Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study
Abstract Background Homelessness is associated with high prevalence of psychiatric disorders such as substance use disorders, including alcohol use disorder, and depression. Methods This case series and feasibility trial evaluated a novel integrated cognitive behavioral treatment (ICBT), which was a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01305-2 |
| _version_ | 1797832240875438080 |
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| author | Olof Molander Johan Bjureberg Hanna Sahlin Ulla Beijer Clara Hellner Brjánn Ljótsson |
| author_facet | Olof Molander Johan Bjureberg Hanna Sahlin Ulla Beijer Clara Hellner Brjánn Ljótsson |
| author_sort | Olof Molander |
| collection | DOAJ |
| description | Abstract Background Homelessness is associated with high prevalence of psychiatric disorders such as substance use disorders, including alcohol use disorder, and depression. Methods This case series and feasibility trial evaluated a novel integrated cognitive behavioral treatment (ICBT), which was adapted specifically for homeless individuals and developed to treat substance use and depressive symptoms simultaneously. The ICBT was delivered among four homeless individuals enrolled in the Treatment First program (a social services program where treatment is offered in conjunction with temporary transitional housing), who had access to stable and sober housing milieus. Results The ICBT was rated high in expectancy of improvement, credibility, and satisfaction, with few treatment-related adverse events, and fairly high treatment retention. At 12 months follow-up, three of four participants were not homeless anymore. Some participants experienced short-term reductions in substance use and/or depressive symptoms. Conclusions The study provided preliminary support that the ICBT can be a feasible and potentially effective treatment for homeless individuals with substance use and/or depressive symptoms. However, the delivery format within the Treatment First program was not feasible. The ICBT could be offered within the social services Housing First program instead (where permanent housing is offered before treatment), or to non-homeless individuals. Trial registration The study was registered retrospectively at ClinicalTrials.gov (NCT05329181). |
| first_indexed | 2024-04-09T14:04:39Z |
| format | Article |
| id | doaj.art-ab4c206f4b4944f1bdfa16d82d7e4139 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-09T14:04:39Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-ab4c206f4b4944f1bdfa16d82d7e41392023-05-07T11:05:50ZengBMCPilot and Feasibility Studies2055-57842023-05-019111210.1186/s40814-023-01305-2Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility studyOlof Molander0Johan Bjureberg1Hanna Sahlin2Ulla Beijer3Clara Hellner4Brjánn Ljótsson5PelarbackenErsta Diakoni, Social Welfare Office for the Homeless, City of StockholmCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care ServicesCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care ServicesCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care ServicesCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care ServicesDepartment of Clinical Neuroscience, Division of Psychology, Karolinska InstitutetAbstract Background Homelessness is associated with high prevalence of psychiatric disorders such as substance use disorders, including alcohol use disorder, and depression. Methods This case series and feasibility trial evaluated a novel integrated cognitive behavioral treatment (ICBT), which was adapted specifically for homeless individuals and developed to treat substance use and depressive symptoms simultaneously. The ICBT was delivered among four homeless individuals enrolled in the Treatment First program (a social services program where treatment is offered in conjunction with temporary transitional housing), who had access to stable and sober housing milieus. Results The ICBT was rated high in expectancy of improvement, credibility, and satisfaction, with few treatment-related adverse events, and fairly high treatment retention. At 12 months follow-up, three of four participants were not homeless anymore. Some participants experienced short-term reductions in substance use and/or depressive symptoms. Conclusions The study provided preliminary support that the ICBT can be a feasible and potentially effective treatment for homeless individuals with substance use and/or depressive symptoms. However, the delivery format within the Treatment First program was not feasible. The ICBT could be offered within the social services Housing First program instead (where permanent housing is offered before treatment), or to non-homeless individuals. Trial registration The study was registered retrospectively at ClinicalTrials.gov (NCT05329181).https://doi.org/10.1186/s40814-023-01305-2Integrated cognitive behavioral treatmentAlcohol use disorderSubstance use disorderDepressive symptomsHomelessTreatment first |
| spellingShingle | Olof Molander Johan Bjureberg Hanna Sahlin Ulla Beijer Clara Hellner Brjánn Ljótsson Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study Pilot and Feasibility Studies Integrated cognitive behavioral treatment Alcohol use disorder Substance use disorder Depressive symptoms Homeless Treatment first |
| title | Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study |
| title_full | Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study |
| title_fullStr | Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study |
| title_full_unstemmed | Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study |
| title_short | Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study |
| title_sort | integrated cognitive behavioral treatment for substance use and depressive symptoms a homeless case series and feasibility study |
| topic | Integrated cognitive behavioral treatment Alcohol use disorder Substance use disorder Depressive symptoms Homeless Treatment first |
| url | https://doi.org/10.1186/s40814-023-01305-2 |
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