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

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

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.

Suggested Citation

  • Milby, J.B. & Schumacher, J.E. & Wallace, D. & Vuchinich, R. & Mennemeyer, S.T. & Kertesz, S.G., 2010. "Effects of sustained abstinence among treated substance-Abusing homeless persons on housing and employment," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 913-918.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.152975_4
    DOI: 10.2105/AJPH.2008.152975
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    Cited by:

    1. Jennifer Prah Ruger & Marek Chawarski & Mahmud Mazlan & Nora Ng & Richard Schottenfeld, 2012. "Cost-Effectiveness of Buprenorphine and Naltrexone Treatments for Heroin Dependence in Malaysia," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-10, December.
    2. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.
    3. Ciara Keenan & Sarah Miller & Jennifer Hanratty & Terri Pigott & Jayne Hamilton & Christopher Coughlan & Peter Mackie & Suzanne Fitzpatrick & John Cowman, 2021. "Accommodation‐based interventions for individuals experiencing, or at risk of experiencing, homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    4. Jennifer Prah Ruger & Arbi Ben Abdallah & Craig Luekens & Linda Cottler, 2012. "Cost-Effectiveness of Peer-Delivered Interventions for Cocaine and Alcohol Abuse among Women: A Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-12, March.
    5. Chris O'Leary & Rob Ralphs & Jennifer Stevenson & Andrew Smith & Jordan Harrison & Zsolt Kiss & Harry Armitage, 2024. "The effectiveness of abstinence‐based and harm reduction‐based interventions in reducing problematic substance use in adults who are experiencing homelessness in high income countries: A systematic re," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.

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