Article

Communal Housing Settings Enhance Substance Abuse Recovery

Center for Community Research, DePaul University, Chicago, IL 60614, USA.
American Journal of Public Health (Impact Factor: 4.55). 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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    • "The research conducted thus far on RRs underscores immense promise for this work and the favorable results that we have found for individuals with limited resources have been personally gratifying. For example, many individuals with substance use disorders have found themselves in criminal justice settings and our work has shown that RRs can be useful resources for many of these individuals (Jason et al., 2015; Polcin, 2006). In addition, we are currently developing interventions that can enhance recovery homes so they are more responsive to the needs of ex-offenders (Polcin, Korcha, Bond & Galloway, 2010c). "
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    ABSTRACT: Although research shows treatment for alcohol and drug problems can be effective, persons without stable housing that supports recovery are at risk for relapse. Recovery residences (RRs) for drug and alcohol problems are a growing response to the need for alcohol- and drug-free living environments that support sustained recovery. Research on RRs offers an opportunity to examine how integration of these individuals into a supportive, empowering environment has beneficial impacts on substance use, housing, and other outcomes, as well as benefits for the surrounding community. Research can also lead to the identification of operations and practices within houses that maximize favorable outcomes for residents. However, research on RRs also presents significant obstacles and challenges. Based on our experiences conducting recovery home research for decades, we present suggestions for addressing some of the unique challenges encountered in this type of research.
    Full-text · Article · Nov 2015 · Journal of drug issues
    • "One of the specific characteristic of the program is that it is aimed at a population that was previously homeless, disorganized, and unaccustomed to structured routines or codes of conduct. What might help to further meet the needs of residents would be to enhance the peer support component of the program and invite residents to assist each other in their initiatives, or to take on governance roles, which seemed to be an important and successful component of other programs (Heslin et al., 2011; Jason et al., 2006, 2007; Polcin et al., 2012; Tuten et al., 2012). As this study took place during the first two years of operation, adjustments were made throughout the program to better adapt it for the residents. "
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    ABSTRACT: Objectives: Habitations Prométhéus, a peer-run Montreal transitional housing program for opioid users, places highly disorganized, homeless individuals within a structured residential environment. In this study, resident perspectives are compared with themes emerging from literature on transitional housing programs. Methods: Thirteen residents (six individual interviews and a seven-member focus group) were consulted to identify their sources of satisfaction and dissatisfaction regarding Prométhéus. Their comments were categorized based on four themes: (1) length of stay; (2) services received; (3) relationships with staff; and (4) sense of autonomy. Results: Residents expressed satisfaction with apartment quality. They reported that the three-year maximum length of stay was too short to stabilize their situation, and emphasized the need for more assistance returning to school or work. Conclusion: Results are mainly consistent with literature on transitional housing. However, responses were mixed concerning relationships with staff and code of conduct. The majority of residents from the group interview reported that the regulations hindered their sense of autonomy and that they would like having trained professionals available onsite to provide services other than those provided by the peers, whereas most residents interviewed individually reported appreciating peers who could relate to them, and mentioned that the code of conduct was reasonable and logical.
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    • "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.
    Full-text · Article · May 2015 · Drug and Alcohol Dependence
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