“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”

Abstract Young adults experiencing homelessness are at high risk of opioid and other substance use, poor mental health outcomes, exposure to trauma, and other risks. Providing access to stable housing has the potential to act as a powerful preventive intervention, but supportive housing programs hav...

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Autores principales:	Kelly J. Kelleher, Ruri Famelia, Tansel Yilmazer, Allen Mallory, Jodi Ford, Laura J. Chavez, Natasha Slesnick
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Housing Youth Homelessness Intervention Pilot program Substance use risk Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b940b3629e2146a1bc7f379df2765a27
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spelling	oai:doaj.org-article:b940b3629e2146a1bc7f379df2765a272021-11-14T12:27:45Z“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”10.1186/s12954-021-00560-x1477-7517https://doaj.org/article/b940b3629e2146a1bc7f379df2765a272021-11-01T00:00:00Zhttps://doi.org/10.1186/s12954-021-00560-xhttps://doaj.org/toc/1477-7517Abstract Young adults experiencing homelessness are at high risk of opioid and other substance use, poor mental health outcomes, exposure to trauma, and other risks. Providing access to stable housing has the potential to act as a powerful preventive intervention, but supportive housing programs have been studied most often among chronically homeless adults or adults with serious mental illness. The Housing First model, which does not precondition supportive housing on sobriety, may reduce drug use in homeless adults. In the present study, we piloted an adapted model of Housing First plus prevention services that was tailored to the needs of young adults (18–24 years) experiencing homelessness in the USA. Preventive services were added to the Housing First model and included youth-centered advocacy services, motivational interviewing, and HIV risk prevention services. This model was piloted in a single-arm study (n = 21) to assess the feasibility, acceptability, and initial efficacy of a Housing First model over a 6-month period in preparation for a larger randomized trial. We use repeated measures ANOVA to test for changes in alcohol and drug use (percent days of use; alcohol or drug use consequences), housing stability, social network support, and cognitive distortions over 6 months of follow-up. A total of 17 youth completed the study (85% retention), and a high proportion of youth were stably housed at 6-month follow-up. Participation in intervention services was high with an average of 13.57 sessions for advocacy, 1.33 for MI, and 0.76 for HIV prevention. Alcohol use did not change significantly over time. However, drug use, drug use consequences, and cognitive distortions, and the size of youths’ social networks that were drug using individuals decreased significantly. The Housing First model appeared to be feasible to deliver, and youth engaged in the supportive intervention services. The study demonstrates the potential for an adapted Housing First model to be delivered to youth experiencing homelessness and may improve outcomes, opening the way for larger randomized trials of the intervention.Kelly J. KelleherRuri FameliaTansel YilmazerAllen MalloryJodi FordLaura J. ChavezNatasha SlesnickBMCarticleHousingYouthHomelessnessInterventionPilot programSubstance use riskPublic aspects of medicineRA1-1270ENHarm Reduction Journal, Vol 18, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Housing Youth Homelessness Intervention Pilot program Substance use risk Public aspects of medicine RA1-1270
spellingShingle	Housing Youth Homelessness Intervention Pilot program Substance use risk Public aspects of medicine RA1-1270 Kelly J. Kelleher Ruri Famelia Tansel Yilmazer Allen Mallory Jodi Ford Laura J. Chavez Natasha Slesnick “Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”
description	Abstract Young adults experiencing homelessness are at high risk of opioid and other substance use, poor mental health outcomes, exposure to trauma, and other risks. Providing access to stable housing has the potential to act as a powerful preventive intervention, but supportive housing programs have been studied most often among chronically homeless adults or adults with serious mental illness. The Housing First model, which does not precondition supportive housing on sobriety, may reduce drug use in homeless adults. In the present study, we piloted an adapted model of Housing First plus prevention services that was tailored to the needs of young adults (18–24 years) experiencing homelessness in the USA. Preventive services were added to the Housing First model and included youth-centered advocacy services, motivational interviewing, and HIV risk prevention services. This model was piloted in a single-arm study (n = 21) to assess the feasibility, acceptability, and initial efficacy of a Housing First model over a 6-month period in preparation for a larger randomized trial. We use repeated measures ANOVA to test for changes in alcohol and drug use (percent days of use; alcohol or drug use consequences), housing stability, social network support, and cognitive distortions over 6 months of follow-up. A total of 17 youth completed the study (85% retention), and a high proportion of youth were stably housed at 6-month follow-up. Participation in intervention services was high with an average of 13.57 sessions for advocacy, 1.33 for MI, and 0.76 for HIV prevention. Alcohol use did not change significantly over time. However, drug use, drug use consequences, and cognitive distortions, and the size of youths’ social networks that were drug using individuals decreased significantly. The Housing First model appeared to be feasible to deliver, and youth engaged in the supportive intervention services. The study demonstrates the potential for an adapted Housing First model to be delivered to youth experiencing homelessness and may improve outcomes, opening the way for larger randomized trials of the intervention.
format	article
author	Kelly J. Kelleher Ruri Famelia Tansel Yilmazer Allen Mallory Jodi Ford Laura J. Chavez Natasha Slesnick
author_facet	Kelly J. Kelleher Ruri Famelia Tansel Yilmazer Allen Mallory Jodi Ford Laura J. Chavez Natasha Slesnick
author_sort	Kelly J. Kelleher
title	“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”
title_short	“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”
title_full	“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”
title_fullStr	“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”
title_full_unstemmed	“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”
title_sort	“prevention of opioid use disorder: the home (housing, opportunities, motivation and engagement) feasibility study”
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b940b3629e2146a1bc7f379df2765a27
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“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”

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