Department of Social Work, Stockholm University, SE-106 91, Stockholm, Sweden.
Department of Criminology, Investigation and Policing, Room 16, Trinity Building, Leeds Trinity University, Horsforth, Leeds, LS18 5HD, UK.
Subst Abuse Treat Prev Policy. 2022 Aug 6;17(1):58. doi: 10.1186/s13011-022-00488-w.
There is a growing evidence base around predictors of retention and completion in a range of recovery residence models, particularly Oxford Houses and Sober Living Houses, and recovery housing is recognized as a clearly evidenced area of recovery intervention. The aim of the study was to quantitatively assess recovery capital in a sample of recovery residence clients.
The study used a repeated measures self-completion of a standardized recovery capital instrument (REC-CAP) for clients retained across various houses within one Level 2 recovery residence provider whose program was based on a 12-step approach. While 823 clients participated in the baseline assessment, a sample of 267 clients was achieved for six-month follow-up interview, based on those retained in the residence. A logistic regression model examined factors associated with retention and a repeated measures marginal mixed model evaluated the factors associated with changes in recovery capital between the baseline and the follow-up assessment.
Members of the group that remained in recovery residences were more likely to be older with a record of high participation in recovery groups, with greater drop-out among younger residents, female residents and those with an identified housing need. For those retained to follow-up, greater recovery capital growth was associated with employment, higher levels of social support and more recovery group involvement, as well as age and a higher quality of life. The need for family support was shown to reduce levels of recovery capital. However, those younger people who were retained reported better recovery capital growth during the initial six months of residence.
The key conclusion is that while recovery capital generally increases during a stay in a recovery residence, it does not do so consistently across the sample population. This has implications for how pathways to recovery group engagement are supported for women and young people and how social support (encompassing housing, employment and family issues) is provided to those populations during periods of residence. This suggests the potential need for training and guidance for house managers working with these groups.
在一系列康复居住模式（尤其是牛津屋和 sober living house）中，关于保留和完成的预测因素的证据基础不断增加，康复住房被认为是康复干预的一个明确的证据领域。本研究的目的是定量评估康复住宅客户的康复资本。
该研究使用了一种标准化的康复资本工具（REC-CAP）的重复自我评估，该工具针对在一家基于 12 步方法的二级康复住宅提供者内的不同房屋中保留的客户。虽然有 823 名客户参加了基线评估，但根据保留在住所内的客户，有 267 名客户进行了六个月的随访访谈。逻辑回归模型检验了与保留相关的因素，重复测量边缘混合模型评估了与基线和随访评估之间康复资本变化相关的因素。
留在康复住宅的组的成员更有可能年龄较大，有较高的康复组参与记录，年轻居民、女性居民和有住房需求的居民的辍学率较高。对于那些保留下来进行随访的人来说，更大的康复资本增长与就业、更高水平的社会支持和更多的康复组参与有关，以及年龄和更高的生活质量。需要家庭支持被证明会降低康复资本水平。然而，那些被保留下来的年轻人在入住的最初六个月报告了更好的康复资本增长。
关键结论是，尽管在康复住宅逗留期间康复资本通常会增加，但在整个样本人群中并非始终如此。这对如何支持女性和年轻人参与康复小组以及如何在居住期间为这些人群提供社会支持（包括住房、就业和家庭问题）具有影响。这表明对于与这些群体合作的房屋经理可能需要培训和指导。
