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Effective services for homeless substance abusers

G N Braucht1, C S Reichardt, L J Geissler

  • 1Department of Psychology, University of Denver, USA.

Journal of Addictive Diseases
|January 1, 1995
PubMed
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Comprehensive substance abuse treatment significantly improved outcomes for homeless individuals in Denver, including housing, health, employment, and quality of life. More services correlated with greater improvements, suggesting treatment effectiveness.

Area of Science:

  • Addiction Medicine
  • Public Health
  • Social Work

Background:

  • Homelessness and substance abuse are significant public health challenges.
  • Effective treatment interventions are crucial for improving the lives of this vulnerable population.

Purpose of the Study:

  • To evaluate the effectiveness of comprehensive substance abuse treatment services for homeless individuals.
  • To assess the impact of intensive case management as an adjunct to treatment.

Main Methods:

  • A sample of 323 homeless individuals with substance abuse issues in Denver received various treatment services.
  • A randomized controlled trial design was used to compare intensive case management with standard care.
  • Outcomes were measured across alcohol/drug use, housing, health, employment, and quality of life.

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Main Results:

  • Significant average improvements were observed in alcohol/drug use, housing status, physical and mental health, employment, and quality of life post-treatment.
  • A dose-response relationship was found, with greater service utilization leading to better outcomes.
  • Intensive case management showed minimal impact on service utilization or outcomes.

Conclusions:

  • Comprehensive substance abuse treatment is effective in improving multiple life domains for homeless individuals.
  • The findings support the efficacy of treatment over spontaneous remission.
  • Intensive case management, in this context, did not significantly enhance treatment outcomes.