The life-enhancing alcohol-management program: results from a 6-month nonrandomized controlled pilot study assessing a community based participatory research program in housing first
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A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality‐of‐life (QoL) outcomes. The LEAP entails resident‐driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol‐related harm and improving QoL. Data analyses were conducted to test between‐ and within‐subjects effects of the LEAP on self‐reported alcohol and QoL outcomes among HF residents. At the 6‐month follow up, between groups analysis revealed nonsignificant findings for alcohol quantity or alcohol‐related harm (ps > 0.06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants ( p < .001), and within‐subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol‐related harm (ps < 0.01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol‐related harm. Planning is underway for a future, large‐scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.
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A nonrandomized pilot study examined a second adjunct intervention known as the Life-Enhancing Alcohol-management Program.
“A nonrandomized pilot study examined a second adjunct intervention known as the Life-Enhancing Alcohol-management Program (Clifasefi et al., 2020).”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Clifasefi et al., 2020
In people with a history of chronic homelessness and Alcohol Use Disorder, no differences in alcohol-related harm were found between the HF with and without adjunct LEAP intervention groups.
“no differences in alcohol-related harm were found between the two groups”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Clifasefi et al. (2020)
Two studies in this review highlighted the feasibility of implementing adjunct interventions to facilitate behavioural change related to alcohol harms.
“Two studies in our review (Clifasefi et al., 2020; Kennedy et al., 2018) highlighted the feasibility of implementing adjunct interventions to facilitate behavioural change related to alcohol harms.”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Clifasefi et al., 2020
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Cites
Austin, P. C. (2011) · Multivariate Behavioral Research · doi:10.1080/00273171.2011.568786 · Cited by 12,242 · see citing works
Longitudinal Data Analysis for Discrete and Continuous Outcomes
Zeger, S. L., & Liang, K. (1986) · Biometrics · doi:10.2307/2531248 · Cited by 7,730 · see citing works
The Fifth Edition of the Addiction Severity Index.
Mclellan, A., Kushner, H., Metzger, D., Peters, R., Smith, I. E., Grissom, G. R., Pettinati, H., & Argeriou, M. (1992) · Journal of Substance Abuse Treatment · doi:10.1016/0740-5472(92)90062-s · Cited by 4,279 · see citing works
Dialysis Dose and Intradialytic Hypotension: Results from the HEMO Study
Causland, F. R. M., Brunelli, S. M., & Waikar, S. S. (2013) · American Journal of Nephrology · doi:10.1159/000355958 · Cited by 2,705 · see citing works
(2009) · Cited by 1,811 · see citing works
Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis
Tsemberis, S., Gulcur, L., & Nakae, M. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.4.651 · Cited by 1,359 · see citing works
JAGOSH, J., MACAULAY, A. C., PLUYE, P., SALSBERG, J., BUSH, P. L., HENDERSON, J., SIRETT, E., WONG, G., CARGO, M., HERBERT, C. P., et al. (2012) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2012.00665.x · Cited by 1,268 · see citing works
Fazel, S., Khosla, V., Doll, H., & Geddes, J. (2008) · PLoS Medicine · doi:10.1371/journal.pmed.0050225 · Cited by 1,033 · see citing works
A stage model of behavioral therapies research: getting started and moving on from stage I.
Rounsaville, B. J., Carroll, K. M., & Onken, L. S. (2001) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.8.2.133 · Cited by 846 · see citing works
The quality of life scale (QOLS): reliability, validity, and utilization
Burckhardt (2003) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-1-60 · Cited by 789 · see citing works
Collins, S. E., Clifasefi, S. L., Stanton, J., The LEAP Advisory Board, Straits, K. J. E., Gil-Kashiwabara, E., Rodriguez Espinosa, P., Nicasio, A. V., Andrasik, M. P., Hawes, S. M., et al. (2018) · American Psychologist · doi:10.1037/amp0000167 · Cited by 787 · see citing works
Self-citationLarimer, M. E. (2009) · JAMA · doi:10.1001/jama.2009.414 · Cited by 615 · see citing works
A New Brief Instrument for Assessing Decisional Capacity for Clinical Research
Jeste, D. V., Palmer, B. W., Appelbaum, P. S., Golshan, S., Glorioso, D., Dunn, L. B., Kim, K., Meeks, T. W., & KRAEMER, H. C. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.8.966 · Cited by 589 · see citing works
O’Mara-Eves, A., Brunton, G., Oliver, S. R., Kavanagh, J., Jamal, F., & Thomas, J. (2015) · BMC Public Health · doi:10.1186/s12889-015-1352-y · Cited by 584 · see citing works
Tsemberis, S., & Eisenberg, R. F. (2000) · Psychiatric Services · doi:10.1176/appi.ps.51.4.487 · Cited by 580 · see citing works
Kushel, M. B., Perry, S., Bangsberg, D., Clark, R., & Moss, A. R. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.5.778 · Cited by 485 · see citing works
The Drinker Inventory of Consequences (DrInC)
Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995) · PsycEXTRA Dataset · doi:10.1037/e563232012-001 · Cited by 402 · see citing works
Mortality among residents of shelters, rooming houses, and hotels in Canada: 11 year follow-up study
Hwang, S. W., Wilkins, R., Tjepkema, M., O'Campo, P. J., & Dunn, J. R. (2009) · BMJ · doi:10.1136/bmj.b4036 · Cited by 388 · see citing works
Padgett, D. K., Stanhope, V., Henwood, B. F., & Stefancic, A. (2011) · Community Mental Health Journal · doi:10.1007/s10597-009-9283-7 · Cited by 335 · see citing works
Baggett, T. P., Chang, Y., Singer, D. E., Porneala, B., Gaeta, J. M., O’Connell, J. J., & Rigotti, N. A. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.302248 · Cited by 192 · see citing works
Eakman, A. M., Carlson, M. E., & Clark, F. A. (2010) · The International Journal of Aging and Human Development · doi:10.2190/ag.70.4.b · Cited by 182 · see citing works
The Community Reinforcement Approach
Meyers, R. J., Smith, J. E., & Lash, D. N. (2002) · Springer eBooks · doi:10.1007/0-306-47939-7_14 · Cited by 180 · see citing works
Generalized Estimating Equations
(2004) · The SAGE Encyclopedia of Social Science Research Methods · doi:10.4135/9781412950589.n369 · Cited by 171 · see citing works
Collins, S. E., Malone, D. K., Clifasefi, S. L., Ginzler, J. A., Garner, M. D., Burlingham, B., Lonczak, H. S., Dana, E. A., Kirouac, M., Tanzer, K., et al. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300403 · Cited by 164 · see citing works
Self-citationKirst, M. J., Zerger, S., Misir, V., Hwang, S. W., & Stergiopoulos, V. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.10.019 · Cited by 138 · see citing works
The community reinforcement approach with homeless alcohol-dependent individuals.
Smith, J. E., Meyers, R. J., & Delaney, H. D. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.3.541 · Cited by 120 · see citing works
Collins, S. E., Malone, D. K., & Clifasefi, S. L. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301312 · Cited by 114 · see citing works
Self-citationStergiopoulos, V., Gozdzik, A., Misir, V., Skosireva, A., Connelly, J., Sarang, A., Whisler, A., Hwang, S. W., O'Campo, P., & McKenzie, K. (2015) · PLoS ONE · doi:10.1371/journal.pone.0130281 · Cited by 103 · see citing works
The community reinforcement approach with homeless alcohol-dependent individuals.
Smith, J. E., Meyers, R. J., & Delaney, H. D. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.3.541 · Cited by 103 · see citing works
Poulin, S. R., Maguire, M., Metraux, S., & Culhane, D. P. (2010) · Psychiatric Services · doi:10.1176/ps.2010.61.11.1093 · Cited by 93 · see citing works
Khodyakov, D., Stockdale, S., Jones, F., Ohito, E., Jones, A., Lizaola, E., & Mango, J. (2011) · Society and Mental Health · doi:10.1177/2156869311431613 · Cited by 89 · see citing works
The Community Reinforcement Approach to the Treatment of Substance Use Disorders
Smith, J. E., Meyers, R. J., & Miller, W. R. (2001) · American Journal on Addictions · doi:10.1080/10550490150504137 · Cited by 82 · see citing works
Housing first is associated with reduced use of emergency medical services
Mackelprang, J. L., Collins, S. E., & Clifasefi, S. L. (2014) · Prehospital Emergency Care · doi:10.3109/10903127.2014.916020 · Cited by 77 · see citing works
Self-citationExposure to project-based Housing First is associated with reduced jail time and bookings
Clifasefi, S. L., Malone, D. K., & Collins, S. E. (2013) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2012.10.002 · Cited by 66 · see citing works
Self-citationMotivation for change and psychological distress in homeless substance abusers
Velasquez, M. M., Crouch, C., von Sternberg, K. L., & Grosdanis, I. (2000) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(00)00133-1 · Cited by 46 · see citing works
Collins, S. E., Clifasefi, S. L., Andrasik, M. P., Dana, E. A., Stahl, N. E., Kirouac, M., Welbaum, C., King, M. O., & Malone, D. K. (2012) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2012.0187 · Cited by 43 · see citing works
Self-citationClifasefi, S. L., Collins, S. E., Torres, N. I., Grazioli, V. S., & Mackelprang, J. L. (2016) · Journal of Community Psychology · doi:10.1002/jcop.21812 · Cited by 33 · see citing works
Self-citationCollins, S. E., Duncan, M. H., Smart, B. F., Saxon, A. J., Malone, D. K., Jackson, T. R., & Ries, R. K. (2014) · Substance Abuse · doi:10.1080/08897077.2014.904838 · Cited by 31 · see citing works
Self-citationThe Community Reinforcement Approach to the Treatment of Substance Use Disorders
Smith, J. E., Meyers, R. J., & Miller, W. R. (2001) · American Journal on Addictions · doi:10.1080/10550490190942515 · Cited by 31 · see citing works
Trajectories of Recovery Among Formerly Homeless Adults With Serious Mental Illness
Padgett, D. K., Smith, B. T., Choy-Brown, M., Tiderington, E., & Mercado, M. (2016) · Psychiatric Services · doi:10.1176/appi.ps.201500126 · Cited by 26 · see citing works
Isleib, R. A., Vuchinich, R. E., & Tucker, J. A. (1988) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.1988.6.1.88 · Cited by 24 · see citing works
WHEN HOUSING FIRST LASTS: EXPLORING THE LIVED EXPERIENCE OF SINGLE‐SITE HOUSING FIRST RESIDENTS
Stahl, N., Collins, S. E., Clifasefi, S. L., & Hagopian, A. (2016) · Journal of Community Psychology · doi:10.1002/jcop.21783 · Cited by 19 · see citing works
Self-citationSingle-site housing first for chronically homeless people
Malone, D. K., Collins, S. E., & Clifasefi, S. L. (2015) · Housing Care and Support · doi:10.1108/hcs-05-2015-0007 · Cited by 15 · see citing works
Self-citationCollins, S. E., Saxon, A. J., Duncan, M. H., Smart, B. F., Merrill, J. O., Malone, D. K., Jackson, T. R., Clifasefi, S. L., Joesch, J. M., & Ries, R. K. (2014) · Contemporary Clinical Trials · doi:10.1016/j.cct.2014.05.008 · Cited by 13 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 3
- Clifasefi SL, Collins SE, Torres NI, Grazioli VS, & Mackelprang JL (2016). Housing First, but what comes second? A qualitative study of resident, staff and management perspectives on single-site Housing First program enhancement. Journal of Community Psychology, 44(7), 845– 855. doi: 10.1002/jcop.21812 28579653 PMC5451125 · DOI
- Harrington M, & Dawson D (1997). Recreation as empowerment for homeless people living in shelters. Journal of Leisurability, 24(1), 17– 29. doi: 10.1176/appi.ps.201500126 · DOI
- Wallerstein N, Duran B, Oetzel J, & Minkler M (2017). Community-based participatory research for health: Advancing social and health equity (3rd edition). San Franciso: Jossey Bass.
Cited by
Sorted by citations
McFarlane, S. J., Occa, A., Peng, W., Awonuga, O., & Morgan, S. E. (2021) · Health Communication · doi:10.1080/10410236.2021.1943978 · Cited by 147 · see citing works
Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review
Kerman, N., Polillo, A., Bardwell, G., Gran-Ruaz, S., Savage, C., Felteau, C., & Tsemberis, S. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.109052 · Cited by 42 · see citing works
Pilla, D., & Park‐Taylor, J. (2021) · Journal of Community Psychology · doi:10.1002/jcop.22724 · Cited by 23 · see citing works
O'Campo, P. J., Nisenbaum, R. A., Crocker, A. G., Nicholls, T. L., Eiboff, F., & Adair, C. E. (2023) · PLoS ONE · doi:10.1371/journal.pone.0277074 · Cited by 19 · see citing works
O'Leary, C., Ralphs, R., Stevenson, J., Smith, A., Harrison, J., Kiss, Z., & Armitage, H. (2024) · Campbell Systematic Reviews: Better Evidence for a Better World · doi:10.1002/cl2.1396 · Cited by 15 · see citing works
Kerman, N., Kidd, S. A., Mutschler, C., Sylvestre, J., Henwood, B. F., Oudshoorn, A., Marshall, C. A., Aubry, T., & Stergiopoulos, V. (2023) · Harm Reduction Journal · doi:10.1186/s12954-023-00873-z · Cited by 14 · see citing works
Marshall, C. A., Easton, C., Javadizadeh, E., Holmes, J., Phillips, B., & Isard, R. (2024) · Canadian Journal of Occupational Therapy · doi:10.1177/00084174241233519 · Cited by 12 · see citing works
Mackelprang, J. L., Clifasefi, S. L., Grazioli, V. S., & Collins, S. E. (2021) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2021.0035 · Cited by 11 · see citing works
Collins, S. E., Goldstein, S. C., King, V. L., Orfaly, V. E., Gu, J., Clark, A., Vess, A., Lee, G., Taylor, E. M., Fentress, T., et al. (2020) · Journal of Community Psychology · doi:10.1002/jcop.22491 · Cited by 7 · see citing works
Self-citationParkes, T., Carver, H., Masterton, W., Booth, H., Ball, L., Murdoch, H., Falzon, D., Pauly, B., & Matheson, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312523 · Cited by 7 · see citing works
Nelson, L. A., Collins, S. E., Birch, J., Burns, R., McPhail, G., Onih, J., Cupp, C., Ubay, T., King, V. L., Taylor, E. M., et al. (2022) · Journal of Cross-Cultural Psychology · doi:10.1177/00220221221132778 · Cited by 6 · see citing works
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Greenwood, R. M., O’Shaughnessy, B. R., Manning, R. M., Vargas-Moniz, M., Sacchetto, B., Ornelas, J., Jorge-Monteiro, M. F., Almas, I., Duarte, T., Disperati, F., et al. (2023) · BMC Public Health · doi:10.1186/s12889-022-14755-9 · Cited by 6 · see citing works
Evans, J., & MacDonald, A. (2023) · Interdisciplinary Nursing Research · doi:10.1097/nr9.0000000000000032 · Cited by 5 · see citing works
O’Leary, C., Coren, E., Gellen, S., Roberts, A., & Armitage, H. (2025) · Campbell Systematic Reviews · doi:10.1002/cl2.70019 · Cited by 4 · see citing works
Goldstein, S. C., Newberger, N. G., Schick, M. R., Ferguson, J. J., Collins, S. E., Haeny, A. M., & Weiss, N. H. (2024) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2024.2308087 · Cited by 3 · see citing works
Self-citationCommunity-Based Harm Reduction Approaches for Alcohol Use Disorder
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Self-citationGrazioli, V. S., Hangartner, E., Bodenmann, P., Schaad, L., Grosjean, L., Nikles, J., Campbell, D. J. T., Hyvert, L., Varela, T. A., Collins, S. E., et al. (2025) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-024-04727-4 · Cited by 1 · see citing works
Self-citationDeans, E., Economidis, G., Gates, P., Zocco, A., Stirling, R., Nathan, S., Hudson, S., & Farnbach, S. (2025) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2025.102614 · Cited by 2 · see citing works
Yang, B., Sullivan, J., Lanz, E., Schiller, M., Gregg, E., Baylor, C. R., Ehde, D. M., & Lee, D. (2025) · OTJR Occupational Therapy Journal of Research · doi:10.1177/15394492251379327 · Cited by 1 · see citing works
(2021) · Cambridge University Press eBooks · doi:10.1017/9781108976213.013
van Draanen, J., Perlmutter, D. L., Banos, J. H., Goh, B. Y., Wettemann, C., Williams, G. “., Holland, N. A., Rourke, R., Pitcher, R., Fockele, C. E., et al. (2024) · Research Square · doi:10.21203/rs.3.rs-4804447/v1
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Self-citationvan Draanen, J., Perlmutter, D. L., Banos, J. H., Goh, B. Y., Wettemann, C., Williams, G. “., Holland, N., Rourke, E., Pitcher, R., Fockele, C. E., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1640624
- Authors
- Clifasefi, S. L., Collins, S. E., & The LEAP Advisory Board
- Affiliations
- University of Washington (US)
- Corresponding author
- Clifasefi, Seema L.
- Venue
- Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2019-11-28
- Volume
- 48
- Issue
- 3
- Pages
- 763-776
- ISSN
- 0090-4392 (ISSN-L)
- 1520-6629
- PMC
- PMC9970685
- OpenAlex
- W2990368081
- Cited by
- 23
- References
- 42
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 7 · 2020: 1
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K01AA21147, R34AA022077)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- Housing First, permanent supportive housing, alcohol consumption, alcohol-related harm, quality of life, meaningful activities, community-based participatory research, alcohol recovery, program engagement
- MeSH terms
- Adult, Alcoholism, Female, Housing, Humans, Male, Middle Aged, Pilot Projects, Quality of Life, Substance Abuse Treatment Centers, Harm Reduction, Community-Based Participatory Research, Non-Randomized Controlled Trials as Topic
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