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Evaluation of Treatments for Homeless Youth: CRA, MET, & Case Management

PI, Dr. Natasha Slesnick, OSU College of Education and Human Ecology The Ohio State University –

Homeless Youths are more likely to have high rates of mental health problems, substance use, and HIV risk. Unfortunately, there was little guidance to providers on how to best to serve these youth. In an effort to better serve homeless youth, Dr. Slesnick collaborated with STAR House and recruited 270 participants who were randomly assigned one of three interventions: the Community Reinforcement Approach (CRA), Motivational Enhancement Therapy (MET), and Case Management (CM). A total of 18 publications were created. Results showed that each intervention successfully reduced substance use, internalizing and depressive symptoms, problem consequences associated with drug and alcohol use, system contacts, social stability, homelessness and victimization even to 12 months. We also found a significant increase in condom use from baseline to 6 months. Additionally, the youths that identify as gay, lesbian, or bisexual benefited more from the interventions than their heterosexual counterparts. Additional findings and publications can be found here.

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