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Summary

In the Project H&ART – Housing with Peer Support intervention, residence managers provided housing and peer support to adults experiencing homelessness who had alcohol use disorders, to increase positive outcomes relating to substance use, residential stability, and employment. This evaluation directly compared Housing with Peer Support with a separate intervention, Housing Without Peer Support, to better understand which of the two interventions might be more effective; the distinctive feature of Housing with Peer Support was support from peers who were also recovering from a substance use disorder.

The intervention housed participants in substance- and cost-free Project H&ART residences. Residence managers who were themselves recovering from substance use disorders provided participants with support, encouraged them to set personal goals, and helped them build peer support networks. Participants were required to (1) remain alcohol and drug free (as determined by random drug tests), (2) attend weekly community meetings, and (3) inform residence managers twice weekly about any other community services received.

Eligible participants were adults experiencing homelessness who had alcohol use disorders; who had been living in or near Albuquerque, NM, for three months or more; and who did not have serious disabilities or dependent children. The interventions (housing and support services) were four months in duration.

The effectiveness of Housing with Peer Support, when compared to Housing Without Peer Support, indicates the effect of being referred to a set of services that includes those unique to Housing with Peer Support, or how much better the services of Housing with Peer Support meet participants’ needs than the services of Housing Without Peer Support. Both interventions provided participants with cost-free housing. The main difference between the interventions was the support and monitoring provided by residence managers. This evaluation also examined Referrals to Treatment for Substance Use and Transportation Assistance.

Populations and employment barriers: Homelessness, Substance use disorder

Studies of this intervention

Study quality rating Study counts per rating
Low Low 1

Implementation details

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