185212 Three models of residential recovery houses for addiction: One year outcomes

Wednesday, October 29, 2008: 11:06 AM

Douglas Polcin, EdD , Alcohol Research Group, Public Health Institute, Emeryville, CA
William Lapp, PhD , Alcohol Research Group, Public Health Institute, Emeryville, CA
Rachael A. Korcha, MA , Alcohol Research Group, Emeryville, CA
For many individuals with serious addiction problems, establishing abstinence can be enhanced through provision of an alcohol and drug free living environment supportive of recovery. This presentation reports on 323 individuals who entered 3 different types of recovery houses for addiction: 1) An 8-week residential treatment program (n=23), 2) Sober Living Houses (SLHs) associated with an outpatient treatment program (n=55), and 3) Freestanding SLHs not affiliated with any formal treatment (n=245). The houses differed in the types of individuals served and their roles in community recovery systems. A repeated measures design examined problem areas at baseline, six months, and one year. Seventy five percent (n=242) of the sample was interviewed at six months and seventy two percent were interviewed at one year (n=233). Mixed model regressions assessed the aggregate sample over the 3 time points and showed significant improvement on Addiction Severity Index scales (i.e., drug, alcohol, employment, family and legal), psychiatric symptoms on the Brief Symptom Inventory, and substance use over a 6-month time period. Although sample sizes were relatively small for two of the recovery house models, several interactions suggested individuals in the different types of houses entered with different problems and made different types of improvements. Although there were limitations in the sampling, it is suggested that addiction recovery systems more closely examine the types of recovery houses needed to meet addiction needs within specific communities.

Learning Objectives:
1. Participants will acquire information about 3 different models of recovery houses for addiction. They will also receive information about our study showing the types of longitudinal improvements made by residents. 2. Participants will be able to describe the 3 types of houses, the individuals served, and the different ways the houses meet the needs of individuals in recovery. Participants will be able to analyze the strengths and weaknesses of each of the 3 models. 3. Learning objective: List 3 types of recovery houses and describe how each might facilitate recovery in communities you serve. Describe the research evidence supporting the types of improvements made by residents of recovery houses.

Keywords: Drug Abuse Treatment, Housing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ed.D Northeastern University, PI on an R01 grant titled, An Evaluation of Sober Living Houses" funded by NIH
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.