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

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

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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