Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study

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 sp...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Molander, Olof [verfasserIn] Bjureberg, Johan Sahlin, Hanna Beijer, Ulla Hellner, Clara Ljótsson, Brjánn

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Integrated cognitive behavioral treatment Alcohol use disorder Substance use disorder Depressive symptoms Homeless Treatment first Feasibility study

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: Pilot and feasibility studies - London : BioMed Central, 2015, 9(2023), 1 vom: 05. Mai
Übergeordnetes Werk:	volume:9 ; year:2023 ; number:1 ; day:05 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s40814-023-01305-2

Katalog-ID:	SPR050321641

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520			\|a 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).
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allfields	10.1186/s40814-023-01305-2 doi (DE-627)SPR050321641 (SPR)s40814-023-01305-2-e DE-627 ger DE-627 rakwb eng Molander, Olof verfasserin (orcid)0000-0001-5348-051X aut Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 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). Integrated cognitive behavioral treatment (dpeaa)DE-He213 Alcohol use disorder (dpeaa)DE-He213 Substance use disorder (dpeaa)DE-He213 Depressive symptoms (dpeaa)DE-He213 Homeless (dpeaa)DE-He213 Treatment first (dpeaa)DE-He213 Feasibility study (dpeaa)DE-He213 Bjureberg, Johan aut Sahlin, Hanna aut Beijer, Ulla aut Hellner, Clara aut Ljótsson, Brjánn aut Enthalten in Pilot and feasibility studies London : BioMed Central, 2015 9(2023), 1 vom: 05. Mai (DE-627)818042532 (DE-600)2809935-7 2055-5784 nnns volume:9 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s40814-023-01305-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2023 1 05 05
spelling	10.1186/s40814-023-01305-2 doi (DE-627)SPR050321641 (SPR)s40814-023-01305-2-e DE-627 ger DE-627 rakwb eng Molander, Olof verfasserin (orcid)0000-0001-5348-051X aut Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 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). Integrated cognitive behavioral treatment (dpeaa)DE-He213 Alcohol use disorder (dpeaa)DE-He213 Substance use disorder (dpeaa)DE-He213 Depressive symptoms (dpeaa)DE-He213 Homeless (dpeaa)DE-He213 Treatment first (dpeaa)DE-He213 Feasibility study (dpeaa)DE-He213 Bjureberg, Johan aut Sahlin, Hanna aut Beijer, Ulla aut Hellner, Clara aut Ljótsson, Brjánn aut Enthalten in Pilot and feasibility studies London : BioMed Central, 2015 9(2023), 1 vom: 05. Mai (DE-627)818042532 (DE-600)2809935-7 2055-5784 nnns volume:9 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s40814-023-01305-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2023 1 05 05
allfields_unstemmed	10.1186/s40814-023-01305-2 doi (DE-627)SPR050321641 (SPR)s40814-023-01305-2-e DE-627 ger DE-627 rakwb eng Molander, Olof verfasserin (orcid)0000-0001-5348-051X aut Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 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). Integrated cognitive behavioral treatment (dpeaa)DE-He213 Alcohol use disorder (dpeaa)DE-He213 Substance use disorder (dpeaa)DE-He213 Depressive symptoms (dpeaa)DE-He213 Homeless (dpeaa)DE-He213 Treatment first (dpeaa)DE-He213 Feasibility study (dpeaa)DE-He213 Bjureberg, Johan aut Sahlin, Hanna aut Beijer, Ulla aut Hellner, Clara aut Ljótsson, Brjánn aut Enthalten in Pilot and feasibility studies London : BioMed Central, 2015 9(2023), 1 vom: 05. Mai (DE-627)818042532 (DE-600)2809935-7 2055-5784 nnns volume:9 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s40814-023-01305-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2023 1 05 05
allfieldsGer	10.1186/s40814-023-01305-2 doi (DE-627)SPR050321641 (SPR)s40814-023-01305-2-e DE-627 ger DE-627 rakwb eng Molander, Olof verfasserin (orcid)0000-0001-5348-051X aut Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 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). Integrated cognitive behavioral treatment (dpeaa)DE-He213 Alcohol use disorder (dpeaa)DE-He213 Substance use disorder (dpeaa)DE-He213 Depressive symptoms (dpeaa)DE-He213 Homeless (dpeaa)DE-He213 Treatment first (dpeaa)DE-He213 Feasibility study (dpeaa)DE-He213 Bjureberg, Johan aut Sahlin, Hanna aut Beijer, Ulla aut Hellner, Clara aut Ljótsson, Brjánn aut Enthalten in Pilot and feasibility studies London : BioMed Central, 2015 9(2023), 1 vom: 05. Mai (DE-627)818042532 (DE-600)2809935-7 2055-5784 nnns volume:9 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s40814-023-01305-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2023 1 05 05
allfieldsSound	10.1186/s40814-023-01305-2 doi (DE-627)SPR050321641 (SPR)s40814-023-01305-2-e DE-627 ger DE-627 rakwb eng Molander, Olof verfasserin (orcid)0000-0001-5348-051X aut Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 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). Integrated cognitive behavioral treatment (dpeaa)DE-He213 Alcohol use disorder (dpeaa)DE-He213 Substance use disorder (dpeaa)DE-He213 Depressive symptoms (dpeaa)DE-He213 Homeless (dpeaa)DE-He213 Treatment first (dpeaa)DE-He213 Feasibility study (dpeaa)DE-He213 Bjureberg, Johan aut Sahlin, Hanna aut Beijer, Ulla aut Hellner, Clara aut Ljótsson, Brjánn aut Enthalten in Pilot and feasibility studies London : BioMed Central, 2015 9(2023), 1 vom: 05. Mai (DE-627)818042532 (DE-600)2809935-7 2055-5784 nnns volume:9 year:2023 number:1 day:05 month:05 https://dx.doi.org/10.1186/s40814-023-01305-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2023 1 05 05
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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. 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author	Molander, Olof
spellingShingle	Molander, Olof misc Integrated cognitive behavioral treatment misc Alcohol use disorder misc Substance use disorder misc Depressive symptoms misc Homeless misc Treatment first misc Feasibility study Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study
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topic_title	Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study Integrated cognitive behavioral treatment (dpeaa)DE-He213 Alcohol use disorder (dpeaa)DE-He213 Substance use disorder (dpeaa)DE-He213 Depressive symptoms (dpeaa)DE-He213 Homeless (dpeaa)DE-He213 Treatment first (dpeaa)DE-He213 Feasibility study (dpeaa)DE-He213
topic	misc Integrated cognitive behavioral treatment misc Alcohol use disorder misc Substance use disorder misc Depressive symptoms misc Homeless misc Treatment first misc Feasibility study
topic_unstemmed	misc Integrated cognitive behavioral treatment misc Alcohol use disorder misc Substance use disorder misc Depressive symptoms misc Homeless misc Treatment first misc Feasibility study
topic_browse	misc Integrated cognitive behavioral treatment misc Alcohol use disorder misc Substance use disorder misc Depressive symptoms misc Homeless misc Treatment first misc Feasibility study
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title	Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study
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title_full	Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study
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author_browse	Molander, Olof Bjureberg, Johan Sahlin, Hanna Beijer, Ulla Hellner, Clara Ljótsson, Brjánn
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title_sort	integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study
title_auth	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 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). © The Author(s) 2023
abstractGer	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). © The Author(s) 2023
abstract_unstemmed	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). © The Author(s) 2023
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title_short	Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study
url	https://dx.doi.org/10.1186/s40814-023-01305-2
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author2	Bjureberg, Johan Sahlin, Hanna Beijer, Ulla Hellner, Clara Ljótsson, Brjánn
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up_date	2024-07-03T14:48:02.379Z
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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. 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Integrated cognitive behavioral treatment for substance use and depressive symptoms: a homeless case series and feasibility study

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