ArticleSubstance use & misuse2025
Reasons for Leaving Sober Living Houses and Their Associations with Substance Use, Psychiatric, and Housing Outcomes.
Article in Substance use & misuse, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundSober living houses (SLHs) offer abstinence-based housing for individuals with alcohol or drug problems. Research shows residents of SLHs make improvements on measures of substance use and other problems. Length of stay (LOS) in the house is associated with outcomes. However, little is known about the reasons residents leave houses or how reasons are associated with outcomes.
methodsBaseline interviews were conducted with individuals entering 48 SLHs in Los Angeles. Residents who left within 12 months completed a 12-month follow-up interview (
resultsThe most commonly cited reason for leaving was wanting to live on one's own or in a shared living situation with family or friends (45.7%), which was associated with increased odds of abstinence and fewer psychiatric symptoms. Leaving due to not liking something about the house (e.g., rules or living conditions) was the second most commonly cited reason for leaving (28.1%), but was not associated with any outcomes. Wanting to live on one's own and did not get along with residents or the house manager were associated with favorable housing (i.e., stable housing or a different SLH).
conclusionResidents who leave SLHs to live more independently in the community may be better prepared than residents who leave for other reasons. Some residents may benefit from seeking stable housing in the community or in another SLH if they are not a good match for their current house.
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