Treatment or recovery services for substance use disorder

Level
child

Outpatient Treatment (as compared to Drop-In Center)

A mental health clinic in St. Louis, MO, provided the traditional outpatient treatment, which included psychotherapy, psychiatric medication, and assistance in obtaining social services. The service population included adults without housing who had a severe psychiatric disorder, no history of violent behavior, and an intention to stay in the St. Louis area for the duration of the study. The intervention lasted 12 months.

Outpatient Treatment (as compared to Continuous Treatment Team)

A mental health clinic in St. Louis, MO, provided the traditional outpatient treatment, which included psychotherapy, psychiatric medication, and assistance in obtaining social services. The service population included adults without housing who had a severe psychiatric disorder, no history of violent behavior, and an intention to stay in the St. Louis area for the duration of the study. The intervention lasted 12 months.

Continuous Treatment Team (as compared to Outpatient Treatment)

Continuous Treatment Team provided participants with an unlimited amount of community-based services and an individualized plan to address their specific needs. Clinical case managers worked closely with clients to create their individualized plan; address their health needs; and help them access housing, transportation, and money management services. The service population included adults without housing who had a severe psychiatric disorder; no history of violent behavior; and an intention to stay in the St. Louis, MO, area for the duration of the study.

The New Orleans Homeless Substance Abusers Project (NOHSAP)—Transitional Care (TC)

The NOHSAP-TC program served adults experiencing homelessness and substance use disorders in the greater New Orleans area. Only people who completed a seven-day detoxification program in the NOHSAP facility could enroll in TC. The detoxification program involved daily group meetings, limited assessment and case management, and an introduction to principles from Alcoholics Anonymous, Narcotics Anonymous, and Cocaine Anonymous. During the TC program, participants were housed in the NOHSAP residential facility.