title: A program evaluation study of a nursing home operated as a modified therapeutic community for chemically dependent persons with AIDS. Project Samaritan AIDS Services, Inc.'s Residential Health Care Facility, Highbridge Section, Bronx, NY.
abstract: An interagency evaluation of the treatment effectiveness of a speciality nursing home (NH) run as a therapeutic community (TC) for residents diagnosed with acquired immunodeficiency syndrome (AIDS) and substance abuse/dependence (SA/D) was conducted. A total of 79 chemically dependent men and women with AIDS were: (a) administered the Tennessee Self-Concept Scale (TSCS; Roid & Fitts, 1991) at initial testing (T(1)) and 8 months after their initial testing (T(2)); and (b) assessed on specific physical health indicators (i.e. , weight, CD-4 count, and viral load) and other treatment outcomes (e.g., abstinence) over the same two time periods. The TSCS results identified a valid and invalid TSCS test group and further distinguished among three subgroups of invalid responders. Significant improvements were observed from T(1) testing to T(2) testing on the TSCS, on the physical health indicators, and on other treatment outcomes. The need for additional and continued mental health services for this population was noted.
authors.affiliation: Project Return Foundation, Inc., 10 Astor Place, New York, NY 10003-6935, USA. jfxc4318@aol.com
authors.forename: J F
authors.initials: JF
authors.lastname: Carroll
authors.forename: J J
authors.initials: JJ
authors.lastname: McGovern
authors.forename: J J
authors.initials: JJ
authors.lastname: McGinley
authors.forename: J C
authors.initials: JC
authors.lastname: Torres
authors.forename: J R
authors.initials: JR
authors.lastname: Walker
authors.forename: E S
authors.initials: ES
authors.lastname: Pagan
authors.forename: F A
authors.initials: FA
authors.lastname: Biafora
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000451:nursing* / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D010043:Outcome and Process Assessment, Health Care; D010555:Personality Inventory; D015397:Program Evaluation; D012803:Sick Role; D019966:Substance-Related Disorders / Q000451:nursing* / Q000523:psychology; D013808:Therapeutic Community