title: Efficacy of ecologically-based treatment with substance-abusing homeless mothers: substance use and housing outcomes.
abstract: This randomized pilot study tested the efficacy of an integrative treatment targeting homeless substance abusing mothers with young children in their care. Sixty mothers with 2-6 year old children were recruited from a local family shelter. The mothers were randomly assigned to Ecologically-Based Treatment (n=30) or treatment as usual (n=30). The intervention group received 3 months of rental and utility assistance up to $600 per month, case management services, and substance abuse counseling (referred to as supportive services). The treatment as usual group received housing and services through the family shelter and community housing programs. All participants completed follow-up assessments at 3, 6, and 9 months post-baseline. Mothers receiving Ecologically-Based Treatment showed a quicker decline in alcohol frequency and a quicker increase in housing stability. Furthermore, with supportive services, two-thirds of women were successful in maintaining their apartments 6 months after rental assistance ended.
authors.affiliation: Department of Human Sciences, The Ohio State University, Columbus, OH, USA. Electronic address: Slesnick.5@osu.edu.
authors.forename: Natasha
authors.initials: N
authors.lastname: Slesnick
authors.forename: Gizem
authors.initials: G
authors.lastname: Erdem
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control; D019090:Case Management / Q000458:organization & administration; D002648:Child; D002675:Child, Preschool; D003376:Counseling / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006703:Ill-Housed Persons; D006798:Housing / Q000191:economics*; D006801:Humans; D009035:Mothers; D010865:Pilot Projects; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Homeless mothers; Housing; Randomized controlled trial; Substance abuse treatment
references.citation: J Community Psychol. 2012 Nov 1;40(8):938-950
references.pmid: 25705063
references.citation: J Consult Clin Psychol. 1998 Jun;66(3):541-8
references.pmid: 9642893
references.citation: J Soc Serv Res. 2011 Oct;37(5):457-468
references.pmid: 22368312
references.citation: Soc Work. 2012 Oct;57(4):343-52
references.pmid: 23285834
references.citation: Arch Gen Psychiatry. 2006 May;63(5):484-9
references.pmid: 16651505
references.citation: J Stud Alcohol. 1997 Jul;58(4):358-64
references.pmid: 9203116
references.citation: Subst Abus. 1998 Dec;19(4):179-189
references.pmid: 12511815
references.citation: Addict Behav. 2007 Jun;32(6):1237-51
references.pmid: 16989957
references.citation: Drug Alcohol Depend. 2006 Jun 28;83(2):95-103
references.pmid: 16368199
references.citation: Adm Policy Ment Health. 2004 Mar;31(4):313-38
references.pmid: 15285208
references.citation: Am J Public Health. 2005 Oct;95(10):1753-9
references.pmid: 16131638
references.citation: Am J Public Health. 2004 Apr;94(4):651-6
references.pmid: 15054020
references.citation: Psychol Bull. 1992 Jul;112(1):155-9
references.pmid: 19565683
references.citation: Behav Med. 2012;38(2):36-48
references.pmid: 22676629
references.citation: Community Ment Health J. 2014 Jul;50(5):553-9
references.pmid: 23423484
references.citation: J Urban Health. 2003 Mar;80(1):92-105
references.pmid: 12612099
references.citation: Am J Orthopsychiatry. 1995 Oct;65(4):502-13
references.pmid: 8561184
references.citation: J Appl Psychol. 1993 Feb;78(1):119-28
references.pmid: 8449850
references.citation: J Consult Clin Psychol. 1998 Feb;66(1):7-18
references.pmid: 9489259
references.citation: Community Ment Health J. 2011 Apr;47(2):227-32
references.pmid: 20063061
references.citation: JAMA. 2009 May 6;301(17):1771-8
references.pmid: 19417194
references.citation: Subst Use Misuse. 2003 Jun;38(8):1109-31
references.pmid: 12901451
references.citation: J Behav Med. 1985 Sep;8(3):261-75
references.pmid: 3878888
references.citation: J Subst Abuse Treat. 2011 Apr;40(3):287-94
references.pmid: 21185682
references.citation: J Addict Dis. 1995;14(4):57-72
references.pmid: 8929933
references.citation: J Consult Clin Psychol. 2003 Jun;71(3):619-21
references.pmid: 12795584
references.citation: Psychiatr Rehabil J. 2005 Winter;28(3):291-4
references.pmid: 15690743
references.citation: J Behav Health Serv Res. 2007 Jan;34(1):17-33
references.pmid: 17171458
references.citation: Am J Addict. 2001;10(s1):s51-s59
references.pmid: 11268821
references.citation: Am J Public Health. 2005 Jul;95(7):1259-65
references.pmid: 15983278
references.citation: Milbank Q. 2009 Jun;87(2):495-534
references.pmid: 19523126
references.citation: Am J Drug Alcohol Abuse. 2005;31(4):555-70
references.pmid: 16320434