Natasha Slesnick , Jing Zhang , Xin Feng , Allen Mallory , Jared Martin , Ruri Famelia , Brittany Brakenhoff , Tansel Yilmazer , Qiong Wu , Jodi Ford , Eugene Holowacz , Soren Jaderlund , Irene Hatsu , Ellison Luthy , Laura Chavez , Laura Walsh , Kelly Kelleher
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However, a limited number of studies have examined these outcomes associated with housing and supportive services.</p></div><div><h3>Design</h3><p>Participants were randomly assigned to: (1) housing + support services (<em>n</em> = 80), (2) housing-only (<em>n</em> = 80), or (3) services as usual (SAU) (<em>n</em> = 80) and were re-assessed at 3-, 6-, 9- and 12-months postbaseline.</p></div><div><h3>Settings</h3><p>The study recruited a community-based sample from homeless service agencies and advertisements in a large Midwestern city.</p></div><div><h3>Participants</h3><p>The study recruited two hundred forty (<em>N</em> = 240) women between the ages of 18 to 24 years, experiencing homelessness and with a substance use disorder (SUD) who also had a biological child under the age of 6 years in their care.</p></div><div><h3>Measurements</h3><p>We measured frequency of alcohol and drug use using the Form 90 semi-structured interview, and self-efficacy using Pearlin and Schooler's (1978) 7-item Mastery Scale.</p></div><div><h3>Findings</h3><p>Overall, mothers showed significant improvement in substance use and self-efficacy over time in each condition. However, as expected, patterns of change differentiated intervention groups with more mothers showing better substance use and self-efficacy outcomes in housing + supportive services than in SAU. Unexpectedly, more mothers in SAU showed better outcomes than those in housing-only.</p></div><div><h3>Conclusions</h3><p>Substance use decreased and self-efficacy increased over time, but patterns of change characterized the intervention groups. In particular, findings suggest that when providing housing to this population, supportive services should also be offered.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"144 ","pages":"Article 108917"},"PeriodicalIF":3.7000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Housing and supportive services for substance use and self-efficacy among young mothers experiencing homelessness: A randomized controlled trial\",\"authors\":\"Natasha Slesnick , Jing Zhang , Xin Feng , Allen Mallory , Jared Martin , Ruri Famelia , Brittany Brakenhoff , Tansel Yilmazer , Qiong Wu , Jodi Ford , Eugene Holowacz , Soren Jaderlund , Irene Hatsu , Ellison Luthy , Laura Chavez , Laura Walsh , Kelly Kelleher\",\"doi\":\"10.1016/j.jsat.2022.108917\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><p>Homeless mothers with young children in their care contend with high rates of substance use and low self-efficacy. However, a limited number of studies have examined these outcomes associated with housing and supportive services.</p></div><div><h3>Design</h3><p>Participants were randomly assigned to: (1) housing + support services (<em>n</em> = 80), (2) housing-only (<em>n</em> = 80), or (3) services as usual (SAU) (<em>n</em> = 80) and were re-assessed at 3-, 6-, 9- and 12-months postbaseline.</p></div><div><h3>Settings</h3><p>The study recruited a community-based sample from homeless service agencies and advertisements in a large Midwestern city.</p></div><div><h3>Participants</h3><p>The study recruited two hundred forty (<em>N</em> = 240) women between the ages of 18 to 24 years, experiencing homelessness and with a substance use disorder (SUD) who also had a biological child under the age of 6 years in their care.</p></div><div><h3>Measurements</h3><p>We measured frequency of alcohol and drug use using the Form 90 semi-structured interview, and self-efficacy using Pearlin and Schooler's (1978) 7-item Mastery Scale.</p></div><div><h3>Findings</h3><p>Overall, mothers showed significant improvement in substance use and self-efficacy over time in each condition. 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Housing and supportive services for substance use and self-efficacy among young mothers experiencing homelessness: A randomized controlled trial
Aims
Homeless mothers with young children in their care contend with high rates of substance use and low self-efficacy. However, a limited number of studies have examined these outcomes associated with housing and supportive services.
Design
Participants were randomly assigned to: (1) housing + support services (n = 80), (2) housing-only (n = 80), or (3) services as usual (SAU) (n = 80) and were re-assessed at 3-, 6-, 9- and 12-months postbaseline.
Settings
The study recruited a community-based sample from homeless service agencies and advertisements in a large Midwestern city.
Participants
The study recruited two hundred forty (N = 240) women between the ages of 18 to 24 years, experiencing homelessness and with a substance use disorder (SUD) who also had a biological child under the age of 6 years in their care.
Measurements
We measured frequency of alcohol and drug use using the Form 90 semi-structured interview, and self-efficacy using Pearlin and Schooler's (1978) 7-item Mastery Scale.
Findings
Overall, mothers showed significant improvement in substance use and self-efficacy over time in each condition. However, as expected, patterns of change differentiated intervention groups with more mothers showing better substance use and self-efficacy outcomes in housing + supportive services than in SAU. Unexpectedly, more mothers in SAU showed better outcomes than those in housing-only.
Conclusions
Substance use decreased and self-efficacy increased over time, but patterns of change characterized the intervention groups. In particular, findings suggest that when providing housing to this population, supportive services should also be offered.
期刊介绍：
The Journal of Substance Abuse Treatment (JSAT) features original reviews, training and educational articles, special commentary, and especially research articles that are meaningful to the treatment of alcohol, heroin, marijuana, and other drugs of dependence. JSAT is directed toward treatment practitioners from all disciplines (medicine, nursing, social work, psychology, and counseling) in both private and public sectors, including those involved in schools, health centers, community agencies, correctional facilities, and individual practices. The editors emphasize that JSAT articles should address techniques and treatment approaches that can be used directly by contemporary practitioners.
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