RECOVERY HOUSING AND DRUG ABUSE TREATMENT OUTCOMES

描述：(申请人摘要) 将吸毒者从毒品供应和与毒品相关的刺激中移除可能会使 在戒烟尝试中为更好的结果做好准备。提供租金支持 无毒康复之家可以实现这一目标。此外，由于住房是 对于贫困的城市吸毒者来说，这往往是一种理想的商品， 以节欲为条件获得住房可能是一个强大的动机。 该项目评估了节制条件租金支持部分 内城静脉输液强化门诊治疗。海洛因滥用者。另一个 强化治疗的组成部分进一步利用了应急原则 激励节欲和传授就业所需技能的管理 并建立无毒生活的其他方面。初步数据显示， 完整的多组分治疗包有效地防止复发 送往市中心一名短暂住院的海洛因滥用者 解毒。本项目将审查药物使用和其他 同一人群在1、3、6、12和18个月时的心理社会结果 在随机分配到禁欲临时住房后，临时住房 强化门诊治疗，两者兼而有之(普通护理社区治疗 转诊条件)。该项目将提供获得的有价值的新信息 在与治疗服务提供相关的严格实验设计中 市中心的海洛因滥用者。该项目利用了现有的药物滥用模式。 治疗(即强化门诊)和现有社区住房资源 以便调查结果可以被其他合作项目采用和利用 这些目标人群。因此，该项目既具有科学价值 服务研究和临床应用的实用价值。

DESCRIPTION: (Applicant's Abstract) Removing drug abusers from drug supplies and drug-related stimuli may set the stage for better outcomes during cessation attempts. Rent support in a drug-free recovery house can accomplish this goal. Further, since housing is often a desirable commodity to impoverished urban drug abusers, abstinence-contingent access to housing could serve as a powerful motivator. This project evaluates the abstinence-contingent rent support component of an intensive outpatient treatment for inner city i.v. heroin abusers. The other components of the intensive treatment further utilize principles of contingency management to motivate abstinence and teach skills needed to obtain employment and build other aspects of a drug-free life. Preliminary data indicate that the full multi component treatment package effectively prevents relapse when delivered to inner city heroin abusers exiting a brief inpatient detoxification. The present project will examine drug use and other psychosocial outcomes for this same population at 1, 3, 6, 12 and 18 months following random assignment to abstinence-contingent housing, contingent intensive outpatient treatment, both or neither (usual care community treatment referral condition). The project will provide valuable new information obtained in a rigorous experimental design relevant to treatment services delivery for inner city heroin abusers. The project utilized existing models of drug abuse treatment (i.e. intensive outpatient) and existing community housing resources such that findings could be adopted and utilized by other programs working with this target population. Thus, the project has both scientific value for services research and practical value for clinical application.