Recovery Housing for Alcohol and Drug Use Disorders: A National Study of Availability, Characteristics, and Factors Associated with Evidence-based Practices

项目概要/摘要 安全和稳定的住房对于从酒精和其他毒品疾病中恢复至关重要。个体间 在这些疾病的康复过程中，居住在康复住房中的人是最脆弱的。恢复 住房是植根于社会模式的复苏，强调同侪支持，帮助居民维持 他们的复苏。CDC为公众提供的管理COVID-19的指导以及其对共享 或集合住房提供者可能对住宅恢复住宅运营商提出重大挑战。 因为大多数恢复住宅几乎没有正式的第三方付款人来偿还或 抵消这项服务的费用、负责支付费用的居民的休假和停工费用 服务可能会造成经济困难和关闭恢复住所。为了更好地理解恢复 住宅正在应对COVID-19大流行及其对恢复住房的影响，此申请旨在 （1）检查CDC指南和其他最佳实践指南在多大程度上得到了实施， 恢复住所，确定住所和其他与差异有关的背景特征 实施情况，并说明随着时间的推移实施情况的变化;以及（2）审查大流行如何 影响恢复住房的可用性和财政可行性，确定这种影响是否因 居住和其他背景因素，并描述随时间的变化，在可用性和财务可行性。到 为了实现这些目标，拟议的研究将在居民调查中增加问题（N=800） 参与国家治疗和成瘾康复住宅研究（NSTARR）项目 （R01AA027782）。这些问题将询问COVID-19大流行对来源的影响程度 居民收入、政策和做法以及居民规划。随机增加200人 将要求抽样住宅（按美国人口普查局分层）完成COVID-19特定调查 该中心还收集有关COVID-19指导实施情况的信息，以确保居民和员工的安全。这些 住宅将被地理编码，并与美国人口普查数据、COVID-19病例率和地理定位数据相关联， 联邦合格的卫生中心（CIMCs）和公立医院。他们也将重新审视6和12 几个月后，以跟踪随着时间的变化。最后，将要求不再开放的住宅的运营商 参加一个关于COVID-19可能在住所关闭中扮演的角色的半结构化采访。

PROJECT SUMMARY/ABSTRACT Safe and stable housing is critical to recovery from alcohol and other drug disorders. Among individuals in recovery from these disorders, those living in recovery housing are among the most vulnerable. Recovery housing is rooted in the social model of recovery, which emphasizes peer support in helping residents maintain their recovery. CDC guidance for the general public for managing COVID-19 as well as its guidance for shared or congregate housing providers may present significant challenges for residential recovery residence operators. Because the majority of recovery residences operate with almost no formal third-party payers to reimburse or offset costs of this service, furloughs and work stoppages for residents who are responsible for paying for this service may contribute financial hardship and closure of recovery residences. To better understand how recovery residence are responding to the COVID-19 pandemic and its impact on recovery housing, this applications aims to: (1) Examine the extent to which CDC guidance and other best practice guidelines are being implemented in recovery residences, identify residence and other contextual characteristics related to differential implementation, and describe changes in implementation over time; and (2) Examine how the pandemic has affected the availability and financial viability of recovery housing, identify whether this impact differs by residence and other contextual factors, and describe changes in availability and financial viability over time. To address these aims, the proposed study will add questions to the survey administered to residences (N=800) participating in the National Study of Treatment and Addiction Recovery Residence (NSTARR) project (R01AA027782). These questions will query the extent to which the COVID-19 pandemic has affected sources of revenue for the residence, policies and practices, and programming for residents. An additional 200 randomly sampled residences (stratified by US Census Division) will be asked to complete a COVID-19-specific survey that also collects information on implementation of COVID-19 guidance to ensure resident and staff safety. These residences will be geocoded and linked with US Census data, COVID-19 case rates, and geo-located data for federally qualified health centers (FQHCs) and publicly-funded hospitals. They will also be resurveyed 6 and 12 months later to track changes over time. Finally, operators of residences that are no longer open will be asked to participate in a semi-structured interview about the role that COVID-19 may have played in residence closure.