Article

Administration and Policy in Mental Health and Mental Health Services Research

, Volume 31, Issue 4, pp 313-338

Outcomes from a Therapeutic Community for Homeless Addicted Mothers and Their Children

  • Stanley SacksAffiliated withCenter for the Integration of Research and Practice (CIRP), National Development & Research Institutes, Inc. (NDRI) Email author 
  • , JoAnn Y. SacksAffiliated withCenter for the Integration of Research and Practice (CIRP), National Development & Research Institutes, Inc. (NDRI)
  • , Karen McKendrickAffiliated withCenter for the Integration of Research and Practice (CIRP), National Development & Research Institutes, Inc. (NDRI)
  • , Frank S. PearsonAffiliated withCenter for the Integration of Research and Practice (CIRP), National Development & Research Institutes, Inc. (NDRI)
  • , Steve BanksAffiliated withUniversity of Massachusetts Medical School in Worchester
  • , Michael HarleAffiliated withGaudenzia, Inc

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Abstract

A women's therapeutic community (TC) designed to prevent homelessness was evaluated using a quasi-experimental process. Propensity analysis selected comparable experimental (E) and comparison (C) participants. Significant improvements were found for the E group at the domain level, both in “psychological” dysfunction on symptoms (e.g., depression), and in “health,” including ratings of health and adherence to medication regimens. No significant difference was found at the domain level for “parenting” or “housing stabilization,” but specific outcomes did differ. For example, a greater number of children resided with the E group mothers who also assumed financial responsibility for more of their children.

homelessness mental illness substance abuse therapeutic community women and children