Jason Leonard A, Olson Bradley D, Ferrari Joseph R, Majer John M, Alvarez Josefina, Stout Jane
Center for Community Research, DePaul University, Chicago, IL 60614, USA.
Addiction. 2007 Jul;102(7):1114-21. doi: 10.1111/j.1360-0443.2007.01846.x.
To assess the effectiveness of community-based supports in promoting abstinence from substance use and related problems.
Individuals (n = 150) discharged from residential substance abuse treatment facilities were assigned randomly to either an Oxford House recovery home or usual after-care condition and then interviewed every 6 months for a 24-month period.
Oxford Houses are democratic, self-run recovery homes.
Hierarchical linear modeling was used to examine the effect of predictive variables on wave trajectories of substance use, employment, self-regulation and recent criminal charges. Regressions first examined whether predictor variables modeled wave trajectories by condition (Oxford House versus usual after-care), psychiatric comorbidity, age and interactions.
At the 24-month follow-up, there was less substance abuse for residents living in Oxford Houses for 6 or more months (15.6%), compared both to participants with less than 6 months (45.7%) or to participants assigned to the usual after-care condition (64.8%). Results also indicated that older residents and younger members living in a house for 6 or more months experienced better outcomes in terms of substance use, employment and self-regulation.
Oxford Houses, a type of self-governed recovery setting, appear to stabilize many individuals who have substance abuse histories.
评估基于社区的支持措施在促进戒除物质使用及相关问题方面的有效性。
从住院物质滥用治疗机构出院的个体（n = 150）被随机分配到牛津之家康复住所或常规后续护理组，然后在24个月内每6个月接受一次访谈。
牛津之家是民主、自主管理的康复住所。
采用分层线性模型来检验预测变量对物质使用、就业、自我调节和近期刑事指控的波动轨迹的影响。回归分析首先检验预测变量是否根据条件（牛津之家与常规后续护理）、精神疾病共病、年龄及相互作用来模拟波动轨迹。
在24个月的随访中，居住在牛津之家6个月或更长时间的居民物质滥用情况较少（15.6%），这一比例低于居住时间少于6个月的参与者（45.7%），也低于被分配到常规后续护理组的参与者（64.8%）。结果还表明，年龄较大的居民以及在住所居住6个月或更长时间的年轻成员在物质使用、就业和自我调节方面取得了更好的成果。
牛津之家，一种自治的康复环境，似乎能使许多有物质滥用史的个体保持稳定。
