Treating homeless clients with severe mental illness and substance use disorders: costs and outcomes.

Full Abstract

This study compared the costs and outcomes associated with three treatment programs that served 149 individuals with dual disorders (i.e., individuals with co-occurring severe mental illness and substance use disorders) who were homeless at baseline. The three treatment programs were:
Integrated Assertive Community Treatment (IACT), Assertive Community Treatment only (ACTO), and standard care (Control). Participants were randomly assigned to treatment and followed for a period of 24 months. Clients in the IACT and ACTO programs were more satisfied with their treatment program and reported more days in stable housing than clients in the Control condition. There were no significant differences between treatment groups on psychiatric symptoms and substance use. The average total costs associated with the IACT and Control conditions were significantly less than the average total costs for the ACTO condition.

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Author information

Author/s: Morse, Gary A (GA); Calsyn, Robert J (RJ); Dean Klinkenberg, W (W); Helminiak, Thomas W (TW); Wolff, Nancy (N); Drake, Robert E (RE); Yonker, Robert D (RD); Lama, Gyanesh (G); Lemming, Matthew R (MR); McCudden, Suzanne (S);

Affiliation: Community Alternatives, St Louis, MO, USA.

Grants: MH 57154 (Agency:NIMH NIH HHS)

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural

Journal: Community mental health journal (Community Ment Health J), published in United States. (Language: eng)

Reference: 2006-Aug; vol 42 (issue 4) : pp 377-404

Dates: Created 2006/09/06; Completed 2007/01/17; Revised 2007/12/03;

PMID: 16897413, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Aged
Female
Health Care Costs - trends
Homeless Persons

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