Format

Send to:

Choose Destination
See comment in PubMed Commons below
Am J Public Health. 2010 May;100(5):913-8. doi: 10.2105/AJPH.2008.152975. Epub 2009 Oct 15.

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

Author information

  • 1Department of Psychology, University of Alabama at Birmingham, CH 201, 1530 3rd Ave S, Birmingham, AL 35294-1170, USA. jmilby@uab.edu

Abstract

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.

PMID:
19833998
[PubMed - indexed for MEDLINE]
PMCID:
PMC2853629
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon Icon for PubMed Central
    Loading ...
    Write to the Help Desk