Case Managed Residential Care for Homeless Addicted Veterans

Abstract

Within groups, significant improvements were observed with time from baseline to all posttests on the four major outcomes. We learned, however, that veterans had access to and used significant amounts of services even without the special case-managed residential care program. This partially may account for improvements in the control group and may have muted the differences between groups.

The efficacy of case management with persons who have substance abuse problems: A three-level meta-analysis of outcomes.

“…Persons with substance abuse problems who were assessed but had not yet attended their first clinical appointment have received services from case managers in centralized intake units (Carr et al, 2008;Scott et al, 2002). In-treatment case management has stressed retention in treatment as well as improvement in substance use, criminal justice involvement, and a variety of other outcomes (Conrad et al, 1998;Cox et al, 1998;Saleh et al, 2003). In order to maintain gains made while in treatment, case management has also received attention as an important part of the aftercare period (Siegal, Li, & Rapp, 2002).…”

Transitions through homelessness and factors that predict them

“…Altogether, 61% of participants whose predominant residential status prior to intake was homeless (literal or marginal) were residentially stable at 36 months. This is particularly notable because prior research suggests that homeless substance abusers that are helped into housing by treatment programs often fail to keep it (Braucht et al, 1995;Burnam et al, 1995;Conrad et al, 1998), in part due to high rates of relapse and its consequences.…”

Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness

“…In contrast, a more focused, agency-specific approach, in which pairs of agencies map out specific ways of coordinating their efforts, increased access of homeless veterans to social security benefits 3 and improved their quality of life. 4 Clinical services for this population have included (1) community outreach, 5 (2) case management, [6][7][8] and (3) housing assistance involving either time-limited halfway house treatment 9,10 or longerterm mainstream community housing with support. 11,12 Recently, experimental studies [6][7][8][9][10][11][12][13][14] have demonstrated superior outcomes for diverse interventions, typically described as supported housing programs in which case management and housing resources are combined, with benefits more often demonstrated for housing outcomes than for clinical status.…”