title: Assertive outreach: an effective strategy for engaging homeless persons with substance use disorders into treatment.
abstract: The purpose of this study was to examine substance abuse treatment referrals that were made by outreach workers in a homeless outreach project. Ten outreach workers completed questionnaires on each of their clients who they had referred to a substance abuse treatment program over the previous year. Additional data was collected on the client's motivation level at the point the referral was made, which agencies the client was referred to, and if the client was rejected from any of the treatment programs. Bivariate correlation analyses were used to examine relationships between the variables. Of 73 project clients who were referred to substance abuse treatment in a one-year period of time, 41% successfully entered treatment. As might be expected, there was a statistically significant relationship between clients' motivation level and completed referral, and between referrals made and program acceptance. This study provides evidence that assertive outreach is effective in engaging and linking homeless persons with substance use disorders to substance abuse treatment services.
authors.affiliation: Connecticut Mental Health Center, and Department of Psychiatry, Yale University, New Haven, Connecticut 06508, USA. deborah.fisk@po.state.ct.us
authors.forename: Deborah
authors.initials: D
authors.lastname: Fisk
authors.forename: Jaak
authors.initials: J
authors.lastname: Rakfeldt
authors.forename: Erin
authors.initials: E
authors.lastname: McCormack
mesh_terms: D000293:Adolescent; D000328:Adult; D003159:Community-Institutional Relations / Q000592:standards*; D005260:Female; D006703:Ill-Housed Persons / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy*; D016896:Treatment Outcome