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At least 19 recordsLinked to original sources
PubMed1976

Halfway houses for alcoholics: a review, analysis and comparisons with other halfway house facilities.

Eight halfway houses for alcoholics were surveyed and compared to other halfway houses for alcoholics, and halfway houses for the non-alcoholic mentally ill, as described in previous studies. The halfway houses for alcoholics surveyed in the present report may be separated into two principal groups: (a) a self-supporting profit-oriented type with an autonomous owner-operator, and (b) a board-controlled and supported type usually receiving group or institutional support. Regardless of group membership, however, none of the halfway houses for alcoholics in the present study matched the high standards set by halfway houses for the non-alcoholic mentally ill as described in other reports. Recent events indicate that halfway houses will be responsible for an increasing portion of persons requiring a structured, supportive or sheltered environment. This paper examines the ability of halfway houses for alcoholics to provide adequate residential care services. Additionally, disparities between alcoholism and non-alcoholism halfway houses regarding staffing, professionalised orientation, and adjunct services are scrutinised. The effectiveness of halfway houses is analysed, and suggestions for future utilisation of alcoholic halfway houses are advanced.

Alcoholism↗
PubMed1978

Halfway house and family involvement as related to community adjustment for ex-residents of a psychiatric halfway house.

What variables are highly correlated with successful community adjustment? A group of ex-patients who left a halfway house to return to the community were interviewed around their active involvement and perceived support from the staff members of the halfway house, while living on their own or with their families. There was a highly positive relationship between continuing contact with the halfway house and the level of adjustment in the community. The implications for understanding the nature, continuity, and purpose of social supports for this group are discussed.

Aftercare↗
PubMed1977

A halfway house in a mental health center.

The functioning of Overing House, a halfway house established in organizational context produced a number of changes: The tenants became more representative of Overing's neighboring community; the availability of a network of services under one administrative structure improved the continuity of comprehensive care; a more productive relationship was established between house parents and therapists. Significant different in outcome between the two groups (precenter and center) was suggested by data related to course of employment, independent living, and reduction in long-term hospitalization.

Community Mental Health Services↗
PubMed1976

Halfway house residents: where do they go?

Three community-based nonmedical halfway houses for recently released mentally ill patients were surveyed to determine where the halfway house residents relocated following termination. Of 60 successful ex-residents, 36 were seen to relocate within 1 mile (street mileage) of the halfway house. This appeared to be significantly different from the number who may have lived within 1 mile of the halfway house before residence in the halfway house. The halfway house staff reported that the main determinant of the terminees remaining in the vicinity was the continuance of formal and informal supportive relationships that had been established during the period of residence. This finding was briefly discussed as to possible implications for planning and treatment related to halfway house programs.

Adult↗
PubMed1979

Halfway to where? A critique of research on psychiatric halfway houses.

Following a critical review of halfway house outcomes studies, the authors concluded that the effectiveness of halfway houses in facilitating the independent functioning of psychiatric clients in the community is open to question. It appears that because major deficiencies in the areas of autonomous atmospheres, employment training and community adjustment are often concealed by limitations in statistical indices of success. Further research is necessary before more definitive conclusions can be drawn related to the effectiveness of psychiatric halfway houses. Specific, suggested requirements for future research efforts are presented.

Halfway Houses↗
PubMed1988

[Halfway house facilities as a means of therapy].

On the basis of three halfway houses which have been studied using ethnographic methods, this study seeks to describe both general and specific structures existing in these halfway houses. The proposed typology situates the halfway houses in a spectrum between "therapy" and "daily life" and interprets their therapeutic effect as resulting from the successful use of therapy and effective patterns of living within their confines. A central role is allotted to "daily life" as the environment in which the incorporation of therapeutic measures into patterns of living, which have been routinised and anchored into a certain milieu, takes place. The chances and risks in the therapeutic process which are characteristic for the different types of halfway house are clearly demonstrated. The observation of therapeutic procedures in the halfway houses in relation to the biography and family background of the patients results in a critical analysis of the basic tenets of the so-called milieu therapy with the consequence that the question which halfway house for which patient must be reformulated on a wider basis than has been the case up to the present.

Halfway Houses↗
PubMedDate not supplied

Alcoholic patients' decisions about halfway houses. What they say, what they do.

Because of the important role of halfway houses in the recovery of many alcoholic patients, patients' attitudes toward accepting placement in a halfway house were studied in a state hospital's alcohol rehabilitation program. Verbal intentions to accept or not to accept placement were measured at the beginning and again toward the end of the program sequence. Both assessments showed a strong correlation with the patients' actual behaviors. The relationships between intentions and ultimate choices were moderated both by the amount of time between observations and, independently of the passage of time, by the subjects' experience with or knowledge about halfway houses. Changes over the course of the program were mostly positive (favorable toward going and actually doing so). These shifts mainly involved the people who had been initially undecided about placement in a halfway house. Amount of time spent in the rehabilitation program was unrelated to patients' initial intentions toward going and had little bearing on their final decisions.

Alcoholism↗
PubMed1988

[Therapy and daily life in a halfway house--excerpts from an ethnography].

This article presents the results of a study of a halfway house for mentally ill persons which was carried out in accordance with the ethnographic method. In it the interplay of "therapy" and "daily life" as the central functional principle is described. Under certain conditions the different principles of action pertaining to both spheres can lead to a distortion of the relationship and communication structure. According to the function sphere on which the patient in the halfway house mainly relies, very different methods of integration are possible in the same halfway house, each of them with its own consequences for the rehabilitation of the patient. The success of the rehabilitation also seems to depend in no small measure on the degree to which staff and patients succeed in coping with the individual function spheres not only within the halfway house but also in the processes bridging the halfway house with the outside world. This appears to be a more decisive factor than the question which therapy is applied in the individual case. The study examines the cases of two halfway house patients and demonstrates how the different types of integration were achieved and also their consequences.

Activities of Daily Living↗
PubMed1975

The psychiatric halfway house: how is it measuring up?

To obtain data on the effectiveness of the psychiatric halfway house and to update information about such facilities, 26 recent statistical reports were examined. Only two studies include control group comparisons. In addition to descriptive information, data are reported in terms of employment or school attendance and independent living as contrasted with rehospitalization. Results indicate that a median of approximately 80 per cent of halfway house residents adjusts to community living. Despite differences among halfway houses in resident selection, length of stay, rehabilitative criteria, and nature of follow-up, data suggest that rehospitalization rates are lower after residence in a halfway house. Some cautions are drawn regarding evaluative studies and potential attenuation of halfway house facilities to low-quality custodial care.

Adult↗
PubMed1981

Program characteristics and residents' length of stay in alcoholism halfway houses.

Data from 23 alcoholism halfway houses are analyzed to assess the relationship of organizational and programmatic variables to clients' average length of stay. Results indicate that programs which have more resources, a more complex administrative structure, better staffing, and stronger community ties report a shorter average length of stay than do those which lack these characteristics. The discussion focuses on differences in interpretation of a longer stay by an individual alcoholic versus a longer average stay by clients of a residential facility. Conclusions are that longitudinal research of a comparative nature is needed to identify the consequences of a longer versus shorter average stay for both long- and short-term residents of a given of facility.

Alcoholism↗
PubMed1990

Cost-effectiveness of providing insurance benefits for posthospital psychiatric halfway house stays.

A model insurance benefit package of post hospitalization psychiatric halfway house care was developed and administered to 32 hospitalized mentally ill persons. The therapeutic and cost effectiveness of providing a 120-day benefit package was examined over a 14-month post-hospitalization period. This was compared with the effectiveness of hospitalization benefits alone for the same patients over the 42 months prior to halfway house admission. In terms of therapeutic efficacy, there was no significant deterioration after hospitalization release in either the symptom or behavioral coping scales, except for an increase in somatization. Yearly hospital recidivism rates fell from 79% to 29%, and the average yearly length of hospital stay per patient fell from 83 days to 18 days. In terms of cost-effectiveness, halfway house benefits saved the insurers 59% of their hospitalization costs. The implications of these findings are discussed.

Adult↗
PubMed1975

Halfway houses for the mentally ill and alcoholics: a 1973 survey.

A survey of halfway houses made in October 1973 identified 209 facilities primarily for psychiatric patients and 597 for alcoholics. The facilities for alcoholics average fewer employees than the psychiatric halfway houses, and proportionately more of them are recovered patients. The alcoholism facilities serve older clients, most of them males. Patients admitted to psychiatric halfway houses are more likely to enter from a hospital than from the community, and they have longer stays than the alcoholic patients. The largest percentage of both groups return to independent living; 15 per cent of the psychiatric patients are readmitted to hospitals.

Adolescent↗