Improved psychological status in a modified therapeutic community for homeless MICA men

Journal of Addictive Diseases
Susan EgelkoGeorge De Leon

Abstract

An adaptation of the drug-free therapeutic community (TC) model to homeless men with comorbid mental illness and chemical addiction (MICA) was evaluated with respect to change in psychological status over the course of a six-month residential treatment. Psychological status was assessed by: the Symptom Checklist-90-R (SCL90-R), Beck Depression Inventory (BDI), Shortened Manifest Anxiety Scale (SMAS), and Tennessee Self-Concept Scale (TSCS). A total of 52 out of an original study cohort of 124 residents were followed in longitudinal analyses to treatment midpoint, with a subset of 34 assessed through treatment completion. Significant, widespread psychological improvements were found during both the first and second half of treatment; it would appear that distress reduction was ongoing throughout treatment, with intrapersonal preceding interpersonal relief. The premise of applying a socially-based treatment to this population is discussed in light of these findings.

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Citations

Oct 1, 2013·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Motohiro NakajimaMustafa Al'Absi
Jul 12, 2011·The Journal of Behavioral Health Services & Research·Meredith Huey DyeJ Aaron Johnson
Apr 14, 2004·Journal of Addictive Diseases·Helen DermatisGregory Bunt
Jun 18, 2010·Journal of Ethnopharmacology·Richard Hoffman, Mustafa Al'Absi
Feb 20, 2010·Addictive Behaviors·Brook L HenryWilliam Perry
Jun 30, 2004·Journal of Substance Abuse Treatment·Sara L SimonWalter Ling
Apr 13, 2012·Health and Quality of Life Outcomes·Gholamhosein GhaediMohammad Mehdi Naghizadeh
Jun 21, 2017·The Journal of Pharmacology and Experimental Therapeutics·Anna Moszczynska, Sean Patrick Callan
Jul 25, 2021·International Journal of Environmental Research and Public Health·Francisco González-Saiz, Esperanza Vergara-Moragues

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