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Project-based Housing First for chronically homeless individuals with alcohol problems: Within-subjects analyses of 2-year alcohol trajectories

Author

Listed:
  • Collins, S.E.
  • Malone, D.K.
  • Clifasefi, S.L.
  • Ginzler, J.A.
  • Garner, M.D.
  • Burlingham, B.
  • Lonczak, H.S.
  • Dana, E.A.
  • Kirouac, M.
  • Tanzer, K.
  • Hobson, W.G.
  • Marlatt, G.A.
  • Larimer, M.E.

Abstract

Objectives: Two-year alcohol use trajectories were documented among residents in a project-based Housing First program. Project-based Housing First provides immediate, low-barrier, nonabstinence-based, permanent supportive housing to chronically homeless individuals within a single housing project. The study aim was to address concerns that nonabstinence-based housing may enable alcohol use. Methods: A 2-year, within-subjects analysis was conducted among 95 chronically homeless individuals with alcohol problems who were allocated to projectbased Housing First. Alcohol variables were assessed through self-report. Data on intervention exposure were extracted from agency records. Results: Multilevel growth models indicated significant within-subjects decreases across alcohol use outcomes over the study period. Intervention exposure, represented by months spent in housing, consistently predicted additional decreases in alcohol use outcomes. Conclusions: Findings did not support the enabling hypothesis. Although the project-based Housing First program did not require abstinence or treatment attendance, participants decreased their alcohol use and alcohol-related problems as a function of time and intervention exposure.

Suggested Citation

  • Collins, S.E. & Malone, D.K. & Clifasefi, S.L. & Ginzler, J.A. & Garner, M.D. & Burlingham, B. & Lonczak, H.S. & Dana, E.A. & Kirouac, M. & Tanzer, K. & Hobson, W.G. & Marlatt, G.A. & Larimer, M.E., 2012. "Project-based Housing First for chronically homeless individuals with alcohol problems: Within-subjects analyses of 2-year alcohol trajectories," American Journal of Public Health, American Public Health Association, vol. 102(3), pages 511-519.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300403_2
    DOI: 10.2105/AJPH.2011.300403
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    1. repec:max:cprpbr:50 is not listed on IDEAS
    2. Montgomery, Ann Elizabeth & Cusack, Meagan & Szymkowiak, Dorota & Fargo, Jamison & O’Toole, Thomas, 2017. "Factors contributing to eviction from permanent supportive housing: Lessons from HUD-VASH," Evaluation and Program Planning, Elsevier, vol. 61(C), pages 55-63.
    3. Julia R. Woodhall-Melnik & James R. Dunn, 2016. "A systematic review of outcomes associated with participation in Housing First programs," Housing Studies, Taylor & Francis Journals, vol. 31(3), pages 287-304, April.
    4. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.

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