COMPARATIVE SUBSTANCE ABUSE TREATMENTS FOR THE HOMELESS

本次三年合作协议申请的总体目标为 一个示范项目是比较两种干预措施的效果， 常规护理干预和强化门诊干预 包括初始和扩展干预部分， 无家可归的人与酒精和/或药物滥用问题， 大伯明翰地区 该应用程序源于一个协作 伯明翰的亚拉巴马大学（UAB）和 申请的分包商，伯明翰医疗保健， 无家可归者联盟。 UAB的调查小组成员 在科学、评价、行政和管理方面的丰富经验， 药物滥用方面的问题。到拟议的项目。调查 来自BHCHC的团队成员在提供 医疗、药物滥用、心理健康和支持服务， 大伯明翰地区的无家可归者。 统称 调查小组代表了一个非常强大的团体参加 与NIAAA和NIDA的代表合作， 提出合作示范项目。 一项随机对照 设计建议，共有150名无家可归的参与者， 招募并随机分配到两种干预措施之一，常规护理或 强化门诊干预。 过程和结果的衡量将 在整个干预期间和出院后6个月内使用 来比较这些组。我们的主要假设包括：1）密集型 门诊干预将导致更大的消费减少， 酒精和/或其他药物比通常的护理; 2）重症门诊 干预将提高住房水平和住宅稳定性 超过常规护理; 3）强化门诊干预将 提高无家可归者的经济和就业地位， 常规护理

The overall goal of this three-year cooperative agreement application for a demonstration project is to compare the effects of two interventions, a usual care intervention and an intensive outpatient intervention consisting of both initial and extended intervention components, for homeless individuals with alcohol and/or substance abuse problems in the greater Birmingham area. This application arises from a collaborative effort between the University of Alabama at Birmingham (UAB) and the sub-contractor for the application, the Birmingham Health Care for the Homeless Coalition (BHCHC). Investigative team members at UAB have extensive experience in scientific, evaluation, administrative, and substance abuse aspects relevant. to the proposed project. investigative team members from the BHCHC have extensive experience in providing medical, substance abuse, mental health, and supportive services for homeless persons in the greater Birmingham area. Collectively, the investigative team represents an extremely strong group to participate collaboratively with representatives of NIAAA and NIDA to conduct the proposed cooperative demonstration project. A randomized, controlled design is proposed with a total of 150 homeless participants to be recruited and randomized to one of the two interventions, usual care or intensive outpatient intervention. Both process and outcome measures will be used throughout the intervention period and six months after discharge to compare the groups. Our major hypotheses include: 1) the intensive outpatient intervention will result in greater reduction in consumption of alcohol and/or other drugs than usual care; 2) the intensive outpatient intervention will increase levels of shelter and residential stability more than usual care; and 3) the intensive outpatient intervention will enhance the economic and employment status of homeless persons more than usual care.