Psychiatr Serv 49:68-76, January 1998
© 1998 American Psychiatric Association
Outcomes of Homeless Mentally Ill Chemical Abusers in Community Residences and a Therapeutic Community
Larry A. Nuttbrock, Ph.D.,
Michael Rahav, Ph.D.,
James J. Rivera, Psy.D.,
Daisy S. Ng-Mak, M.S. and
Bruce G. Link, Ph.D.
Objectives: The feasibility and effectiveness of treating homeless mentally ill chemical abusers in community residences compared with a therapeutic community were evaluated. METHODS: A total of 694 homeless mentally ill chemical abusers were randomly referred to two community residences or a therapeutic community. All programs were enhanced to treat persons with dual diagnoses. Subjects' attrition, substance use, and psychopathology were measured at two, six, and 12 months. RESULTS: Forty-two percent of the 694 referred subjects were admitted to their assigned program and showed up for treatment, and 13 percent completed 12 months or more. Clients retained at both types of program showed reductions in substance use and psychopathology, but reductions were greater at the therapeutic community. Compared with subjects in the community residences, those in the therapeutic community were more likely to be drug free, as measured by urine analysis and self-reports, and showed greater improvement in psychiatric symptoms, as measured by the Center for Epidemiological Studies—Depression Scale and the Brief Psychiatric Rating Scale. Their functioning also improved, as measured by the Global Assessment of Functioning scale. CONCLUSIONS: Homeless mentally ill chemical abusers who are retained in community-based residential programs, especially in therapeutic communities, can be successfully treated.
This article has been cited by other articles:
|
|
|
|
 
H. S. Leff, C. M. Chow, R. Pepin, J. Conley, I. E. Allen, and C. A. Seaman
Does One Size Fit All? What We Can and Can't Learn From a Meta-analysis of Housing Models for Persons With Mental Illness
Psychiatr Serv,
April 1, 2009;
60(4):
473 - 482.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. A. Nuttbrock, A. Rosenblum, S. Magura, and H. L. McQuistion
Psychotic Ideation and Receipt of Government Entitlements Among Homeless Persons in New York City
Psychiatr Serv,
June 1, 2002;
53(6):
719 - 723.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Gonzalez and R. A. Rosenheck
Outcomes and Service Use Among Homeless Persons With Serious Mental Illness and Substance Abuse
Psychiatr Serv,
April 1, 2002;
53(4):
437 - 446.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Marks, R. B. Flannery Jr., and M. Spillane
Placement challenges: Implications for Long-term care of dementia sufferers
American Journal of Alzheimer's Disease and Other Dementias,
September 1, 2001;
16(5):
285 - 288.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. F. Brunette, R. E. Drake, M. Woods, and T. Hartnett
A Comparison of Long-Term and Short-Term Residential Treatment Programs for Dual Diagnosis Patients
Psychiatr Serv,
April 1, 2001;
52(4):
526 - 528.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y. Melamed, D. Fromer, Z. Kemelman, and Y. Barak
Working with mentally ill homeless persons: should we respect their quest for anonymity?
J. Med. Ethics,
June 1, 2000;
26(3):
175 - 178.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Timko, M. Lesar, M. Engelbrekt, and R. H. Moos
Changes in Services and Structure in Community Residential Treatment Facilities for Substance Abuse Patients
Psychiatr Serv,
April 1, 2000;
51(4):
494 - 498.
[Abstract]
[Full Text]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1998
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
