A Longitudinal Analysis of Psychiatric Severity upon Outcomes Among Substance Abusers Residing in Self-Help Settings

John M. Majer1, Leonard A. Jason2, Carol S. North3, Joseph R. Ferrari4, Nicole S. Porter2, Bradley Olson5, Margaret Davis6, Darrin Aase2, J. Paul Molloy7
1Department of Social Sciences, Richard J. Daley College, Chicago, USA
2Center for Community Research, DePaul University, Chicago, USA
3Departments of Psychiatry and Surgery/Division of Emergency Medicine, VA North Texas Health Care System and The University of Texas Southwestern Medical Center, Dallas, USA
4Psychology Department, DePaul University, Chicago, USA
5Department of Education, Northwestern University, Evanston, USA
6Dickinson College, Carlisle, USA
7Oxford House Inc., Silver Spring, USA

Tóm tắt

A longitudinal analysis of psychiatric severity was conducted with a national sample of recovering substance abusers living in Oxford Houses, which are self-run, self-help settings. Outcomes related to residents’ psychiatric severity were examined at three follow-up intervals over one year. Over time, Oxford House residents with high versus low baseline psychiatric severity reported significantly more days using psychiatric medication, decreased outpatient psychiatric treatment, yet no significant differences for number of days abstinent and time living in an Oxford House. These findings suggest that a high level of psychiatric severity is not an impediment to residing in self-run, self-help settings such as Oxford House among persons with psychiatric comorbid substance use disorders.

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