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Study Name
Behavioral Day Treatment Plus Abstinence-Contingent Housing and Work Therapy (DT+) versus Behavioral Day Treatment Alone (DT)
Study Sharepoint ID
28458
Evaluation name
Evaluation of Abstinence-Contingent Housing and Work Therapy
Intervention (standard name)
Behavioral Day Treatment Plus Abstinence-Contingent Housing and Work Therapy (DT+) (as compared with Behavioral Day Treatment Alone [DT])
Strength of Evidence Tag
Low
Reason for the Rating

This study received a low study quality rating because it is a high-attrition randomized controlled trial that does not adjust estimated impacts for potentially important differences between the intervention and comparison groups.

This study received a low study quality rating because it is a high-attrition randomized controlled trial that does not adjust estimated impacts for potentially important differences between the intervention and comparison groups.

Design
Randomized controlled trial
Services
Housing
Work and work-based learning
Work readiness activities
Populations targeted
Homelessness
Substance use disorder
Settings in which the intervention was studied
Urban only

Subgroups

Subgroup data - Female
No
Subgroup data - Male
No
Subgroup data - White
No
Subgroup data - Black
No
Count age
0
Count Young Adults
0
Count Hard-to-employ
0
Count Disability
0
Count chronically ill
0
Count mentally ill
0
Count substance dependent
0
Count formerly incarcerated
0
Count Justice involved
0
Count limited work history
0
Count homeless
0
Count immigrants
0
Count refugees
0
Count veterans
0
Count female
0
Count Male
0
Count Any postsecondary education
0
Count With a high school diploma or GED
0
Count No high school diploma or GED
0
Count Married
0
Count Parents
0
Count Single Parents
0
Count Non-Custodial Parents
0
Count Employed
0
Count Self employed
0
Count Unemployed
0
Count Disconnected/discouraged workers
0
Count general low-income population
0
Count Very low income (as classified by the authors)
0
Count welfare population
0
Count long-term welfare recipients
0
Count Asian
0
Count Black or African American
0
Count Hispanic or Latino of any race
0
Count American Indian or Alaska Native
0
Count Pacific islander
0
Count White
0
Count White not Hispanic
0
Count More than one race
0
Count Unknown race
0
Count another race
0
Percent mentally ill
79.00
Percent substance dependent
100.00
Percent homeless
100.00
Percent veterans
26.00
Percent female
24.00
Percent Male
76.00
Percent Black or African American
81.00
Percent White not Hispanic
19.00
Mean age
38.10
Group formation formatted

Evaluators recruited participants from a health care agency for persons experiencing homelessness, and participants came from a variety of clinics and homeless shelters. Eligibility criteria included homelessness, a diagnosis of cocaine or multisubstance dependence that included cocaine use, coexisting and nonpsychotic mental disorders, an intention to stay in the area for 12 months, willingness to provide voluntary consent for treatment, no severe medical problems requiring inpatient treatment, and willingness to participate in interventions. One hundred and ten individuals were deemed eligible for the study. Participants were randomly assigned to behavioral day treatment with abstinence-contingent housing and work therapy or to behavioral day treatment only.

Study timing formatted

Participants were randomly assigned between April 1995 and May 1996. The study reported impacts up to 12 months after random assignment.

Implementing organization formatted

Birmingham Health Care for the Homeless Coalition

Treatment condition formatted

This intervention served homeless persons with a diagnosis of cocaine or polysubstance abuse that included cocaine use and a coexisting, nonpsychotic mental disorder. Participants had access to eight weeks of behavioral day treatment, housing contingent on abstinence from drug use, staff-assisted employment and housing goal setting, work therapy, and referrals to job opportunities, including food service positions and construction work.

Comparison condition formatted

Participants in the comparison group had access to eight weeks of behavioral day treatment, including lunch and transportation to and from shelters.

Mandatory services formatted

None

Setting details formatted

Abstinence-Contingent Housing and Work Therapy was implemented in Birmingham, AL, at the Birmingham Health Care for the Homeless Coalition

Delivered by public or private entity?
Public
Secondary domains examined

Abstinence from drug use; housing

Earliest publication year
2000
Most recent publication year
2003
Manuscripts
28458
90022
SRG File Path
https://mathematicampr.atlassian.net/browse/SPARS-1244
Check edits flag
No
Primary Service
Work and work-based learning
Subgroup data - Hispanic
No