TY - JOUR
T1 - The effects of the therapeutic workplace and heavy alcohol use on homelessness among homeless alcohol-dependent adults
AU - Carlson, Emily
AU - Holtyn, August F.
AU - Fingerhood, Michael
AU - Friedman-Wheeler, Dara
AU - Leoutsakos, Jeannie Marie S.
AU - Silverman, Kenneth
N1 - Funding Information:
This work was supported by the National Institutes of Health grant numbers R01 AA12154 , R01 DA019497 , R01 DA037314 , and T32 DA007209 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. These funding sponsors were not involved in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.
Publisher Copyright:
© 2016 Elsevier Ireland Ltd
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Background A clinical trial demonstrated that a therapeutic workplace could promote alcohol abstinence in homeless, alcohol-dependent adults. This secondary-data analysis examined rates of homelessness and their relation to the therapeutic workplace intervention and alcohol use during the trial. Methods In the trial, homeless, alcohol-dependent adults could work in a therapeutic workplace for 6 months and were randomly assigned to Unpaid Training, Paid Training, or Contingent Paid Training groups. Unpaid Training participants were not paid for working. Paid Training participants were paid for working. Contingent Paid Training participants were paid for working if they provided alcohol-negative breath samples. Rates of homelessness during the study were calculated for each participant and the three groups were compared. Mixed-effects regression models were conducted to examine the relation between alcohol use (i.e., heavy drinking, drinks per drinking day, and days of alcohol abstinence) and homelessness. Results Unpaid Training, Paid Training, and Contingent Paid Training participants did not differ in the percentage of study days spent homeless (31%, 28%, 17%; respectively; F(2,94) = 1.732, p = 0.183). However, participants with more heavy drinking days (b = 0.350, p < 0.001), more drinks per drinking day (b = 0.267, p < 0.001), and fewer days of alcohol abstinence (b = −0.285, p < 0.001) spent more time homeless. Conclusions Reducing heavy drinking and alcohol use may help homeless, alcohol-dependent adults transition out of homelessness.
AB - Background A clinical trial demonstrated that a therapeutic workplace could promote alcohol abstinence in homeless, alcohol-dependent adults. This secondary-data analysis examined rates of homelessness and their relation to the therapeutic workplace intervention and alcohol use during the trial. Methods In the trial, homeless, alcohol-dependent adults could work in a therapeutic workplace for 6 months and were randomly assigned to Unpaid Training, Paid Training, or Contingent Paid Training groups. Unpaid Training participants were not paid for working. Paid Training participants were paid for working. Contingent Paid Training participants were paid for working if they provided alcohol-negative breath samples. Rates of homelessness during the study were calculated for each participant and the three groups were compared. Mixed-effects regression models were conducted to examine the relation between alcohol use (i.e., heavy drinking, drinks per drinking day, and days of alcohol abstinence) and homelessness. Results Unpaid Training, Paid Training, and Contingent Paid Training participants did not differ in the percentage of study days spent homeless (31%, 28%, 17%; respectively; F(2,94) = 1.732, p = 0.183). However, participants with more heavy drinking days (b = 0.350, p < 0.001), more drinks per drinking day (b = 0.267, p < 0.001), and fewer days of alcohol abstinence (b = −0.285, p < 0.001) spent more time homeless. Conclusions Reducing heavy drinking and alcohol use may help homeless, alcohol-dependent adults transition out of homelessness.
KW - Alcohol
KW - Heavy drinking
KW - Homeless
KW - Therapeutic workplace
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U2 - 10.1016/j.drugalcdep.2016.09.009
DO - 10.1016/j.drugalcdep.2016.09.009
M3 - Article
C2 - 27648854
AN - SCOPUS:84993996100
VL - 168
SP - 135
EP - 139
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
SN - 0376-8716
ER -