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The Authors’ Own Words: Homelessness predicts attrition but not alcohol abstinence in outpatients experiencing co-occurring alcohol dependence and serious mental illness

Jan 17, 2020 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Homelessness predicts attrition but not alcohol abstinence in outpatients experiencing co-occurring alcohol dependence and serious mental illness

Emily Leickly, BA; Jordan Skalisky, BA; Oladunni Oluwoye, PhD; Sterling M. McPherson, PhD; Debra Srebnik, PhD; John M. Roll, PhD; Richard K. Ries, MD; & Michael G. McDonell, PhD

Substance Abuse Vol. 39, Iss. 3, 2018

“Individuals with serious mental illness receiving contingency management (CM) for alcohol dependence who were also experiencing homelessness had higher rates of CM attrition than those who were housed. However, homelessness was not associated with differences in EtG-assessed alcohol abstinence. Thus, CM could be a promising intervention for adults with co-occurring disorders provided homelessness-related participation barriers are addressed.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: AUD, homelessness, outpatient treatment

The Authors’ Own Words: Harm Reduction Treatment for Smoking (HaRT-S): Findings from a Single-arm Pilot Study with Smokers Experiencing Chronic Homelessness

Nov 21, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Harm Reduction Treatment for Smoking (HaRT-S): Findings from a Single-arm Pilot Study with Smokers Experiencing Chronic Homelessness

Susan E. Collins, PhD; Lonnie A. Nelson, PhD; Joey Stanton; Nigel Mayberry, RN; Tatiana Ubay, BS; Emily M. Taylor, BS; Gail Hoffmann, BS; Silvi C. Goldstein, BA; Andrew J. Saxon, MD; Daniel K. Malone, MPH; Seema L. Clifasefi, PhD, MSW; Kolawole Okuyemi, MD, MPH; & The HaRT-S Community Advisory Board

Substance Abuse Vol. 40, Iss. 2, 2019

“This study is the first to examine initial feasibility, acceptability and smoking-related outcomes for explicitly harm-reduction counseling for smoking with support of safer nicotine delivery systems, including ENDS. Taken in context with the very few other smoking cessation treatment studies in homeless populations, HaRT-S findings indicated favorable initial feasibility and acceptability in a chronically homeless population. Additionally, participants evinced expected, significant, linear increases in likelihood of point-prevalence abstinence as well as decreases in smoking frequency and dependence on cigarettes over the 14-week follow-up. Participants who reported using ENDS were even more likely to report decreases in smoking intensity and cigarette dependence.“

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: harm reduction, HaRT-S, homelessness, Smoking

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