Motivation to change is more important factor than treatment attendance in alcohol use decreases among DESC clients

A study in the journal Addictive Behaviors examined the underlying factors associated with reductions in drinking and alcohol-related problems among DESC clients. Motivation to change was consistently associated with improved alcohol outcomes, whereas treatment attendance was not. One implication is for more focus on enhancing client motivation to change rather than simply insisting on treatment attendance. See:

Motivation to change and treatment attendance as predictors of alcohol-use outcomes among project-based Housing First residents – Addictive Behaviors (Volume 37 | Issue 8 August 2012)

Homeless people with alcohol problems reduce drinking in housing allowing alcohol

Research published in the American Journal of Public Health documents decreases in alcohol use and alcohol-related problems among residents of DESC’s 1811 Eastlake program. The results provide a strong rebuttal to the “enabling” hypothesis, which held that providing alcohol-dependent people with housing where they were not prohibited from drinking would cause them to drink even more and experience more dire consequences as a result. See:

Project-Based Housing First for Chronically Homeless Individuals With Alcohol Problems: Within-Subjects Analyses of 2-Year Alcohol Trajectories – American Journal of Public Health. (Volume 102 | Issue 3, March 2012)

Self-report of public service utilization by chronically homeless people is accurate in the short term.

University of Washington researchers collaborating with DESC compared the correspondence between self-report and archival records on public service utilization over short (30 days) and longer (3 years) periods by chronically homeless people. Recall of events over the short term corresponded closely with archival records. See:

Agreement between self-report and archival public service utilization data among chronically homeless individuals with severe alcohol problems – Journal of Community Psychology (Volume 39, Issue 6, pages 631-644, August 2011)

JAMA research shows DESC housing saves taxpayers millions.

In the first outcomes paper from DESC’s 1811 Eastlake Housing First program for chronically homeless people with severe alcohol problems, University of Washington researchers show that providing housing and on-site services without requirements of abstinence or treatment is significantly more cost-effective than allowing them to remain homeless. See the following two publications:

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems – The Journal of the American Medical Association (Vol. 301 | No. 13, April 1, 2009)

1811 Eastlake: 2009 Evaluation highlights (one page, April 2009)