Predictors of substance abuse treatment participation among homeless adults

Ibabe, Izaskun; Stein, Judith A.; Nyamathi, Adeline; Bentler, Peter M.

doi:10.1016/j.jsat.2013.10.008

Cited by 25 publications

(26 citation statements)

References 69 publications

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“…We might hypothesize that conditions such as the rapid disease course (early onset of alcohol abuse), the history of externalizing behaviors, and the probable familiarity with drug treatment centers may explain why these patients have a need to seek medical treatment for alcohol dependence earlier than other phenotypes. Studies report that this type of clinical profi le seems to interfere in the development, duration, adherence, and prognosis of alcohol use disorder treatment even aft er controlling for distinct behavioral/personality traits, psychiatric comorbidities, and cognitive disabilities (Walitzer and Dearing 2013;Ibabe et al 2014). Poor compliance to treatment in Cloninger type II patients was also observed in research (von Knorring et al 1985).…”

Section: Discussionmentioning

confidence: 99%

Multidimensional alcoholism typologies: could they guide clinical practice? Results from a 3-month prospective study

Pombo

Costa

Figueira

et al. 2015

International Journal of Psychiatry in Clinical Practice

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Section: Discussionmentioning

confidence: 99%

Multidimensional alcoholism typologies: could they guide clinical practice? Results from a 3-month prospective study

Pombo

Costa

Figueira

et al. 2015

International Journal of Psychiatry in Clinical Practice

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“…A higher likelihood of CD treatment and/or detoxification admissions is not surprising given the more severe drug problems among homeless participants. However, the observation that they continued to display severe drug problems following participation in CD treatment suggests that they may require additional support to that offered in traditional CD treatment (Ibabe, Stein, Nyamathi, & Bentler, 2014). In addition to severe drug problems, acute mental health problems coupled with housing instability and criminal justice involvement may complicate homeless participants’ ability to comply with treatment protocols.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Homeless and Non-Homeless Problem Drug Users Recruited from Primary Care Safety-Net Clinics

Krupski

Graves

Bumgardner

et al. 2015

Journal of Substance Abuse Treatment

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Introduction The present study of homeless non-treatment-seeking problem drug users was designed to complement and extend previous studies which focused exclusively on treatment-seeking homeless problem drug users. Method Data were available for 866 primary care patients with drug problems, 30% homeless and 70% housed. Results In the 2 years prior to baseline, homeless participants had less chronic medical co-morbidity than problem drug users who were housed yet were significantly more likely to have used emergency department services, to have used them more frequently, and at higher cost. Compared to their housed counterparts, homeless participants were also more likely to have been admitted to specialized chemical dependency treatment and/or detoxification services, to have been arrested for a felony or gross misdemeanor, and to report having psychiatric problems in the prior 30 days. Conclusions Additional support may be necessary for homeless patients presenting in primary care to benefit from substance abuse treatment given their more severe drug use problems coupled with their co-morbid health, psychiatric, and psychosocial problems.

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“…Substance use and homelessness are risk factors that interact and may surface or exacerbate other issues at various points in a person's life (Des Jarlais, Braine, & Friedmann, 2007;Ibabe, Stein, Nyamathi, & Bentler, 2014;Stein, Dixon, & Nyamathi, 2008. ) Research has found that living on the streets may account for increased substance use, which is often used to manage stress (Des Jarlais et al, 2007;Shelton, Taylor, Bonner, & van den Bree, 2009).…”

mentioning

confidence: 99%

“…Substance use issues may also precipitate homelessness (McNaughton, 2008;Salomonsen-Sautel et al, 2008). Further, increased substance use, as well as a decreased likelihood of engaging in treatment, has been linked to homelessness (Des Jarlais et al, 2007;Ibabe et al, 2014). Many residents entering recovery residences as a step in their healing from substance use disorders have also experienced prior housing instability, including homelessness (Paquette, Greene, Sepahi, Thom, & Pannella Winn, 2013;Mericle, Miles, & Cacciola, 2015;Jason & Ferrari, 2010;Majer, Jason, Ferrari, & North, 2002).…”

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confidence: 99%

The Role of Recovery Housing: Prioritizing Choice in Homeless Services

Paquette

Winn

2016

Journal of Dual Diagnosis

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Housing options for people exiting homelessness and seeking recovery from substance use disorders are limited. Policies tend to favor low-demand models such as housing first and permanent supportive housing that do not require abstinence, but offer immediate housing placement based on consumer choice and separate housing from clinical services. While these models have proven effective in promoting housing retention, especially among individuals with a primary diagnosis of mental illness, evidence to support positive outcomes related to people with a primary or co-occurring substance use disorder are mixed. Recovery housing models provide abstinence-focused environments and integrated peer support embedded within a recovery framework. Various models exist along a continuum from fully peer-run to clinically staffed residences. However, this continuum is typically separate from the homeless services system, and many barriers to integration persist. Recent national dialogues have begun to explore opportunities to integrate housing and substance use recovery approaches to meet the needs of people who need both types of support. This perspective paper argues that recovery housing is essential for supporting some homeless individuals and families. Within a comprehensive continuum based on choice, both recovery housing and low-demand models can support housing retention, reduce homelessness, promote recovery, and foster self-determination.

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Predictors of substance abuse treatment participation among homeless adults

Cited by 25 publications

References 69 publications

Multidimensional alcoholism typologies: could they guide clinical practice? Results from a 3-month prospective study

Multidimensional alcoholism typologies: could they guide clinical practice? Results from a 3-month prospective study

Comparison of Homeless and Non-Homeless Problem Drug Users Recruited from Primary Care Safety-Net Clinics

The Role of Recovery Housing: Prioritizing Choice in Homeless Services

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