RECOVERY HOUSING AND DRUG ABUSE TREATMENT OUTCOMES

描述：（申请人摘要） 将药物滥用者从药物供应和与药物有关的刺激中排除， 在尝试戒烟的过程中取得更好的结果。房租补贴， 戒毒康复中心可以实现这一目标。此外，由于住房 对于贫穷的城市吸毒者来说， 以节欲为条件获得住房可以成为一个强大的动力。 该项目评估了一个家庭的禁欲或有条件的租金支助部分， 对市中心静脉注射海洛因滥用者进行强化门诊治疗。另 强化治疗的组成部分进一步利用了偶然性原则 鼓励节欲和教授就业所需技能的管理 并建立其他方面的无毒生活。初步数据显示， 完整的多组分治疗包有效地防止复发， 运送到市中心的海洛因滥用者， 解毒本项目将审查药物使用和其他问题， 同一人群在1、3、6、12和18个月时的心理社会结局 在随机分配到禁欲特遣队住房后，特遣队 强化门诊治疗，两者都有或都没有（常规护理社区治疗 转诊条件）。该项目将提供所获得的有价值的新信息 在一项与治疗服务提供有关的严格实验设计中， 贫民区的海洛因滥用者该项目利用了现有的药物滥用模式 治疗（即重症门诊）和现有社区住房资源 这样，研究结果可以被其他项目采用和利用， 这个目标人群。因此，该项目既具有科学价值， 为临床应用服务研究和实用价值。

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.