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

• DOI: 10.1186/s12954-021-00560-x
• Publication Date: 2021-11-08T17:19:45Z
• Authors: Kelly J. Kelleher; Ruri Famelia; Tansel Yilmazer; Allen Mallory; Jodi Ford; Laura J. Chavez; Natasha Slesnick
• Keywords: Housing First; Motivational Interviewing; Supportive housing; Sobriety; Health psychology

Abstract Young adults experiencing homelessness are at high risk of opioid and other substance use, poor mental health outcomes, exposure to trauma, risks. Providing access stable housing has the potential act as a powerful preventive intervention, but supportive programs have been studied most often among chronically homeless or with serious illness. The Housing First model, which does not precondition on sobriety, may reduce drug use in adults. In present study, we piloted an adapted model plus prevention services that was tailored needs young (18–24 years) USA. Preventive were added included youth-centered advocacy services, motivational interviewing, HIV services. This single-arm study ( n = 21) assess feasibility, acceptability, initial efficacy over 6-month period preparation for larger randomized trial. We repeated measures ANOVA test changes alcohol (percent days use; consequences), stability, social network support, cognitive distortions 6 months follow-up. A total 17 youth completed (85% retention), proportion stably housed Participation intervention average 13.57 sessions advocacy, 1.33 MI, 0.76 prevention. Alcohol did change significantly time. However, consequences, distortions, size youths’ networks using individuals decreased significantly. appeared be feasible deliver, engaged demonstrates delivered improve opening way trials intervention.