Communal housing settings enhance substance abuse recovery

Center for Community Research, DePaul University, Chicago, IL 60614, USA.
American Journal of Public Health (Impact Factor: 4.23). 11/2006; 96(10):1727-9. DOI: 10.2105/AJPH.2005.070839
Source: PubMed

ABSTRACT Oxford Houses are democratic, mutual help-oriented recovery homes for individuals with substance abuse histories. There are more than 1200 of these houses in the United States, and each home is operated independently by its residents, without help from professional staff. In a recent experiment, 150 individuals in Illinois were randomly assigned to either an Oxford House or usual-care condition (i.e., outpatient treatment or self-help groups) after substance abuse treatment discharge. At the 24-month follow-up, those in the Oxford House condition compared with the usual-care condition had significantly lower substance use, significantly higher monthly income, and significantly lower incarceration rates.

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Available from: Leonard A Jason, Aug 15, 2015
    • "Oversight and monitoring can vary substantially, including toxicology screens, mandated 12-step MHO attendance, and requirements that residents either have employment or otherwise seek employment, a strong predictor of sustaining recovery (White, 2008). Highlighted by their potential ability to bolster abstinence self-efficacy (Jason et al., 2006) and to reduce the financial burden of SUD via reductions in SUD-related illegal activity (Lo Sasso et al., 2012), as well as to facilitate 12-step MHO participation, research on a diversity of recovery-supportive housing options, the services they offer, and their relative effects on recovery rates are needed to inform and enhance clinical referral. "
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    ABSTRACT: Professional continuing care services enhance recovery rates among adults and adolescents, though less is known about emerging adults (18-25 years old). Despite benefit shown from emerging adults' participation in 12-step mutual-help organizations (MHOs), it is unclear whether participation offers benefit independent of professional continuing care services. Greater knowledge in this area would inform clinical referral and linkage efforts. Emerging adults (N=284; 74% male; 95% Caucasian) were assessed during the year after residential treatment on outpatient sessions per week, percent days in residential treatment and residing in a sober living environment, substance use disorder (SUD) medication use, active 12-step MHO involvement (e.g., having a sponsor, completing step work, contact with members outside meetings), and continuous abstinence (dichotomized yes/no). One generalized estimating equation (GEE) model tested the unique effect of each professional service on abstinence, and, in a separate GEE model, the unique effect of 12-step MHO involvement on abstinence over and above professional services, independent of individual covariates. Apart from SUD medication, all professional continuing care services were significantly associated with abstinence over and above individual factors. In the more comprehensive model, relative to zero 12-step MHO activities, odds of abstinence were 1.3 times greater if patients were involved in one activity, and 3.2 times greater if involved in five activities (lowest mean number of activities in the sample across all follow-ups). Both active involvement in 12-step MHOs and recovery-supportive, professional services that link patients with these community-based resources may enhance outcomes for emerging adults after residential treatment. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Drug and Alcohol Dependence 05/2015; DOI:10.1016/j.drugalcdep.2015.05.017 · 3.28 Impact Factor
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    • "A study of individuals who had been residing at Oxford Houses for varying lengths of time (several days to over 10 years) showed good longitudinal outcomes at 4-month follow-up intervals (Jason, Davis, Ferrari & Anderson 2007). Oxford Houses have also been found to be effective as an aftercare service for clients who completed long-term residential treatment (Jason et al. 2006). Today there are more than 1,500 Oxford Houses nationwide; SLHs in California that are affiliated with associations such as the Sober Living Network and California Association of Addiction Recovery Resources number close to 800. "
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    ABSTRACT: Abstract Peer support is integral to a variety of approaches to alcohol and drug problems. However, there is limited information about the best ways to facilitate it. The "social model" approach developed in California offers useful suggestions for facilitating peer support in residential recovery settings. Key principles include using 12-step or other mutual-help group strategies to create and facilitate a recovery environment, involving program participants in decision making and facility governance, using personal recovery experience as a way to help others, and emphasizing recovery as an interaction between the individual and their environment. Although limited in number, studies have shown favorable outcomes for social model programs. Knowledge about social model recovery and how to use it to facilitate peer support in residential recovery homes varies among providers. This article presents specific, practical suggestions for enhancing social model principles in ways that facilitate peer support in a range of recovery residences.
    Journal of psychoactive drugs 11/2014; 46(5):436-43. DOI:10.1080/02791072.2014.960112 · 1.10 Impact Factor
    • "N = 16), and none of them were acting as a sponsor for someone at the time of participation in this study. Participant sociodemographics were similar to research on Oxford House members in large urban areas (Jason et al., 2006). "
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    ABSTRACT: The present study examined the role of natural mentoring in the substance use recovery process. Men and women living in recovery homes in a large Midwestern city were surveyed and participated in focus groups to determine characteristics of natural mentoring and the relationship between mentoring activities, helping behavior, and perceived social support. Results suggested that participants engaged most frequently in mentoring activities related to their recovery and to helping others through this process. Further results indicated a significant relationship between gender, mentoring activities and recovery-oriented helping, and social support. Implications for substance use recovery research and treatment are discussed.
    Journal of Groups in Addiction & Recovery 06/2014; 9(2):126-142. DOI:10.1080/1556035X.2014.906777
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