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: 9803550
• 负责人: AMY Adale MERICLE
• 金额: $ 51.4万
• 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/9803550
• 关键词: Address; Alcohol consumption; Alcohol or Other Drugs use; 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; evidence base; improved outcome; innovation; meetings; pressure; programs; research study; residence; rural area; service delivery; social; suburb; tool; urban area

Safe and stable housing is essential to recovery from addiction to alcohol and drugs. Recovery housing represents a unique and innovative way to ensure that individuals in recovery have access to housing that facilitates it. A growing body of research supports the effectiveness of recovery housing, and findings to support recovery housing evidence-based practices are beginning to emerge. However, there are critical gaps in our understanding of recovery housing. The recovery housing literature is fragmented, focusing on certain types of recovery housing or recovery housing in specific geographic regions. We also lack tools necessary to provide a complete picture of the national recovery housing landscape. To address these gaps, the aims of this 4-year health services research proposal are to: (1) Examine availability of recovery housing in the US and characterize environments where recovery residences are located; (2) Characterize the national recovery housing landscape in terms of organizational and residence characteristics, policies, practices, programming, and service delivery orientation and explore whether these characteristics vary depending on where residences are located; (3) Identify underlying patterns among recovery residences and examine the association between these patterns and existing categorizations of treatment and recovery housing; (4) Explore organizational, residence, policy, practice, programming, and delivery orientation characteristics associated with recovery housing evidence-based practices. To address these aims, we will consult with a diverse group of experts in the treatment, recovery, housing, and recovery housing fields to create a national database of recovery residences and survey of a random sample of 800 residences stratified by state. All residences in the database will be geocoded and linked with contextual information, including data on alcohol and drug treatment availability, alcohol outlets, and crime. The survey will collect critical data on organizational and residence features, policies, practices, programming, and service delivery orientation to illustrate essential features of recovery housing and to delineate different types of it. The proposed study will constitute the largest and most diverse study of recovery housing to date, laying the groundwork for surveillance of this important component of the housing, treatment, and recovery support services landscape. It will provide much needed descriptive data on a nationally-representative sample of recovery residences, and it will facilitate large-scale national studies of recovery residences, comparative effectiveness and cost-effectiveness studies of different types of recovery residences, studies identifying type sort of recovery residence works best for whom, and studies of policies and organizational practices that increase recovery housing access and utilization.

安全稳定的住房对于戒除酒瘾和毒瘾至关重要。恢复住房 代表了一种独特和创新的方式，以确保康复中的个人能够获得住房 促进它。越来越多的研究支持康复住房的有效性，其研究结果 支持恢复住房的循证做法正在开始出现。然而，存在关键差距 在我们对康复住房的理解中。有关恢复住房的文献是零散的，集中于某些 恢复住房的类型或特定地理区域的恢复住房。我们还缺乏必要的工具 提供全国恢复住房情况的完整图景。为了解决这些差距，本次会议的目标 为期 4 年的卫生服务研究提案旨在：(1) 检查美国康复住房的可用性，以及 描述恢复住宅所在环境的特征； (2) 表征国家复苏 住房景观的组织和居住特征、政策、实践、规划、 和服务交付导向，并探讨这些特征是否因地点而异 住宅位于； (3) 识别康复住宅的基本模式并检查 这些模式与治疗和康复住房的现有分类之间的关联； (4) 探索组织、居住、政策、实践、规划和交付导向特征 与康复住房循证实践相关。为了实现这些目标，我们将咨询 治疗、康复、住房和康复住房领域的多元化专家组创建了一个全国性的 恢复住宅数据库并对按州分层的 800 个住宅进行随机抽样调查。全部 数据库中的住宅将进行地理编码并与上下文信息（包括酒精数据）相关联 以及药物治疗的可用性、酒精销售点和犯罪率。该调查将收集有关组织的关键数据 和居住特征、政策、实践、规划和服务提供方向，以说明必要的内容 恢复住房的特点并描述不同类型的恢复住房。拟议的研究将构成最大的 迄今为止对康复住房最多样化的研究，为监测这一重要问题奠定了基础 住房、治疗和康复支持服务领域的组成部分。它将提供非常需要的 具有全国代表性的康复住宅样本的描述性数据，这将有助于大规模 全国康复住宅研究、不同国家康复住宅的比较效果和成本效益研究 康复住所的类型，确定康复住所类型最适合谁的研究，以及 研究增加康复住房的获取和利用的政策和组织实践。