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首页> 外文期刊>Psychiatric services: a journal of the American Psychiatric Association >Requiring sobriety at program entry: impact on outcomes in supported transitional housing for homeless veterans.
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Requiring sobriety at program entry: impact on outcomes in supported transitional housing for homeless veterans.

机译：计划入学时需要清醒：对无家可归退伍军人支持的过渡住房的结果产生影响。

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Objective:An important distinction in models of housing for the homeless is whether programs that require abstinence prior to program admission produce better outcomes than unrestricted programs. Data from a large transitional housing program were used to compare client characteristics of and outcomes from programs requiring abstinence at admission and programs not requiring abstinence.Methods:The U.S. Department of Veterans Affairs (VA) Northeast Program Evaluation Center provided records of individuals who were admitted into, and discharged from, the VA Grant and Per Diem program in 2003-2005. Records contained information from intake interviews, program discharge information, and descriptions of provider characteristics. Analyses were based on 3,188 veteran records, 1,250 from programs requiring sobriety at admission and 1,938 from programs without a sobriety requirement. Group differences were examined with t tests and chi square analyses; predictors of program outcome were determined with logistic regression.Results:Individuals using drugs or alcohol at program admission had more problematic histories, as indicated by several general health and mental health variables, and shorter program stays. There were significant differences between groups in the frequency of program completion, recidivism for homelessness, and employment on program discharge, but effect sizes for these analyses were uniformly small and of questionable importance. Regression analyses did not find meaningful support for the importance of sobriety on program entry on any of the outcome measures.Conclusions:The results add evidence to the small body of literature supporting the position that sobriety on program entry is not a critical variable in determining outcomes for individuals in transitional housing programs. (Psychiatric Services 62:1325-1330, 2011).
机译：目标：无家可归者住房模式的一个重要区别是，在计划入学之前需要节制的计划是否比不受限制的计划产生更好的结果。方法：美国退伍军人事务部（VA）东北计划评估中心提供入院者的记录，该数据来自大型过渡性住房计划的数据，用于比较入院时需要禁欲的计划和不禁欲的计划的客户特征和结果。并从2003-2005年的VA Grant和Per Diem计划中退出。记录包含来自入学面试的信息，计划出院信息以及提供者特征的描述。分析基于3,188位老兵记录，其中1,250来自入学时需要清醒的程序，而1,938来自没有清醒要求的程序。使用t检验和卡方分析检查组差异。结果：通过入院时使用药物或酒精的个体有更多的历史问题，如几个一般健康和心理健康变量所表明的那样，并且项目停留时间较短。在方案完成的频率，无家可归者的累犯和方案执行的就业率之间，各组之间存在显着差异，但是这些分析的效果大小始终很小，而且值得怀疑。回归分析未发现对任何结局指标而言，保持节制对计划的重要性具有有意义的支持。结论：研究结果为一小部分文献提供了证据，证明了对程序进入的清醒度不是决定结果的关键变量的立场适用于过渡住房计划的个人。 （Psychiatric Services 62：1325-1330，2011）。

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