Recovery Housing for Alcohol and Drug Use Disorders: A National Study of Availability, Characteristics, and Factors Associated with Evidence-based Practices

酒精和药物使用障碍康复住房：一项关于可用性、特征以及与循证实践相关因素的全国研究

• 批准号: 10430298
• 负责人: AMY Adale MERICLE
• 金额: $ 13.72万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10430298
• 关键词: Address; Alcohol consumption; Alcohols; Characteristics; Clinical Services; Consult; Contracts; Country; County; Crime; Data; Databases; Drug Use Disorder; Effectiveness; Ensure; Environment; Evidence based practice; Family; Fees; Geographic Locations; Geography; Health Personnel; Health Services Research; Household; Housing; Individual; Insurance; Link; Literature; Measurement; Mediating; Modeling; Names; Nature; Neighborhoods; Outcome; Pattern; Pharmaceutical Preparations; Pharmacotherapy; Philosophy; Policies; Privatization; Public Health; Recovery; Research Proposals; Research Support; Resources; Sampling; Services; Source; Structure; Surveys; System; Target Populations; United States Substance Abuse and Mental Health Services Administration; Work; addiction; alcohol abuse therapy; base; care systems; comparative effectiveness; cost effectiveness; density; effectiveness study; evidence base; improved outcome; innovation; meetings; pressure; programs; research study; residence; rural area; service delivery; social; substance use treatment; suburb; tool; urban area

PROJECT SUMMARY/ABSTRACT Safe and stable housing is critical to recovery from alcohol and other drug disorders. Among individuals in recovery from these disorders, those living in recovery housing are among the most vulnerable. Recovery housing is rooted in the social model of recovery, which emphasizes peer support in helping residents maintain their recovery. CDC guidance for the general public for managing COVID-19 as well as its guidance for shared or congregate housing providers may present significant challenges for residential recovery residence operators. Because the majority of recovery residences operate with almost no formal third-party payers to reimburse or offset costs of this service, furloughs and work stoppages for residents who are responsible for paying for this service may contribute financial hardship and closure of recovery residences. To better understand how recovery residence are responding to the COVID-19 pandemic and its impact on recovery housing, this applications aims to: (1) Examine the extent to which CDC guidance and other best practice guidelines are being implemented in recovery residences, identify residence and other contextual characteristics related to differential implementation, and describe changes in implementation over time; and (2) Examine how the pandemic has affected the availability and financial viability of recovery housing, identify whether this impact differs by residence and other contextual factors, and describe changes in availability and financial viability over time. To address these aims, the proposed study will add questions to the survey administered to residences (N=800) participating in the National Study of Treatment and Addiction Recovery Residence (NSTARR) project (R01AA027782). These questions will query the extent to which the COVID-19 pandemic has affected sources of revenue for the residence, policies and practices, and programming for residents. An additional 200 randomly sampled residences (stratified by US Census Division) will be asked to complete a COVID-19-specific survey that also collects information on implementation of COVID-19 guidance to ensure resident and staff safety. These residences will be geocoded and linked with US Census data, COVID-19 case rates, and geo-located data for federally qualified health centers (FQHCs) and publicly-funded hospitals. They will also be resurveyed 6 and 12 months later to track changes over time. Finally, operators of residences that are no longer open will be asked to participate in a semi-structured interview about the role that COVID-19 may have played in residence closure.

项目概要/摘要 安全稳定的住房对于从酒精和其他药物障碍中恢复至关重要。在个人中 从这些疾病中恢复过来的人，住在康复住房中的人是最脆弱的群体。恢复 住房植根于恢复的社会模式，强调同伴支持帮助居民维持生活 他们的康复。 CDC 针对公众管理 COVID-19 的指南及其共享指南 或集体住房提供商可能会给住宅恢复住宅运营商带来重大挑战。 因为大多数康复住所几乎没有正式的第三方付款人来报销或 抵消该服务的费用、负责支付此项费用的居民的休假和停工费用 服务可能会导致经济困难和康复住宅的关闭。为了更好地了解如何恢复 居住地正在应对 COVID-19 大流行及其对恢复住房的影响，该应用程序旨在 (1) 检查 CDC 指南和其他最佳实践指南的实施程度 恢复住所，识别与差异相关的住所和其他背景特征 实施，并描述实施随时间的变化； (2) 检查大流行是如何影响的 影响康复住房的可用性和财务可行性，确定这种影响是否因 居住地和其他背景因素，并描述可用性和财务可行性随时间的变化。到 为了实现这些目标，拟议的研究将在对住宅进行的调查中添加问题（N = 800） 参与国家治疗和成瘾康复住宅研究（NSTARR）项目 （R01AA027782）。这些问题将询问 COVID-19 大流行对来源的影响程度 居住收入、政策和实践以及居民规划。额外随机200个 抽样住宅（由美国人口普查局分层）将被要求完成针对 COVID-19 的调查 它还收集有关实施 COVID-19 指南的信息，以确保居民和工作人员的安全。这些 住宅将进行地理编码，并与美国人口普查数据、COVID-19 病例率和地理定位数据相关联 联邦合格的健康中心 (FQHC) 和公立医院。他们还将接受重新调查 6 和 12 几个月后跟踪一段时间内的变化。最后，将询问不再开放的住宅的经营者 参加关于 COVID-19 在住宅关闭中可能发挥的作用的半结构化访谈。