A prospective study of substance use and housing stability in a homeless population

Carol S North, Karin M. Eyrich-Garg, David E. Pollio, Jagadisha Thirthalli

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objectives: This study examined self-report and urine test data about homeless substance use over time, prospectively comparing substance use with attainment of stable housing. Methods: 400 homeless people systematically sampled from shelters and streets in St. Louis, Missouri were assessed with structured diagnostic interviews and urine substance testing annually over 2 years. Nearly two-thirds (n = 255) completed all three assessments, constituting the sample for this prospective study. Results: More than half (55%) of this homeless sample had detectable cocaine use during the study. Most cocaine users continued using during the next 2 years and failed to achieve and maintain stable housing. Cocaine use in the first follow-up year predicted housing patterns over the next 2 years, independent of lifetime diagnosis of cocaine use disorder. Alcohol abuse/dependence in the 2-year follow-up period did not predict housing outcomes. Conclusions: The course of cocaine use and abuse/dependence, but not continuing alcohol addiction, was associated with subsequent attainment of stable housing, especially cocaine use in the first prospective year. Replication of these findings in other locations to determine generalizability may have implications for designing housing service models.

Original languageEnglish (US)
Pages (from-to)1055-1062
Number of pages8
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume45
Issue number11
DOIs
StatePublished - Nov 2010

Fingerprint

Cocaine
housing
Prospective Studies
Population
Alcoholism
abuse
alcohol
Urine
Cocaine-Related Disorders
addiction
Self Report
diagnostic
Interviews
interview

Keywords

  • Cocaine
  • Drugs
  • Homeless
  • Housing stability
  • Substance use disorders
  • Urine testing

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Epidemiology
  • Health(social science)
  • Social Psychology

Cite this

A prospective study of substance use and housing stability in a homeless population. / North, Carol S; Eyrich-Garg, Karin M.; Pollio, David E.; Thirthalli, Jagadisha.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 45, No. 11, 11.2010, p. 1055-1062.

Research output: Contribution to journalArticle

North, Carol S ; Eyrich-Garg, Karin M. ; Pollio, David E. ; Thirthalli, Jagadisha. / A prospective study of substance use and housing stability in a homeless population. In: Social Psychiatry and Psychiatric Epidemiology. 2010 ; Vol. 45, No. 11. pp. 1055-1062.
@article{be4375fb69694297884cf63a552a74a6,
title = "A prospective study of substance use and housing stability in a homeless population",
abstract = "Objectives: This study examined self-report and urine test data about homeless substance use over time, prospectively comparing substance use with attainment of stable housing. Methods: 400 homeless people systematically sampled from shelters and streets in St. Louis, Missouri were assessed with structured diagnostic interviews and urine substance testing annually over 2 years. Nearly two-thirds (n = 255) completed all three assessments, constituting the sample for this prospective study. Results: More than half (55{\%}) of this homeless sample had detectable cocaine use during the study. Most cocaine users continued using during the next 2 years and failed to achieve and maintain stable housing. Cocaine use in the first follow-up year predicted housing patterns over the next 2 years, independent of lifetime diagnosis of cocaine use disorder. Alcohol abuse/dependence in the 2-year follow-up period did not predict housing outcomes. Conclusions: The course of cocaine use and abuse/dependence, but not continuing alcohol addiction, was associated with subsequent attainment of stable housing, especially cocaine use in the first prospective year. Replication of these findings in other locations to determine generalizability may have implications for designing housing service models.",
keywords = "Cocaine, Drugs, Homeless, Housing stability, Substance use disorders, Urine testing",
author = "North, {Carol S} and Eyrich-Garg, {Karin M.} and Pollio, {David E.} and Jagadisha Thirthalli",
year = "2010",
month = "11",
doi = "10.1007/s00127-009-0144-z",
language = "English (US)",
volume = "45",
pages = "1055--1062",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
publisher = "D. Steinkopff-Verlag",
number = "11",

}

TY - JOUR

T1 - A prospective study of substance use and housing stability in a homeless population

AU - North, Carol S

AU - Eyrich-Garg, Karin M.

AU - Pollio, David E.

AU - Thirthalli, Jagadisha

PY - 2010/11

Y1 - 2010/11

N2 - Objectives: This study examined self-report and urine test data about homeless substance use over time, prospectively comparing substance use with attainment of stable housing. Methods: 400 homeless people systematically sampled from shelters and streets in St. Louis, Missouri were assessed with structured diagnostic interviews and urine substance testing annually over 2 years. Nearly two-thirds (n = 255) completed all three assessments, constituting the sample for this prospective study. Results: More than half (55%) of this homeless sample had detectable cocaine use during the study. Most cocaine users continued using during the next 2 years and failed to achieve and maintain stable housing. Cocaine use in the first follow-up year predicted housing patterns over the next 2 years, independent of lifetime diagnosis of cocaine use disorder. Alcohol abuse/dependence in the 2-year follow-up period did not predict housing outcomes. Conclusions: The course of cocaine use and abuse/dependence, but not continuing alcohol addiction, was associated with subsequent attainment of stable housing, especially cocaine use in the first prospective year. Replication of these findings in other locations to determine generalizability may have implications for designing housing service models.

AB - Objectives: This study examined self-report and urine test data about homeless substance use over time, prospectively comparing substance use with attainment of stable housing. Methods: 400 homeless people systematically sampled from shelters and streets in St. Louis, Missouri were assessed with structured diagnostic interviews and urine substance testing annually over 2 years. Nearly two-thirds (n = 255) completed all three assessments, constituting the sample for this prospective study. Results: More than half (55%) of this homeless sample had detectable cocaine use during the study. Most cocaine users continued using during the next 2 years and failed to achieve and maintain stable housing. Cocaine use in the first follow-up year predicted housing patterns over the next 2 years, independent of lifetime diagnosis of cocaine use disorder. Alcohol abuse/dependence in the 2-year follow-up period did not predict housing outcomes. Conclusions: The course of cocaine use and abuse/dependence, but not continuing alcohol addiction, was associated with subsequent attainment of stable housing, especially cocaine use in the first prospective year. Replication of these findings in other locations to determine generalizability may have implications for designing housing service models.

KW - Cocaine

KW - Drugs

KW - Homeless

KW - Housing stability

KW - Substance use disorders

KW - Urine testing

UR - http://www.scopus.com/inward/record.url?scp=78049442970&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78049442970&partnerID=8YFLogxK

U2 - 10.1007/s00127-009-0144-z

DO - 10.1007/s00127-009-0144-z

M3 - Article

C2 - 19816646

AN - SCOPUS:78049442970

VL - 45

SP - 1055

EP - 1062

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

IS - 11

ER -