DYNAMIC RECOVERY: IMPROVING TREATMENT IN SHELTERS

动态康复：改善收容所的治疗

• 批准号: 3214277
• 负责人: BRUCE D JOHNSON
• 金额: $ 58.62万
• 依托单位: NEW YORK STATE OFF ALCOHOLISM/SUB ABUSE
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-29 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3214277
• 关键词: AIDS education /prevention; behavior modification; community mental health services; crack cocaine; drug abuse education; drug abuse therapy; health behavior; health care model; health care referral /consultation; homeless; human subject; human therapy evaluation; interview; lifestyle; longitudinal human study; male; social service evaluation; socioenvironment

This research will conduct a three year effort to significantly improve drug treatment at the nation's only public shelter (Greenpoint) having a systematic program to introduce and refer homeless men to long-term treatment. The Short Term Assessment and Referral (STAR) program at Greenpoint II shelter provides a three-month introduction to the therapeutic community approach. Approximately 15 percent who enter STAR, the majority of whom are crack/cocaine abusers, are subsequently referred to long-term therapeutic communities. Resistance to and rejection of therapeutic community drug programs are widespread among these homeless men. The proposed research will accomplish the following specific aims: 1. Increase scientific understanding about the beliefs, folkways, resistance to, and involvements in drug treatment and other social services by homeless men. 2. Conduct careful studies of programmatic innovations designed to increase retention, program completion, and entry rates to long-term treatment by homeless men. 3. Conceptualize and model a "dynamic recovery process" paradigm by carefully studying the activities, choices made, and progress toward stable living during the first three months in a shelter-therapeutic community. 4. Compare and determine the short-term and long-term (post- program) outcomes for participants in the STAR program and employed/general homeless clients, in terms of reduced drugs-alcohol abuse and criminality, reduced residence in public shelters, decreased criminal activity, and less AIDS risk behavior. Information will be routinely compiled on STAR program retention, client activity and service utilization, referral to long term treatment, and outcome at departure, 30-days and 12 months post treatment for specified samples of STAR clients and comparison persons (those living at other Greenpoint shelters for employed and general homeless men). Baseline information will be collected during months 7-18, and three innovative improvements in following years. Study A will develop specialized skills among case managers. Study C will use a Senior Professor model to encourage retention in and referral to TCs. These models will be experimentally introduced, appropriate before, during, and after measures obtained, and major reports developed.

这项研究将进行三年的努力，以显着改善 在全国唯一的公共庇护所（绿点）进行药物治疗， 一项系统性计划，为无家可归者提供长期帮助 治疗 短期评估和转介（星星）计划， Greenpoint II庇护所提供为期三个月的介绍 治疗社区方法。 大约15%的人进入 星星，其中大多数是快克/可卡因滥用者， 提到长期治疗社区。 抵抗和 拒绝治疗性社区药物计划的现象在 这些无家可归的人。 拟议的研究将实现以下目标 具体目标：1.增加对信仰的科学理解， 民俗、对药物治疗的抵抗和参与以及其他 无家可归者的社会服务。 2.对…进行认真研究 旨在提高保留率的计划创新， 完成率和无家可归男子接受长期治疗的比率。 3. 通过以下方式对“动态恢复过程”范例进行概念化和建模： 仔细研究的活动，作出的选择，并取得进展， 前三个月在庇护所稳定生活， 社区 4.比较并确定短期和长期（后 星星计划参与者的成果， 就业/一般无家可归者，减少毒品-酒精 虐待和犯罪，减少居住在公共庇护所，减少 犯罪活动，艾滋病风险行为较少。 信息将定期汇编在星星计划保留、客户端 活动和服务利用率，转介长期治疗，以及 离开时、治疗后30天和12个月的结局， 星星客户和比较人的样本（那些住在其他地方的人） 绿点收容所为就业和一般无家可归的男子）。 基线 将在7-18个月收集信息， 在接下来的几年里有所改善。 研究A将开发专门的 案例管理员的技能。 研究C将使用高级教授模型 鼓励保留和转介到TC。 这些模型将在 实验性地引入，适当地在之前、期间和之后 采取了措施，并编写了主要报告。