Miescher A, Galanter M
Department of Psychiatry, New York University Medical Center, NY 10016, USA.
J Subst Abuse Treat. 1996 Mar-Apr;13(2):135-40. doi: 10.1016/0740-5472(96)00034-7.
We describe a model for integrating municipal shelter and hospital-based alcoholism outpatient treatment services for the homeless alcoholic, and report on its outcome at 12 months. The experimental program was designed to increase homeless patient's length of stay in treatment and was based on integrating clinic services for homeless men at Bellevue Hospital in New York with an abstinence oriented dormitory, the "Clean and Sober" Unit in a municipal shelter. The study sample consists of 189 consecutive male admissions to an intensive outpatient alcoholism treatment program in the Bellevue hospital. The patients' outcome was assessed in relation to their place of residence divided in three groups: the experimental group counts 100 men housed in the Clean and Sober Unit. The two contrast groups counted 34 residents of various unaffiliated shelters and 55 domiciled men with independent living arrangements. The three subject groups did not differ significantly on demographic or clinical characteristics. After 12 months, residents in unaffiliated shelters were significantly less likely to be retained than the domiciled patients and showed a trend towards less retention than the experimental group.
我们描述了一种为无家可归的酗酒者整合市政庇护所和医院门诊酗酒治疗服务的模式，并报告了其12个月时的结果。该实验项目旨在增加无家可归患者的治疗停留时间，其基础是将纽约贝尔维尤医院为无家可归男性提供的门诊服务与市政庇护所中一个以戒酒为导向的宿舍“清洁与清醒”单元相结合。研究样本包括连续189名进入贝尔维尤医院强化门诊酗酒治疗项目的男性。根据患者的居住地点将其结果分为三组进行评估：实验组有100名男性居住在“清洁与清醒”单元。两个对照组分别有34名居住在各种非附属庇护所的居民和55名有独立生活安排的居家男性。这三个研究对象组在人口统计学或临床特征方面没有显著差异。12个月后，非附属庇护所的居民比居家患者被留用的可能性显著更低，并且与实验组相比有留用率更低的趋势。
