HELPING DUAL DIAGNOSED HOMELESS PEOPLE

描述（改编自申请人摘要）：本研究 示范项目有四个相互关联的目标。一是 发展一个新的综合断言社区治疗小组， 诊断客户先前的研究表明， 社区治疗团队是帮助无家可归者的有效方法 精神病患者。拟议项目将增加具体服务 旨在帮助无家可归的精神病患者， 滥用药物 第二个目标是比较新的 综合治疗模式反对只进行断言式社区治疗 和一个作为治疗的对照组。201双 被诊断为无家可归的人将被随机分配到 新的综合团队，一个自信的社区治疗唯一的条件， 或常规治疗对照组， 了解如何使用现有的治疗方案。 参与者将被跟踪30个月。结果变量包括 在稳定住房中的天数，精神症状，药物滥用，以及 消费者满意度。 第三个目标是进行过程评价。的过程 评价 将进行，以确定如何 以下预测变量影响客户结果：1）发展 脆弱性，例如，家族精神病史，精神病 诊断，和2）归因的地位，如性别和种族; 3）压力 事件; 4）客户应对策略; 5）社会支持和治疗 关系; 6）具体服务活动，例如住房 援助，收入援助，支持性服务，收款人服务， 药物滥用服务、职业服务和心理健康 服务 最后一个目标是进行生存分析，预测两者 摆脱无家可归和实现禁欲。生存 分析将用于预测无家可归者的出路， 实现清醒。 拟议的项目将改善以往的 通过整合两个客户端的纵向数据进行研究 特征和社会服务系统变量。以前的研究 这些问题几乎完全依赖于横截面设计 并且只检查了客户特征的影响。

DESCRIPTION (Adapted from applicant's abstract): This research demonstration project has four interrelated objectives. The first is to develop a New Integrated Assertive Community Treatment Team for Dual Diagnosed Clients. The previous research demonstrated that the assertive community treatment team was an effective method for assisting homeless mentally ill clients. The proposed project will add specific service components aimed at assisting homeless mentally ill clients who also abuse substances. The second objective is to compare the effectiveness of the New Integrated Treatment Model against Assertive Community Treatment only and a Treatment-as-Usual control group. Two hundred and one dual diagnosed homeless individuals will be randomly assigned to either the new integrated team, an assertive community treatment only condition, or a treatment-as-usual control group which will only be given a packet of information on how to access existing treatment programs. Participants will be followed for 30 months. Outcome variables include days in stable housing, psychiatric symptoms, substance abuse, and consumer satisfaction. The third objective is to conduct a process evaluation. A process evaluation will be conducted to determine how the following predictor variables affect client outcomes: 1) developmental vulnerability, for example, family psychiatric history, psychiatric diagnoses, and 2) ascribed status such as gender and race; 3) stressful events; 4) client coping strategies; 5) social support and therapeutic relationships; 6) specific service activities, for example housing assistance, income assistance, supportive services, payee services, substance abuse services, vocational services, and mental health services. The last objective is to conduct a Survival Analysis predicting both exits from homelessness and the achievement of abstinence. Survival analysis will be used to predict exits from homelessness and the achievement of sobriety. The proposed project will improve on previous research by incorporating longitudinal data on both client characteristics and social service system variables. Prior research on these problems has relied almost exclusively on cross-sectional designs and has only examined the impact of client characteristics.