A Social Network AOD Intervention for Homeless Youth Transitioning to Housing

项目总结/摘要 我们提出了一项为期3年的研究，以适应和试点测试的动机网络访谈（MNI）干预， 以前无家可归的过渡年龄青年（TAY; 18-25奥尔兹），他们正在过渡到 住房第一（HF）计划。HF计划的目标是首先为个人提供住房-没有任何先决条件- 然后提供他们可能需要的任何支持服务。许多无家可归的TAY进入HF计划， 物质使用问题，同时也试图驾驭他们的社会环境的重大变化（通常 抛弃旧的关系，在他们现在生活的地方建立新的关系）。这个过渡时期 提供了一个独特的机会，为这些TAY实施简短的风险降低干预， 减少他们的物质使用，并增加与成年人的永久亲社会联系， 持续的支持和稳定。在这项试点RCT中，TAY居民在进入的前两周内， HF程序将随机接受MNI或常规病例管理。MNI涉及4个30- 分钟会议，由居民的情况下，经理提供的一部分，他们的定期，持续的支持会议。 个案经理将接受培训，使用激励性访谈风格并在 电子平板设备。平板电脑将引导他们收集有关居民社交信息 网络，然后显示突出居民网络各个方面的图表。的情况 然后，管理人员将使用激励性访谈技巧，引导居民思考他们的网络如何 目前的功能，他们希望它如何运作，以及他们可以采取什么步骤来进行更改 实现减少其药物使用和加强其长期支持的目标 连接.如果有效的话，这个简短的MNI将为研究人员和临床医生提供一个有价值的工具， 使用无家可归的TAY物质。

PROJECT SUMMARY/ABSTRACT We propose a 3-year study to adapt and pilot test a motivational network interview (MNI) intervention for formerly homeless transition age youth (TAY; 18-25 year olds) who are in the process of transitioning to a Housing First (HF) program. The goal of HF programs is to house individuals first – without any preconditions – and then provide whatever supportive services they might need. Many homeless TAY enter HF programs with substance use problems, while also trying to navigate substantial changes to their social environment (often leaving old relationships behind, and forming new relationships where they now live). This transition period presents a unique opportunity to implement a brief risk reduction intervention for these TAY that will both reduce their substance use, and increase the permanent pro-social connections with adults that can provide them with ongoing support and stability. In this pilot RCT, TAY residents within their first two weeks of entering a HF program will be randomized to receive the MNI or to usual case management. The MNI involves four 30- minute sessions, delivered by the resident's case manager as part of their regular, ongoing support meetings. Case managers will be trained to deliver the MNI using a motivational interviewing style and with the aid of an electronic tablet device. The tablet will guide them in collecting information about the residents' social networks and then display diagrams highlighting various aspects of the residents' networks. The case managers will then use motivational interviewing techniques to guide residents to think about how their network currently functions, how they would like it to function, and what steps they can take to make changes necessary to achieve goals related to reducing their substance use and enhancing their permanent supportive connections. If effective, this brief MNI will provide a valuable tool for researchers and clinicians working with substance using homeless TAY.