Clean and Sober House
“An Evaluation of Sober Living Houses” is a 5-year study funded by the National Institute on Alcohol Abuse and Alcoholism. It aims to track 300 individuals over 18 months who live in 20 different SLH’s administered by 2 different agencies. This report will focus on 6-month outcomes for 130 individuals residing in 16 sober living houses affiliated with Clean and Sober Transitional Living (CSTL) in Sacramento, California.
Study procedures included recruiting residents for the research within their first week of entering the SLH. All participants signed informed consent documents and were informed that their responses were confidential. A federal certificate of confidentiality was obtained to further protect study confidentiality. Interviews were conducted at entry into the houses and at 6-month follow-up. We expected residents entering SLH’s who had established sobriety would maintain that sobriety, while those with recent substance use would show significant improvement.
Primary outcome measures included the Addiction Severity Index (ASI) (alcohol, drug, medical, legal, family/social, and vocational severity scales), six month measures of substance use, and the Brief Symptom Inventory to measure psychiatric severity. In addition, we examined factors that correlated with outcome. Our protocol includes measures of social support for sobriety (Zwyak & Longabaugh, 2002) and involvement in 12-step groups. To assess for DSM psychiatric diagnostic categories at baseline we used the Psychiatric Diagnostic Screening Questionnaire (PDSQ).
Before reporting study findings that compare resident functioning at baseline and 6-month follow up, a description of the houses at CSTL will be provided that emphasizes SLH structure, operations, and philosophy.
Clean and Sober Transitional Living
CSTL was founded in 1986 by a recovering alcoholic and addict who had lost a brother to addiction and could not find affordable housing that was conducive to recovery. He and several roommates opened their own sober living house and the facility grew to the sixteen houses today. All of the houses are located in a suburb seventeen miles northeast of Sacramento, California. All houses are within a 9 mile radius of each other, which facilitates a sense of community and commitment.
Currently, about 90% of the residents pay their rent using their own funds; about 10% of the residents have their rent paid by SASCA (Substance Abuse Services Coordinating Agency), an agency created for graduates of Substance Abuse Programs in the California Department of Corrections.