Effects of therapeutic goal management (TGM) on treatment attendance and drug abstinence among men with co-occurring substance use and axis I mental disorders who are homeless: results of the Birmingham EARTH program

Addiction Science & Clinical Practice

Anna Davidson⁴  Michael Jensen³  Emilee Burgess⁴  Angee Stevens⁴  Lauren Hayes⁴  Susan Sieweke³  Karen Stough³  Anne Wright⁵  Robin McCarty²  Lillian Eddleman¹  Young-il Kim³  Jesse B Milby⁴  Joseph E Schumacher³ 

[1] Church of the Reconciler, Birmingham, AL, USA

[2] Jefferson, Blount, St. Clair Mental Health Authority, Birmingham, AL, USA

[3] Division of Preventive Medicine, University of Alabama at Birmingham, 1717 11th Avenue South, MT 616, Birmingham, AL 35205, USA

[4] Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA

[5] Fire House Shelter, Birmingham, AL, USA

关键词: Therapeutic goal management;    Homelessness;    Severe mental illness;    Substance abuse treatment;   

Others  :  789285
DOI  :  10.1186/1940-0640-8-17

 received in 2013-05-03, accepted in 2013-10-21,  发布年份 2013

【 摘 要 】

Purpose

This study describes the implementation and impact of Therapeutic Goal Management (TGM) in a Substance Abuse and Mental Health Services Administration (SAMHSA)-sponsored demonstration project entitled Enhanced Addiction Recovery through Housing (EARTH).

Participants

The sample included 28 male participants followed at six months who completed some treatment. Forty-three percent were Caucasian, and 57% were African American. The average age of participants was 42 years.

Design

The relationships between TGM goal achievement, treatment attendance, and drug abstinence outcomes were studied among EARTH program participants who were homeless and met criteria for co-occurring substance use and severe DSM-IV Axis I mental disorders.

Results

The results revealed an overall drug abstinence rate of 72.4% over six months and significant positive relationships between TGM goal achievement and drug abstinence (r = 0.693) and TGM goal achievement and treatment attendance (r = 0.843).

Conclusions

This research demonstrated the relationship and potential positive impact of systematically setting, monitoring, and reinforcing personalized goals in multiple life areas on drug abstinence and treatment attendance outcomes among persons who are homeless with co-occurring substance use and other Axis I disorders in a integrated community service delivery program.

【 授权许可】

   
2013 Davidson et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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