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

酒精和药物使用障碍康复住房：一项关于可用性、特征以及与循证实践相关因素的全国研究

• 批准号: 10445239
• 负责人: AMY Adale MERICLE
• 金额: $ 48.82万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10445239
• 关键词: Address; Alcohol consumption; Alcohols; Characteristics; Clinical Services; Consult; Contracts; Country; County; Crime; Data; Databases; Drug Use Disorder; Effectiveness; Ensure; Environment; Evidence based practice; Family; Fees; Geographic Locations; Geography; Health Personnel; Health Services Research; Household; Housing; Individual; Insurance; Link; Literature; Measurement; Mediating; Modeling; Names; Nature; Neighborhoods; Outcome; Pattern; Pharmaceutical Preparations; Pharmacotherapy; Philosophy; Policies; Privatization; Public Health; Recovery; Recovery Support; Research Proposals; Research Support; Resources; Sampling; Services; Social support; Source; Structure; Surveys; System; Target Populations; United States Substance Abuse and Mental Health Services Administration; Work; addiction; alcohol abuse therapy; base; care systems; comparative effectiveness; cost effectiveness; density; effectiveness study; evidence base; improved outcome; innovation; meetings; pressure; programs; research study; residence; rural area; service delivery; substance use treatment; suburb; tool; urban area

Safe and stable housing is essential to recovery from addiction to alcohol and drugs. Recovery housing represents a unique and innovative way to ensure that individuals in recovery have access to housing that facilitates it. A growing body of research supports the effectiveness of recovery housing, and findings to support recovery housing evidence-based practices are beginning to emerge. However, there are critical gaps in our understanding of recovery housing. The recovery housing literature is fragmented, focusing on certain types of recovery housing or recovery housing in specific geographic regions. We also lack tools necessary to provide a complete picture of the national recovery housing landscape. To address these gaps, the aims of this 4-year health services research proposal are to: (1) Examine availability of recovery housing in the US and characterize environments where recovery residences are located; (2) Characterize the national recovery housing landscape in terms of organizational and residence characteristics, policies, practices, programming, and service delivery orientation and explore whether these characteristics vary depending on where residences are located; (3) Identify underlying patterns among recovery residences and examine the association between these patterns and existing categorizations of treatment and recovery housing; (4) Explore organizational, residence, policy, practice, programming, and delivery orientation characteristics associated with recovery housing evidence-based practices. To address these aims, we will consult with a diverse group of experts in the treatment, recovery, housing, and recovery housing fields to create a national database of recovery residences and survey of a random sample of 800 residences stratified by state. All residences in the database will be geocoded and linked with contextual information, including data on alcohol and drug treatment availability, alcohol outlets, and crime. The survey will collect critical data on organizational and residence features, policies, practices, programming, and service delivery orientation to illustrate essential features of recovery housing and to delineate different types of it. The proposed study will constitute the largest and most diverse study of recovery housing to date, laying the groundwork for surveillance of this important component of the housing, treatment, and recovery support services landscape. It will provide much needed descriptive data on a nationally-representative sample of recovery residences, and it will facilitate large-scale national studies of recovery residences, comparative effectiveness and cost-effectiveness studies of different types of recovery residences, studies identifying type sort of recovery residence works best for whom, and studies of policies and organizational practices that increase recovery housing access and utilization.

安全和稳定的住房对于戒酒和戒毒至关重要。回收壳体 这是一种独特和创新的方式，以确保恢复中的个人能够获得住房， 越来越多的研究支持恢复住房的有效性， 支持恢复住房循证做法开始出现。然而，还存在重大差距 我们对恢复性住房的理解恢复住房文献是零散的，侧重于某些 特定地理区域的恢复住房类型或恢复住房。我们还缺乏必要的工具， 提供了一个完整的国家恢复住房景观的图片。为了弥补这些差距， 4-一年的卫生服务研究建议是：（1）检查美国恢复住房的可用性， 描述恢复住宅所在的环境;（2）描述国家恢复 住房景观方面的组织和居住特点，政策，做法，规划， 和服务提供方向，并探讨这些特征是否因地点而异 （3）确定恢复住所之间的基本模式，并检查 这些模式与现有治疗和康复住房分类之间的关联;（4） 探索组织、驻地、政策、实践、规划和交付方向特征 与恢复住房循证实践有关。为了实现这些目标，我们将咨询 治疗、康复、住房和康复住房领域的各种专家小组， 恢复住宅数据库和调查的800个住宅随机抽样分层的状态。所有 数据库中的住宅将进行地理编码，并与上下文信息（包括酒精数据）相关联 以及药物治疗的可用性、酒精销售点和犯罪。该调查将收集有关组织的关键数据 和住宅的特点，政策，做法，规划和服务提供方向，以说明基本 的特点，并划定不同类型的恢复住房。拟议的研究将构成最大的 最多样化的恢复住房研究，为监督这一重要的 住房、治疗和康复支持服务的组成部分。它将提供急需的 关于全国代表性的恢复住宅样本的描述性数据，它将促进大规模的 国家康复住宅研究、不同方案的比较效益和成本效益研究 恢复住所的类型，研究确定恢复住所的类型最适合谁， 研究政策和组织做法，增加恢复住房的获得和利用。

项目成果

Recovery in context: Sober living houses and the ecology of recovery.

• DOI: 10.1002/jcop.22447
• 发表时间: 2020-11
• 期刊: Journal of community psychology
• 影响因子: 2.3
• 作者: Mericle AA;Karriker-Jaffe K;Patterson D;Mahoney E;Cooperman L;Polcin DL
• 通讯作者: Polcin DL

Social Model Recovery and Recovery Housing.

社会模型恢复和恢复住房。

• DOI: 10.1080/16066359.2023.2179996
• 发表时间: 2023
• 期刊: Addiction research & theory
• 影响因子: 2.9
• 作者: Mericle,AmyA;Howell,Jason;Borkman,Thomasina;Subbaraman,MeenakshiS;Sanders,BethFisher;Polcin,DouglasL
• 通讯作者: Polcin,DouglasL

Supporting individuals using medications for opioid use disorder in recovery residences: challenges and opportunities for addressing the opioid epidemic.

支持在康复住所使用阿片类药物使用障碍药物的个人：解决阿片类药物流行病的挑战和机遇。

• DOI: 10.1080/00952990.2020.1719410
• 发表时间: 2020
• 期刊: The American journal of drug and alcohol abuse
• 作者: Miles,Jennifer;Howell,Jason;Sheridan,Dave;Braucht,George;Mericle,Amy
• 通讯作者: Mericle,Amy

Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States.

• DOI: 10.1186/s12889-023-17048-x
• 发表时间: 2023-11-17
• 期刊: BMC PUBLIC HEALTH
• 影响因子: 4.5
• 作者: Mericle, Amy A.;Patterson, Deidre;Subbaraman, Meenakshi S.;Howell, Jason;Sheridan, Dave;Borkman, Thomasina;Burton, Jayla;Karriker-Jaffe, Katherine J.
• 通讯作者: Karriker-Jaffe, Katherine J.

Association of facility characteristics and substance use disorder outcomes at discharge from residential treatment.

• DOI: 10.1016/j.jsat.2021.108664
• 发表时间: 2022-05
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Miles J;Mericle A;Ritter G;Reif S
• 通讯作者: Reif S