Effects of sustained abstinence among treated substance-Abusing homeless persons on housing and employment

J.B. Milby, J.E. Schumacher, D. Wallace, R. Vuchinich, S.T. Mennemeyer and S.G. Kertesz

American Journal of Public Health, 2010, vol. 100, issue 5, 913-918

Abstract: Objectives. We examined whether cocaine-dependent homeless persons had stable housing and were employed 6, 12, and 18 months after they entered a randomized controlled trial comparing 2 treatments. Methods. One group (n=103) received abstinence-contingent housing, vocational training, and work; another group (n=103) received the same intervention plus cognitive behavioral day treatment. We examined baseline and early treatment variables for association with long-term housing and employment. Results. Although the enhanced-treatment group achieved better abstinence rates, the groups did not differ in long-term housing and employment stability. However, consecutive weeks of abstinence during treatment (and to a lesser extent, older age and male gender) predicted long-term housing and employment stability after adjustment for baseline differences in employment, housing, and treatment. Conclusions. Our data showed a relationship of abstinence with housing stability. Contrasting these results with the increasingly popular Housing First interventions reveals important gaps in our knowledge to be addressed in future research.

Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2008.152975_4

DOI: 10.2105/AJPH.2008.152975

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