Burling T A, Seidner A L, Salvio M A, Marshall G D
Palo Alto Department of Veterans Affairs Medical Center, Domiciliary Service, CA 94304.
Addict Behav. 1994 Nov-Dec;19(6):621-9. doi: 10.1016/0306-4603(94)90017-5.
This paper presents data regarding a residential rehabilitation program that integrates cognitive-behavioral and therapeutic community techniques to treat homelessness and substance abuse. The study cohort was 110 military veterans admitted to a Domiciliary Care for Homeless Veterans program of the Department of Veterans Affairs. The cohort had multiple psychosocial problems at admission, and all had drug/alcohol abstinence as a treatment goal. Structured interviews conducted at 3, 6, 9, and 12 months postdischarge revealed that a substantial proportion had positive outcomes with respect to housing, substance abuse abstinence, employment, and self-rated psychological symptoms. This integrated cognitive-behavioral therapeutic community approach appears to be a viable treatment for this subset of homeless and also may be effective for other populations with similar clinical characteristics.
本文介绍了一项关于住宅康复项目的数据，该项目整合了认知行为疗法和治疗社区技术，用于治疗无家可归和药物滥用问题。研究队列包括110名入住退伍军人事务部无家可归退伍军人寄宿护理项目的退伍军人。该队列在入院时存在多种心理社会问题，且所有人都将戒除毒品/酒精作为治疗目标。出院后3个月、6个月、9个月和12个月进行的结构化访谈显示，很大一部分人在住房、戒除药物滥用、就业和自评心理症状方面取得了积极成果。这种整合的认知行为治疗社区方法似乎是治疗这一无家可归亚群体的一种可行疗法，对其他具有类似临床特征的人群也可能有效。
