Abstract：
:This article reports the results of a low-intensity wraparound intervention, Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking (MISSION), to augment Treatment as Usual (TAU) and engage and retain homeless veterans with a co-occurring disorder (COD) in care. Using a quasi-experimental design, 333 homeless veterans were enrolled, 218 who received MISSION along with TAU and 115 who received TAU alone. Group assignment was based on MISSION treatment slot availability at time of enrollment. Compared with TAU alone, individuals receiving MISSION demonstrated greater outpatient session attendance within the 30 days before the 12-month follow up assessment and a larger decline from baseline in the number of psychiatric hospitalization nights. Individuals in the MISSION and TAU-only groups both showed statistically significant improvements in substance use and related problems at 12 months, with those in MISSION less likely to drink to intoxication and experience serious tension or anxiety. Although this study confirmed that compared with TAU alone, MISSION along with TAU is effective in augmenting usual care and engaging and retaining homeless veterans in treatment, some caution is warranted as this study did not involve random assignment. These results, however, are similar to a recent study involving a briefer version of the intervention which included random assignment. Based on these findings, MISSION is being further studied in the joint Department of Housing and Urban Development (HUD) - Department of Veterans Affairs (VA) Supportive Housing (HUD-VASH) program, which offers rapid housing placement and case management to aid in housing maintenance.
journal_name
Psychol Servjournal_title
Psychological servicesauthors
Smelson DA,Kline A,Kuhn J,Rodrigues S,O'Connor K,Fisher W,Sawh L,Kane Vdoi
10.1037/a0030948subject
Has Abstractpub_date
2013-05-01 00:00:00pages
161-7issue
2eissn
1541-1559issn
1939-148Xpii
2012-33937-001journal_volume
10pub_type
杂志文章abstract：:Severe mental illness (SMI) and substance use disorders (SUD) are among the more chronic and costly mental health conditions treated in the Department of Veterans Affairs (VA). Service use patterns of returning veterans with SMI and SUD have received little attention. We examined gender differences in the utilization ...
journal_title：Psychological services
pub_type： 杂志文章
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更新日期：2018-02-01 00:00:00
abstract：:Violence toward others has been identified as a serious postdeployment adjustment problem in a subset of Iraq- and Afghanistan-era veterans. In the current study, we examined the intricate links between posttraumatic stress disorder (PTSD), commonly cited psychosocial risk and protective factors, and violent behavior ...
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更新日期：2018-05-01 00:00:00
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journal_title：Psychological services
pub_type：
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更新日期：2021-01-07 00:00:00
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更新日期：2015-08-01 00:00:00
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更新日期：2017-11-01 00:00:00
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更新日期：2013-05-01 00:00:00
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更新日期：2019-02-11 00:00:00
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更新日期：2019-11-01 00:00:00
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更新日期：2019-10-10 00:00:00
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pub_type： 面试
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更新日期：2020-02-01 00:00:00
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更新日期：2020-02-01 00:00:00
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更新日期：2017-08-01 00:00:00
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更新日期：2020-11-01 00:00:00
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更新日期：2013-11-01 00:00:00
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更新日期：2018-02-01 00:00:00
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更新日期：2019-08-01 00:00:00
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更新日期：2018-08-01 00:00:00
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更新日期：2017-05-01 00:00:00
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