Effects of sustained abstinence among treated substance-abusing homeless persons on housing and employment.

OBJECTIVES: We examined whether cocaine-dependent homeless persons had stable housing and were employed 6, 12, and 18 months after they entered a randomized controlled trial comparing 2 treatments. METHODS: One group (n = 103) received abstinence-contingent housing, vocational training, and work; an...

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Publicado en:American Journal of Public Health Vol. 100; no. 5; pp. 913 - 919
Autores principales: Milby JB, Schumacher JE, Wallace D, Vuchinich R, Mennemeyer ST, Kertesz SG
Formato: clinical trial research tables/charts Journal Article
Publicado: American Public Health Association May2010
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Effects of sustained abstinence among treated substance-abusing homeless persons on housing and employment.
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          Milby JB
          Schumacher JE
          Wallace D
          Vuchinich R
          Mennemeyer ST
          Kertesz SG
        affil: Department of Psychology, University of Alabama at Birmingham, CH 201, 1530 3rd Ave S, Birmingham, AL 35294-1170, USA. jmilby@uab.edu
      sug:
        subj:
          Employment
          Homeless Persons Alabama
          Housing
          Patient Compliance
          Substance Use Rehabilitation Programs
          Treatment Outcomes
          Adult
          Age Factors
          Alabama
          Chi Square Test
          Clinical Trials
          Cocaine Drug Effects
          Cognitive Therapy
          Comparative Studies
          Confidence Intervals
          Contingency Management
          Correlational Studies
          Descriptive Statistics
          Female
          Funding Source
          Human
          Logistic Regression
          Male
          Middle Age
          Odds Ratio
          Predictive Validity
          Probability
          Sex Factors
          Time Factors
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: We examined whether cocaine-dependent homeless persons had stable housing and were employed 6, 12, and 18 months after they entered a randomized controlled trial comparing 2 treatments. METHODS: One group (n = 103) received abstinence-contingent housing, vocational training, and work; another group (n = 103) received the same intervention plus cognitive behavioral day treatment. We examined baseline and early treatment variables for association with long-term housing and employment. RESULTS: Although the enhanced-treatment group achieved better abstinence rates, the groups did not differ in long-term housing and employment stability. However, consecutive weeks of abstinence during treatment (and to a lesser extent, older age and male gender) predicted long-term housing and employment stability after adjustment for baseline differences in employment, housing, and treatment. CONCLUSIONS: Our data showed a relationship of abstinence with housing stability. Contrasting these results with the increasingly popular Housing First interventions reveals important gaps in our knowledge to be addressed in future research.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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