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An examination of main and interactive effects of substance abuse recovery housing on multiple indicators of adjustment
Author(s) -
Jason Leonard A.,
Olson Bradley D.,
Ferrari Joseph R.,
Majer John M.,
Alvarez Josefina,
Stout Jane
Publication year - 2007
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/j.1360-0443.2007.01846.x
Subject(s) - abstinence , substance abuse , psychiatry , comorbidity , substance use , multilevel model , substance abuse treatment , medicine , addiction , psychology , substance dependence , gerontology , clinical psychology , machine learning , computer science
Aims To assess the effectiveness of community‐based supports in promoting abstinence from substance use and related problems. Design and participants Individuals ( n = 150) discharged from residential substance abuse treatment facilities were assigned randomly to either an Oxford House recovery home or usual after‐care condition and then interviewed every 6 months for a 24‐month period. Intervention Oxford Houses are democratic, self‐run recovery homes. Measurements Hierarchical linear modeling was used to examine the effect of predictive variables on wave trajectories of substance use, employment, self‐regulation and recent criminal charges. Regressions first examined whether predictor variables modeled wave trajectories by condition (Oxford House versus usual after‐care), psychiatric comorbidity, age and interactions. Findings At the 24‐month follow‐up, there was less substance abuse for residents living in Oxford Houses for 6 or more months (15.6%), compared both to participants with less than 6 months (45.7%) or to participants assigned to the usual after‐care condition (64.8%). Results also indicated that older residents and younger members living in a house for 6 or more months experienced better outcomes in terms of substance use, employment and self‐regulation. Conclusions Oxford Houses, a type of self‐governed recovery setting, appear to stabilize many individuals who have substance abuse histories.