OUTCOME OF A CONTROLLED TRIAL OF THE EFFECTIVENESS OF INTENSIVE CASE-MANAGEMENT FOR CHRONIC PUBLIC INEBRIATES

Objective: The objective of this study was to test whether an intensiv e case management intervention would he effective with a group of home less chronic public inebriate clients. The primary goals of the case m anagement were to improve the financial and residential stability of t he clients and to reduce their use of alcohol. Method: Subjects (N = 2 98, 81% male) were interviewed at baseline, randomly assigned to treat ment and control conditions and given follow-up interviews at 6-month intervals for 2 years. Case management services were provided for the duration of the project. Follow-up rates for the first three interview s averaged 82%. Results: Repeated measures MANCOVAs showed significant group differences favoring the case-managed group in all three areas targeted by the intervention: total income from public sources, nights spent in ''own place'' out of the previous 60 nights and days drinkin g out of the previous 30 days. The results held whether the three vari ables were analyzed jointly or separately and for alternative measures of drinking and homelessness. Although statistically significant, the group differences are generally not large. Conclusions: The results i ndicate that case management had a beneficial effect on the clients re ceiving it. This effect may have been the result of an increase in ser vices received by the case-managed clients.