Housing and health in drug users

Slides:

Advertisements

Similar presentations

SAMH Mental Health & Alcohol Conference Transforming the concept of Dual Diagnosis to the concept of Complex Needs Dr Fraser Shaw Consultant Psychiatrist.

Advertisements

MODULE ONE Understanding Marginalized Populations.

Guide to this presentation This presentation is designed to educate community groups on some of the realities of homelessness in Australia. We recommended.

Facts In 2008, an estimated 20.1 million Americans aged 12 or older were current (past-month) illicit drug users. (8.0% of the population) million.

Dr. Elaine Dunnea, Dr. Maura Dugganb, Dr. Julie O’Mahonyc

Journal Club Alcohol, Other Drugs, and Health: Current Evidence September–October 2009.

Journal Club Alcohol, Other Drugs, and Health: Current Evidence May–June 2009.

UCLA Drug Abuse Research CenterForever Free Evaluation Forever Free Substance Abuse Treatment Program Outcomes Study Michael Prendergast, Ph.D., Principal.

Client and therapist attachment styles and the working alliance Annily Seymour-Hyde, Katherine Berry and Alison Harris University of Manchester Greater.

St Petrock’s (Exeter) Ltd. Housing in Exeter:  While Exeter’s economy is developing in some areas and attracting business and people to the area – low.

HIV CENTER for Clinical and Behavioral Studies at NY State Psychiatric Institute and Columbia University Mental Health and Substance Use Problems among.

This article and any supplementary material should be cited as follows: Harpaz-Rotem I, Rosenheck RA, Desai R. Residential treatment for homeless female.

SLIDE 1 of 34 IS THERE A CAUSAL RELATIONSHIP BETWEEN SUBSTANCE ABUSE AND PSYCHIATRIC ILLNESS? Dr Martin Frisher Department of Medicines Management Keele.

Introduction The United States has one of the largest criminal justice populations in the world with over 6.94 million people under the supervision of.

Children in Care. What is a Corporate Parent? Either through agreement with their parents, or through court proceedings, children might come to be cared.

Journal Club Alcohol, Other Drugs, and Health: Current Evidence May–June 2012.

Obtaining housing associated with achieving abstinence after detoxification in adults with addiction Tae Woo Park, Christine Maynié-François, Richard Saitz.

Access to Care/ Maintenance in Care: Service Needs and Consumer Reported Barriers Angela Aidala, Gunjeong Lee, Brooke West Mailman School of Public Health,

North East Community Alcohol Support Service SEAN CUSSEN.

SOHO RAPID ACCESS CLINIC. AIMS: n To provide a client focussed, low threshold flexible prescribing service. n To offer an easily accessible assessment.

Recovery Support Services and Client Outcomes: What do the Data Tell Us? Recovery Community Services Program Grantee Meeting December 14, 2007.

Homelessness and the vulnerably housed in Basingstoke

South Gloucestershire Adult Mental Health and Wellbeing Needs Assessment-Key findings and next steps South Gloustershire Health and Social Care Voluntary.

Introduction Results and Conclusions ATR Results: On demographic and social characteristics, ATR completers were more likely to be Hispanic, employed,

Introduction Results and Conclusions Categorical group comparisons revealed no differences on demographic or social variables. At admission to treatment,

Introduction Results and Conclusions On demographic variables, analyses revealed that ATR clients were more likely to be Hispanic and employed, whereas.

Introduction Results and Conclusions Analyses of demographic and social variables revealed that women were more likely to have children, be living in a.

Substance Misuse workshop 2008 Update from the past year Past, Present and Future Facilitated by Louise Gotch Hertfordshire County Council

7. The support and development approach to outcomes measurement.

Texas COSIG Project Gender Differences in Substance Use Severity and Psychopathology in Clients with Co-Occurring Disorders 5 th Annual COSIG Grantee Meeting.

Introduction Results and Conclusions Comparisons of psychiatric hospitalization rates in the 12 months prior to and after baseline assessment revealed.

Introduction Results and Conclusions Analyses of demographic and social variables indicated that Hispanics were more likely to be male, married, and living.

Introduction Results and Conclusions Numerous demographic variables were found to be associated with treatment completion. Completers were more likely.

Introduction Results and Conclusions Results: On demographic and social characteristics, ATR completers were more likely to be male, Hispanic, employed,

Twelve Month Follow-Up of Mothers from the ‘Child Protection and Mothers in Substance Abuse Treatment Study’ Stephanie Taplin PhD, Rachel Grove & Richard.

Title of presentation Name of presenter Introduction to addictions Andrea Williamson GP ST learning about Health Inequalities, Tuesday 17 th January 2013.

Depression and Anxiety Service Decision Tree for GPs and other referrers Person presents with depression and/or anxiety: Generalised Anxiety Disorder,

CRISIS SERVICES FOR SUBSTANCE USE DISORDERS KEN BACHRACH, PH.D., CLINICAL DIRECTOR TARZANA TREATMENT CENTERS

Effective Approaches to Co-existing problems

Paid employment and Common Mental Disorders (CMD) in the UK

Predictors of study retention in drug abuse treatment trials

GENDER DIFFERENCES IN FIRST-TIME HOMELESS ADULTS*

London Health & Homelessness Programme working with Haringey C.C.G.

Housing Related Support

Impact of Sleep Disturbances on Post-Traumatic Stress Disorder Symptoms and Perceived Health Geneviève Belleville1,2, Stéphane Guay2, & André Marchand1,2.

DATA COLLECTION METHODS IN NURSING RESEARCH

Crisis Resolution & Home Treatment Service

Recovery Support Outcomes: Client and Service Characteristics Associated with Successful Completion of ATR Services Laurel Mangrum, PhDa, Michele Steinley-Bumgarner,

US Census Data Ortman, Jennifer M., Victoria A. Velkoff, and Howard Hogan. An Aging Nation: The Older Population in the United States, Current Population.

Homelessness and Ethnicity

6% of adults had used one or more illicit drugs in last 12 months.

CRISIS RESOLUTION / HOME TREATMENT - DEFINITION

MENTAL HEALTH A state of wellbeing in which every individual realises his or her own potential, can cope with the normal stresses of life, can work productively.

Seeking Help: A Comparison Between the NHS and a Mental Health Charity

Kristen Williams, Jonathan J.K. Stoltman, and Mark K. Greenwald

PREDICTORS IN DEVELOPMENT OF LEARING DISABILITIES INTRODUCTION-PURPOSE

The Albert Kennedy Trust – No young person should have to

Treating Alcohol Abuse

Dr. Muhammad Ajmal Zahid Chairman, Department of Psychiatry,

Bidirectional Association Between Homelessness and Incarceration Among Veterans Participating in HUD-VASH Dennis Culhane, PhD.

Managing the Homeless Street Community Effectively

Public health strategies and approaches

Kim Scott Places for People 17/02/2015

Results: Specific Aim 2 (cont.)

Gary Morse, Ph.D. Mary York, LMSW Nathan Dell, AM, LMSW

Evaluating the Effectiveness of a Primary Mental Health Care Service on Outcomes for Common Mental Disorders: Modelling the Effect of Deprivation Jonathan.

Andrew Brown, Senior Programme Manager

Addressing the needs of older substance misusers

2015 Bradford County Needs Assessment

Presentation transcript:

Housing and health in drug users SSA Conference 2018 , Newcastle Asna Ahmed, PhD Student, University of Leeds. Dr Amanda Harrison, School of Psychology, University of Leeds

There are approximately 78,000 individuals in the UK who are either homeless or temporarily housed (1). Approximately 83% of a sample of homeless people in London had used a drug in the last month, 36% and 25% were dependent on heroin or alcohol respectively and 63% reported that their drug use was one of the reasons they became homeless (2). Research on the relationship between housing instability and drug use has primarily used dichotomous measures of housing stability, contrasting those who are homeless and those who are housed. However, many drug users are not homeless, but do have a range of accommodation problems that may impact on their well-being and recovery. (3,4,5). A recent report in the UK highlighted the lack of this knowledge and the lack of attention given to housing status in treatment plans and advocated the need for further research in this area.(6). Objectives: To assess Differences in the health and well-being of drug users based on their housing status. Use of a particular class of drug predicts poor health. Drugs and Housing

N=109 participants were recruited from Leeds Drug and Alcohol Service and assigned to one of the 3 categories: NHP- no housing problems or stable, safe accommodation. HP- unstable housing (temporary accommodation with tenancy ending soon/ short term hostel residence) or unsuitable accommodation e.g. with problems such as damp, lack of heating, rodent infestation. NFA- no fixed abode e.g. sleeping rough or seeking accommodation on a night by night basis such as sofa surfing. Paper questionnaires were used in 1-2-1 meetings to assess current drug use, physical and psychological health and quality of life. Data were analyzed using one way independent ANOVA and Multiple regression analysis. Method

Quality of Life

Physical and Psychological well-being (Mean± (SED)) Measure No Housing Problem (n=35) Housing Problem (n=36) No Fixed Abode (n=38) Predictive Drugs Physical Health 11.83 (0.78) 10.03 (0.79) 8.42 (0.69)** Opiates F(1,107)=12.21, p<.05 Psychological Health 11.94 (3.99) 8.80 (4.37)** 7.47 (4.52)*** F(1,107)= 16.46, p<.001 Stress (PSS-10) 21.66 (6.74) 27.78 (6.74)** 28.32 (7.19)*** F(1,107)= 9.68, p<.05 Anxiety (GAD-7) 8.17 (5.44) 12.78 (6.70)* 14.50 (4.71)*** F(1,107)= 6.31,p<.05 Depression (PHQ-9) 11.54 (6.33) 15.28 (5.90)* 16.87 (5.81)** F(1,107)= 11.70, p<.05 * p<0.05, **p<0.01, ***p<0.001 compared to No Housing Problem group.

These results indicate that opiates were the only significant predictor of each category of health. The results highlight that it is not only homeless drug users that have complex treatment needs associated with their housing status. Drug users should be considered as a diverse population in which there are different treatment needs based on their housing status. Summary Crisis Homelessness monitor. https://www.crisis.org.uk /media/238700 /homelessness _monitor_England _2018 .pdf (accessed 6 June 2018). Google scholar. FOUNTAIN, J., HOWES, S., MARSDEN, J., TAYLOR, C. & STRANG, J. 2003. Drug and alcohol use and the link with homelessness: results from a survey of homeless people in London. Addiction Research & Theory, 11, 245-256. KERTESZ, S. G., CROUCH, K., MILBY, J. B., CUSIMANO, R. E. & SCHUMACHER, J. E. 2009. Housing first for homeless persons with active addiction: are we overreaching? Milbank Quarterly, 87, 495-534. 4. EYRICH-GARG, K. M., CACCIOLA, J. S., CARISE, 4. D., LYNCH, K. G. & MCLELLAN, A. T. 2008. Individual characteristics of the literally homeless, marginally housed, and impoverished in a US substance abuse treatment seeking sample. Social psychiatry and psychiatric epidemiology, 43, 831-842. 5. KRUPSKI , A., GRAVES, M. C., BUMGARDNER, K., & ROY-BYRNE, P. 2015. Comparison of Homeless and Non-Homeless Problem Drug Users Recruited from Primary Care Safety-Net Clinics. Journal of Substance Abuse Treatment, 58, 84–89. 6. PUBLIC HEALTH ENGLAND. An evidence of the outcomes that can be expected of drug misuse treatment in England. Public Health England. 2017