Historique
Périodique
Slowing the revolving door: stabilization programs reduce homeless persons' substance use after detoxification
(Les programmes de stabilisation réduisent l'usage de substances psychoactives chez les sans-abri après une cure de désintoxication)
Auteur(s) :
KERTESZ, S. G. ;
HORTON, N. J. ;
FRIEDMANN, P. D. ;
SAITZ, R. ;
SAMET, J. H.
Année
2003
Page(s) :
197-207
Langue(s) :
Anglais
Refs biblio. :
67
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
SANS ABRI
;
CURE DE DESINTOXICATION
;
SUIVI DU PATIENT
;
RECHUTE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2003, 24, (3), 197-207
Note de contenu :
graph. ; tabl.
Résumé :
ENGLISH :
This study examined whether homelessness predicted earlier resumption of substance use after detoxification, and sought evidence concerning the impact of post-detoxification stabilization programs among homeless and nonhomeless individuals. Kaplan-Meier plots and proportional hazards models were used to determine the association between homelessness, stabilization program use, and recurrent substance use in a prospective cohort of persons entering inpatient detoxification (n = 470). Among 254 persons available at 6 months, 76% reported recurrent substance use. Homeless persons not using stabilization programs experienced the highest hazard of return to substance use after detoxification, Hazard Ratio (HR) 1.26, 95% CI (0.88,1.80). Homeless persons using these programs had the lowest rate of return to substance use: HR 0.61, 95% CI (0.40, 0.94). A similar impact of stabilization programs was not seen among nonhomeless subjects. Post-detoxification stabilization programs were associated with improved outcomes for homeless addicted persons. This treatment modality may slow the "revolving door" phenomenon of relapse after detoxification among homeless persons. (Editor's abstract.)
Affiliation :
Div. Preventive Med. Gal Internal Med., Dept. Med., Univ. Alabama Birmingham, 1530 3rd Ave. South, MT608, Birmingham, AL 35294-4410. E-mail : skerteszuab.edu
Etats-Unis. United States.
Etats-Unis. United States.