HOUSING FIRST FOR SEVERELY MENTALLY ILL HOMELESS METHADONE PATIENTS

被引：42

作者：

Appel, Philip W. ^{[1
]}

Tsemberis, Sam ^{[2
]}

Joseph, Herman ^{[1
,3
]}

Stefancic, Ana ^{[2
]}

Lambert-Wacey, Dawn ^{[4
]}

机构：

[1] New York State Off Alcoholism & Subst Abuse Serv, New York, NY 10018 USA

[2] Pathways Housing Inc, New York, NY USA

[3] Rockefeller Univ, New York, NY 10021 USA

[4] New York State Off Alcoholism & Subst Abuse Serv, Albany, NY USA

来源：

JOURNAL OF ADDICTIVE DISEASES | 2012年 / 31卷 / 03期

关键词：

Homelessness; methadone patients; mental illness; independent housing; ENTRY PROGRAM KEEP; INDIVIDUALS; ILLNESS;

D O I：

10.1080/10550887.2012.694602

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

The Housing First approach used by Pathways to Housing, Inc., was used to enhance residential independence and treatment retention of homeless, seriously mentally ill methadone patients. The Keeping Home project first secured scattered-site apartments and assertive community treatment services and then addressed patients' service needs. Three years post-implementation, methadone treatment retention for 31 Keeping Home patients versus 30 comparison participants (drawn from an administrative database) was 51.6% vs. 20% (p < .02); apartment/independent housing retention was 67.7% vs. 3% or 13% (both p's < .01). Although results firmly support Keeping Home, future research needs to address study's possible database limitations.

引用

页码：270 / 277

页数：8

共 16 条

[1]

Collins SE, 2012, AM J PUBLIC HEALTH, pe1

[2] Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: A clinical trial [J].

Drake, RE ;

McHugo, GJ ;

Clark, RE ;

Teague, GB ;

Xie, HY ;

Miles, K ;

Ackerson, TH .

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 1998, 68 (02) :201-215

[3]

Fallon BM, 2001, MT SINAI J MED, V68, P21

[4] HEROIN USE DURING METHADONE-MAINTENANCE TREATMENT - THE IMPORTANCE OF METHADONE DOSE AND COCAINE USE [J].

HARTEL, DM ;

SCHOENBAUM, EE ;

SELWYN, PA ;

KLINE, J ;

DAVENNY, K ;

KLEIN, RS ;

FRIEDLAND, GH .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1995, 85 (01) :83-88

[5]

Hurlburt MS, 1996, PSYCHIATR SERV, V47, P731

[6] Housing First for Homeless Persons with Active Addiction: Are We Overreaching? [J].

Kertesz, Stefan G. ;

Crouch, Kimberly ;

Milby, Jesse B. ;

Cusimano, Robert E. ;

Schumacher, Joseph E. .

MILBANK QUARTERLY, 2009, 87 (02) :495-534

[7] Pre- and in-treatment predictors of retention in methadone treatment using survival analysis [J].

Magura, S ;

Nwakeze, PC ;

Demsky, S .

ADDICTION, 1998, 93 (01) :51-60

[8] Diagnostic and Statistical Manual of Mental Disorders [J].

Mittal, Vijay A. ;

Walker, Elaine F. .

PSYCHIATRY RESEARCH, 2011, 189 (01) :158-159

[9]

O'Connell J.J., 2005, PREMATURE MORTALITY

[10] Substance Use Outcomes Among Homeless Clients with Serious Mental Illness: Comparing Housing First with Treatment First Programs [J].

Padgett, Deborah K. ;

Stanhope, Victoria ;

Henwood, Ben F. ;

Stefancic, Ana .

COMMUNITY MENTAL HEALTH JOURNAL, 2011, 47 (02) :227-232

← 1 2 →