Intervention for homeless, substance abusing mothers: Findings from a non-randomized pilot

摘要

Little empirically-based information is available regarding how best to intervene with substance-abusing homeless mothers. This study pilot-tested a comprehensive intervention with 15 homeless women and their 2- to 6-year-old children, recruited from a local family shelter. All participants were offered integrated intervention with three major components. The first component was housing which included 3 months of rental and utility assistance, and these services were not contingent upon women's abstinence from drugs or alcohol. The second and third components included 6 months of case management services and an evidence-based substance abuse treatment (Community Reinforcement Approach; CRA). Analysis revealed that women showed reductions in substance use (F 2,22 = 3.63; p .05), homelessness (F 2,24 = 25.31; p .001), and mental health problems (F 2,20 = 8.5; p .01). Further, women reported reduced internalizing (F 2,22 = 4.08; p .05) and externalizing problems (F 2,24 = 7.7; p =.01) among their children. The findings suggest that the intervention is a promising approach to meet the multiple needs of this vulnerable population. These positive outcomes support the need for future research to replicate the findings with a larger sample using a randomized design.