title: Housing First for severely mentally ill homeless methadone patients.
abstract: The Housing First approach used by Pathways to Housing, Inc., was used to enhance residential independence and treatment retention of homeless, seriously mentally ill methadone patients. The Keeping Home project first secured scattered-site apartments and assertive community treatment services and then addressed patients' service needs. Three years post-implementation, methadone treatment retention for 31 Keeping Home patients versus 30 comparison participants (drawn from an administrative database) was 51.6% vs. 20% (p < .02); apartment/independent housing retention was 67.7% vs. 3% or 13% (both p's < .01). Although results firmly support Keeping Home, future research needs to address study's possible database limitations.
authors.affiliation: New York State Office of Alcoholism and Substance Abuse Services, New York, New York 10018, USA. philipappel@oasas.ny.gov
authors.forename: Philip W
authors.initials: PW
authors.lastname: Appel
authors.forename: Sam
authors.initials: S
authors.lastname: Tsemberis
authors.forename: Herman
authors.initials: H
authors.lastname: Joseph
authors.forename: Ana
authors.initials: A
authors.lastname: Stefancic
authors.forename: Dawn
authors.initials: D
authors.lastname: Lambert-Wacey
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use; D003156:Community Mental Health Services; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D040261:Harm Reduction; D006703:Ill-Housed Persons / Q000523:psychology*; D006798:Housing; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D009518:New York; D058850:Opiate Substitution Treatment / Q000379:methods; D009293:Opioid-Related Disorders / Q000188:drug therapy / Q000534:rehabilitation*; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000706:statistics & numerical data; D015397:Program Evaluation
chemical_list: D000701:Analgesics, Opioid; D008691:Methadone