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Sobriety as an admission criterion for transitional housing: A multi-site comparison of programs with a sobriety requirement to programs with no sobriety requirement

机译：清醒作为过渡性住房的接纳标准：对有清醒要求的计划与没有清醒要求的计划进行多站点比较

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Background: This study examined whether homeless clients enrolled in transitional housing programs that required sobriety (SR) as an admission criterion have outcomes comparable to clients enrolled in programs that did not require sobriety (NSR) as an admission criterion. Methods: A total of 1062 military veterans in 40 transitional housing programs funded by the United States Department of Veterans Affairs were grouped based on whether they were in SR or NSR programs and followed over a one-year period after program discharge. Participants in SR and NSR programs were compared on their ratings of the social climate of the program, and housing and psychosocial outcomes. Results: Participants in SR programs reported more days housed and better psychosocial outcomes than participants in NSR programs, although the differences were small and there were no differences in ratings of their social climate. Both participants in SR and NSR programs showed improvements on most outcomes after discharge from transitional housing. There were no significant differences in outcomes between participants actively abusing substances at program entry compared to those who were not. Conclusions: Requiring sobriety as an admission criterion in transitional housing made only a small difference in housing outcomes post-discharge. Further study is needed to determine whether requiring sobriety at admission in transitional housing is necessary for successful client outcomes.
机译：背景：本研究检查了以清醒（SR）作为入学标准的过渡住房计划中无家可归的客户是否具有与以清醒（NSR）作为入学标准的方案的客户可比的结果。方法：根据美国退伍军人事务部资助的40个过渡住房计划中的1062名退伍军人，根据他们属于SR计划还是NSR计划进行分组，并在计划执行后的一年内进行跟踪。比较了SR和NSR计划的参与者对计划的社会氛围，住房和社会心理结果的评级。结果：与SR计划的参与者相比，NSR计划的参与者报告了更多的居住天数和更好的社会心理结果，尽管差异很小，并且他们的社会气候等级也没有差异。 SR和NSR计划的参与者都显示出过渡性住房出院后大多数结果都有改善。与没有参加药物滥用的参与者相比，在计划进入阶段积极滥用药物的参与者的结果没有显着差异。结论：在过渡时期住房中，以清醒为准入标准仅对出院后住房结局产生很小的影响。需要进行进一步的研究以确定过渡性住房入院时是否需要清醒对成功的客户结局是否必要。

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