. Dissemination of findings will target researchers, SLH operators, and SLH organizations involved in
the creation of standards.
摘要
药物依赖的治疗正在经历一个范式转变,认识到急性护理的局限性
干预措施。越来越多的人认为,药物依赖是一种慢性疾病,
需要持续的关注,而不仅仅是正规的治疗。长期的专业治疗在一定程度上是禁止的
因为降低成本仍然是私人和公共资助者的重要目标。有
因此,迫切需要确定非专业干预措施,以帮助维持恢复后,
治疗,或在某些情况下,作为它的替代。这个应用程序建立在我们正在进行的和以前的
研究评估了居住在清醒生活房屋(SLHs)中的个人的纵向结果。的基本
SLH的特征包括无酒精和毒品的生活环境以及对禁欲的社会支持。
SLH主要通过居民费提供资金,大多数房屋的居民可以想住多久就住多久。
仅在加州就有800多个SLH,但很少有研究评估结果。我们研究
SLH表明,住院医师在各种结果上都有显著的、持续的(18个月)改善,
包括酒精和毒品使用,逮捕,就业和其他功能领域。本申请提出
研究我们迄今为止的研究所忽视的环境因素,包括物理,社会和组织
异质样本的SLH和他们所在的社区之间的特征影响
结果。评估的因素将包括房屋的社会环境、组织和领导
特性和体系结构(例如,大小、空间布局、邻近邻居、安全性、房间的使用,以及
设施的维护)。我们还研究了邻里特征的影响,如酒精出口
密度和接近度,活动空间,犯罪,社会经济状况,12步会议的密度和接近度,
治疗服务的密度和接近程度,以及邻居和SLH居民之间的互动。重点
与居民和房屋管理人员的小组将告知研究程序和理解的实施情况
量化的发现。程序将包括招募600人的样本,有目的地进入40个
洛杉矶县的几个小家庭。主要结果将包括物质使用,艾滋病毒风险,逮捕,
就业多层次建模将解析出个人、房屋和邻里的相对影响
6个月和12个月时的结局因素。结果将提供有关房屋和邻里的新数据
这些特征对于描述基于证据的SLH和基于以下内容开发新标准至关重要:
科学发现。目前的恢复之家组织,如全国恢复住宅联盟
(NARR)的标准主要基于实际经验和轶事报告。因此,
迫切需要研究,可以帮助他们发展基于证据的房屋环境和邻里
地点研究结果的传播将针对研究人员、SLH运营商和参与以下活动的SLH组织:
创建标准。
项目成果
期刊论文数量(11)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Outcomes Among Sober Living House Residents Who Relapse: Role of Recovery Capital.
清醒生活之家复发的居民的结果:恢复资本的作用。
- DOI:10.1080/02791072.2023.2225502
- 发表时间:2023
- 期刊:
- 影响因子:2.8
- 作者:Polcin,DouglasL;Mahoney,Elizabeth;Witbrodt,Jane;Subbaraman,Meenakshi;Mericle,AmyA
- 通讯作者:Mericle,AmyA
House Manager Roles in Sober Living Houses.
- DOI:10.1080/14659891.2020.1789230
- 发表时间:2021
- 期刊:
- 影响因子:0.8
- 作者:Polcin DL;Mahoney E;Mericle AA
- 通讯作者:Mericle AA
Recovery Home Environment Characteristics Associated with Recovery Capital.
- DOI:10.1177/0022042620978393
- 发表时间:2020-04-01
- 期刊:
- 影响因子:1.7
- 作者:Polcin DL;Mahoney E;Witbrodt J;Mericle AA
- 通讯作者:Mericle AA
Understanding challenges for recovery homes during COVID-19.
了解 COVID-19 期间康复之家面临的挑战。
- DOI:10.1016/j.drugpo.2020.102986
- 发表时间:2021-07
- 期刊:
- 影响因子:0
- 作者:Polcin DL;Mahoney E;Wittman F;Sheridan D;Mericle AA
- 通讯作者:Mericle AA
Psychometric Properties of the Recovery Home Environment Scale.
- DOI:10.1080/10826084.2021.1910710
- 发表时间:2021
- 期刊:
- 影响因子:2
- 作者:Polcin DL;Mahoney E;Mericle AA
- 通讯作者:Mericle AA
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DOUGLAS L POLCIN其他文献
DOUGLAS L POLCIN的其他文献
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{{ truncateString('DOUGLAS L POLCIN', 18)}}的其他基金
Peer Helping, Retention, and Relapse in Sober Living Houses
清醒生活之家中的同伴帮助、保留和旧病复发
- 批准号:
10264895 - 财政年份:2020
- 资助金额:
$ 58.74万 - 项目类别:
Peer Helping, Retention, and Relapse in Sober Living Houses
清醒生活之家中的同伴帮助、保留和旧病复发
- 批准号:
10687824 - 财政年份:2020
- 资助金额:
$ 58.74万 - 项目类别:
Peer Helping, Retention, and Relapse in Sober Living Houses
清醒生活之家中的同伴帮助、保留和旧病复发
- 批准号:
10118052 - 财政年份:2020
- 资助金额:
$ 58.74万 - 项目类别:
Evidence Based Sober Living Houses: A Multi-level Analysis
基于证据的清醒生活之家:多层次分析
- 批准号:
9978790 - 财政年份:2017
- 资助金额:
$ 58.74万 - 项目类别:
Evidence Based Sober Living Houses: A Multi-level Analysis
基于证据的清醒生活之家:多层次分析
- 批准号:
9381596 - 财政年份:2017
- 资助金额:
$ 58.74万 - 项目类别:
Interaction of Mental Health and Social Support on Drug Relapse in Recovery Homes
心理健康和社会支持对康复之家药物复吸的相互作用
- 批准号:
8635723 - 财政年份:2014
- 资助金额:
$ 58.74万 - 项目类别:
Randomized Trial of Intensive MI to Improve Drinking Outcomes Among Women
强化心肌梗死改善女性饮酒结果的随机试验
- 批准号:
9302609 - 财政年份:2014
- 资助金额:
$ 58.74万 - 项目类别:
Randomized Trial of Intensive MI to Improve Drinking Outcomes Among Women
强化心肌梗死改善女性饮酒结果的随机试验
- 批准号:
9088227 - 财政年份:2014
- 资助金额:
$ 58.74万 - 项目类别:
Randomized Trial of Intensive MI to Improve Drinking Outcomes Among Women
强化心肌梗死改善女性饮酒结果的随机试验
- 批准号:
8786275 - 财政年份:2014
- 资助金额:
$ 58.74万 - 项目类别:
Reducing Offenders' HIV Risk: MI Enhanced Case Management with Drug-Free Housing
降低罪犯感染艾滋病毒的风险:MI 通过无毒品住房加强案件管理
- 批准号:
8680198 - 财政年份:2013
- 资助金额:
$ 58.74万 - 项目类别:
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