药物使用障碍的康复住房:系统审查
Corrie L Vilsaint1,2, Alex G Tansey1, Emily A Hennessy1,2
1Recovery Research Institute, Center for Addiction Medicine, Massachusetts General Hospital, Boston, MA, United States.
Frontiers in public health
|March 21, 2025
概括
与通常的护理相比,康复住房显著改善了物质使用障碍的结果,包括戒断,收入和就业. 这些证据虽然是温和的,但支持扩大对这些支持性生活环境的访问.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 康复住房为患有物质使用障碍 (SUD) 的人提供结构化,基于禁欲的支持.
- 它代表了SUD恢复支持基础设施的广泛可访问的组成部分.
- 关于恢复住房有效性的证据需要进行系统的评估.
研究的目的:
- 系统地审查恢复住房的随机对照试验 (RCT) 和准实验设计 (QED).
- 为了比较恢复住房与非恢复住房条件的有效性.
- 评估恢复住房的成本效益和证据水平.
主要方法:
- 在PubMed,EMBASE,CINAHL,PsycINFO和CENTRAL的系统文献搜索到2024年2月.
- 纳入标准:比较恢复住房与非恢复住房条件的研究.
- 确定了5项符合条件的研究 (3项RCT,2项QED),共150至470名参与者,6至24个月的随访时间.
主要成果:
- 康复住房在禁欲,收入,就业方面表现优于通常的护理/没有干预,并减少了刑事指控/监禁.
- 与其他住宅环境相比,康复住房改善了酒精戒断,减少了物质使用日,增加了收入/就业.
- 康复住房的成本效益高于通常的护理或其他住房干预措施.
结论:
- 适度的证据支持恢复住房在改善SUD结果和成本效益方面的有效性.
- 扩大获得复苏住房的机会可能会带来重大的公共卫生和经济效益.
- 需要进一步进行高质量的试验,以确定特定的子组,并优化恢复住房模型.
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