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J Subst Abuse Treat. 2013 Nov-Dec;45(5):416-25. doi: 10.1016/j.jsat.2013.05.008. Epub 2013 Jul 25.

Efficacy of ecologically-based treatment with substance-abusing homeless mothers: substance use and housing outcomes.

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  • 1Department of Human Sciences, The Ohio State University, Columbus, OH, USA. Electronic address: Slesnick.5@osu.edu.


This randomized pilot study tested the efficacy of an integrative treatment targeting homeless substance abusing mothers with young children in their care. Sixty mothers with 2-6 year old children were recruited from a local family shelter. The mothers were randomly assigned to Ecologically-Based Treatment (n=30) or treatment as usual (n=30). The intervention group received 3 months of rental and utility assistance up to $600 per month, case management services, and substance abuse counseling (referred to as supportive services). The treatment as usual group received housing and services through the family shelter and community housing programs. All participants completed follow-up assessments at 3, 6, and 9 months post-baseline. Mothers receiving Ecologically-Based Treatment showed a quicker decline in alcohol frequency and a quicker increase in housing stability. Furthermore, with supportive services, two-thirds of women were successful in maintaining their apartments 6 months after rental assistance ended.

Copyright © 2013 Elsevier Inc. All rights reserved.


Homeless mothers; Housing; Randomized controlled trial; Substance abuse treatment

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[Available on 2014/11/1]
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