Department of Medicine, Division of Health Systems Science, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Community Ment Health J. 2024 Aug;60(6):1203-1213. doi: 10.1007/s10597-024-01271-w. Epub 2024 Apr 16.
Individuals experiencing chronic homelessness have high rates of persistent co-occurring mental health and substance use disorders (COD), and they often have difficulty with service engagement and retention, resulting in symptom exacerbation and housing loss. This study pilot tested Maintaining Independence and Sobriety Through Systems Integration, Outreach and Networking (MISSION), a multicomponent wraparound treatment approach to improve COD symptoms and housing stability among individuals experiencing chronic homelessness and persistent COD. This open pilot study enrolled and assessed 109 individuals with a COD experiencing chronic homelessness and offered one year of MISSION. Statistically significant improvements were observed in behavioral health symptoms and functioning, days of illicit drug use, and housing stability. By treatment completion, 85% of participants were referred to social and behavioral supports. This pilot study demonstrates that MISSION helped to successfully engage participants in treatment, reduce substance use and mental health symptoms, and improve housing outcomes.
个体经历慢性 homelessness 有高比率的持久性共病 mental health 和 substance use disorders (COD)，他们通常在服务参与和保留方面有困难，导致症状恶化和住房损失。这项研究初步测试了 Maintaining Independence and Sobriety Through Systems Integration, Outreach and Networking (MISSION)，一种多组分的全覆盖治疗方法，以改善 chronic homelessness 和 persistent COD 的个体的 COD 症状和住房稳定性。这项开放的初步研究招募并评估了 109 名经历 chronic homelessness 和 persistent COD 的个体，并提供了一年的 MISSION。观察到行为健康症状和功能、非法药物使用天数和住房稳定性有统计学意义的改善。到治疗完成时，85%的参与者被转介到社会和行为支持。这项初步研究表明，MISSION 有助于成功地让参与者参与治疗，减少物质使用和心理健康症状，并改善住房结果。
