Case managed residential care for homeless addicted veterans. Results of a true experiment.
Case managed residential care for homeless addicted veterans. Results of a true experiment.
复制标题
为无家可归的成瘾退伍军人提供个案管理的住宿护理。
DOI：
10.1097/00005650-199801000-00006
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发表时间：
1998
期刊：
影响因子：
3
通讯作者：
Manheim,LM
中科院分区：
文献类型：
--
作者：
Conrad,KJ;Hultman,CI;Pope,AR;Lyons,JS;Baxter,WC;Daghestani,AN;LisieckiJr,JP;Elbaum,PL;McCarthyJr,M;Manheim,LM
目的。检验案例管理寄宿护理 (CMRC) 在减少药物滥用、增加就业、减少无家可归和改善健康方面的有效性。方法。一项为期五年的前瞻性实验，包括 358 名无家可归的成瘾男性退伍军人，他们在入组期间的 3、6 和 9 个月以及实验性案例管理寄宿护理计划完成后的 12、18 和 24 个月时进行。常规对照条件是为期 21 天的住院计划，并转诊至社区服务。结果。实验组平均需要 3.4 个月的过渡住宿护理，并进行持续和随访病例管理，总共长达 1 年的治疗。两年期间，实验组在医疗、酒精、就业和住房措施方面与对照组相比有显着改善。对时间趋势的检查表明，这些组间差异往往发生在治疗年期间，然而，并在后续一年中减少。结论。在组内，从基线到所有后测试的四个主要结果的时间都观察到显着改善。然而，我们了解到，即使没有特殊的个案管理住宿护理计划，退伍军人也可以获得并使用大量服务。这在一定程度上可以解释对照组的改善，并可能消除组之间的差异。
Objectives.The effectiveness of case-managed residential care (CMRC) in reducing substance abuse, increasing employment, decreasing homelessness, and improving health was examined.Methods.A five-year prospective experiment included 358 homeless addicted male veterans 3, 6, and 9 months during their enrollment and at 12, 18, and 24 months after the completion of the experimental case-managed residential care program. The customary control condition was a 21-day hospital program with referral to community services.Results.The experimental group averaged 3.4 months in transitional residential care with ongoing and follow-up case management for a total of up to 1 year of treatment. The experimental group showed significant improvement compared with the control group on the Medical, Alcohol, Employment, and Housing measures during the 2-year period. An examination of the time trends indicated that these group differences tended to occur during the treatment year, however, and to diminish during the follow-up year.Conclusions.Within groups, significant improvements were observed with time from baseline to all posttests on the four major outcomes. We learned, however, that veterans had access to and used significant amounts of services even without the special case-managed residential care program. This partially may account for improvements in the control group and may have muted the differences between groups.