RESUMO
This retrospective study examines 24-month outcomes for 38 participants with histories of chronic homelessness and hospitalizations in an urban, residential integrated treatment (IT) program and compares characteristics of those who stayed in the program 24 months with those who left within their first year of residence. Informed by an Assertive Community Treatment approach, characterized by outreach (or what might better be referred to as inreach), low staff to consumer ratio, and meeting of basic needs, the residential program emphasized harm reduction and motivational interventions. The longitudinal study design was supplemented with a comparative analysis of treatment completers and noncompleters. There were significant differences between the two groups at baseline in terms of engagement with treatment, alcohol use severity, and mental health diagnosis. Additionally, those who stayed with the program showed significant reductions in alcohol and drug use, significant reduction in hospitalizations, and advances in treatment engagement.
Assuntos
Transtornos Mentais/terapia , Tratamento Domiciliar , Centros de Tratamento de Abuso de Substâncias , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Alcoolismo/psicologia , Alcoolismo/reabilitação , Diagnóstico Duplo (Psiquiatria) , Feminino , Pessoas Mal Alojadas , Hospitalização , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Motivação , Escalas de Graduação Psiquiátrica , Recidiva , Estudos Retrospectivos , Fatores Socioeconômicos , Resultado do TratamentoRESUMO
This retrospective study examines 18-month outcomes for 38 participants in an urban, residential integrated treatment (IT) program, and whether residents experienced different treatment benefits. Informed by an ACT team approach, the program emphasized harm reduction and motivational interventions. The design is naturalistic, and outcomes are self-comparisons over time reported in the aggregate. Repeated measurements with three standardized scales tracked stage of treatment and extent of alcohol and drug use. Outcomes analyses reveal advancements in stage of treatment and significant reductions in use of alcohol and drugs. Participants also worked more and were hospitalized less.
Assuntos
Atitude , Transtornos Mentais/complicações , Transtornos Mentais/terapia , Tratamento Domiciliar , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Diagnóstico Duplo (Psiquiatria) , Feminino , Humanos , Masculino , Serviços de Saúde Mental/organização & administração , Avaliação de Programas e Projetos de Saúde , RecidivaRESUMO
This study presents findings from a 21-month study situated at a large PSR agency (Thresholds). Comparisons of vocational outcomes are reported for two groups of people who are members of an Assertive Community Treatment [ACT] program. A comparison group (n = 144) received routine ACT services. The intervention group (n = 139) received ACT and vocational services through a "blended vocational model," combining elements of the agency's extant Diversified Placement Approach with elements of the Individual Placement and Support model. The positive outcomes demonstrate that combining elements of both models is a valuable option for psychiatric rehabilitation agencies to consider.