TY - JOUR
T1 - An experimental evaluation of residential and nonresidential treatment for dually diagnosed homeless adults
AU - Burnam, M. Audrey
AU - Morton, Sally C.
AU - McGlynn, Elizabeth A.
AU - Petersen, Laura P.
AU - Stecher, Brian M.
AU - Hayes, Charles
AU - Vaccaro, Jerome V.
PY - 1996
Y1 - 1996
N2 - Homeless adults with both a serious mental illness and substance dependence (N = 276) were randomly assigned to: (1) a social model residential program providing integrated mental health and substance abuse treatment; (2) a community-based nonresidential program using the same social model approach; or (3) a control group receiving no intervention but free to access other community services. Interventions were designed to provide 3 months of intensive treatment, followed by 3 months of nonresidential maintenance. Subjects completed baseline interviews prior to randomization and reinterviews with 3,6, and 9 months later. Results showed that, while substance use, mental health, and housing outcomes improved from baseline, subjects assigned to treatment conditions differed little from control subjects. Examination of the relationship between length of treatment exposure and outcomes suggested that residential treatment had positive effects on outcomes at 3 months, but that these effects were eroded by 6 months.
AB - Homeless adults with both a serious mental illness and substance dependence (N = 276) were randomly assigned to: (1) a social model residential program providing integrated mental health and substance abuse treatment; (2) a community-based nonresidential program using the same social model approach; or (3) a control group receiving no intervention but free to access other community services. Interventions were designed to provide 3 months of intensive treatment, followed by 3 months of nonresidential maintenance. Subjects completed baseline interviews prior to randomization and reinterviews with 3,6, and 9 months later. Results showed that, while substance use, mental health, and housing outcomes improved from baseline, subjects assigned to treatment conditions differed little from control subjects. Examination of the relationship between length of treatment exposure and outcomes suggested that residential treatment had positive effects on outcomes at 3 months, but that these effects were eroded by 6 months.
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U2 - 10.1300/J069v14n04_07
DO - 10.1300/J069v14n04_07
M3 - Article
C2 - 8929936
AN - SCOPUS:0029582950
SN - 1055-0887
VL - 14
SP - 111
EP - 134
JO - Journal of Addictive Diseases
JF - Journal of Addictive Diseases
IS - 4
ER -