Projects

Ongoing Research Projects

The HaRP study (PI: Collins): HaRP stands for Harm Reduction with Pharmacotherapy. This is the follow-up to Project Vivitrol. In this four-arm, NIH-funded randomized controlled trial, we are testing extended-release naltrexone and harm reduction counseling as ways to reduce alcohol-related harm and improve quality of life among homeless individuals with alcohol dependence. (Click Here to view the study protocol)

The HaRT-S study (PI: Collins): HaRT-S stands for Harm Reduction Treatment for Smoking. The purpose of the HaRT-S is to develop an innovative and empirically informed and client-driven alternative to traditional smoking cessation interventions. The HaRT-S will feature a small, single-arm pilot trial (N=27) of the developed program with individuals with the lived experience of homelessness and smoking dependence.

Collins, S. E., Orfaly, V. E., Wu, T., Chang, S., Hardy, R. V., Nash, A., … & Clifasefi, S. L. (2018). Content analysis of homeless smokers’ perspectives on established and alternative smoking interventions. International Journal of Drug Policy, 51, 10-17.

The LEAP project (PI: Clifasefi): LEAP is an NIH-funded project that entails the community-based development and evaluation of harm-reduction programming for formerly chronically homeless people with alcohol dependence who are living in a Housing First apartment (i.e., immediate, permanent, low-barrier, supportive housing where sobriety is not required) building in Seattle.

Clifasefi, S. L., Collins, S. E., Torres, N. I., Grazioli, V. S., & Mackelprang, J. L. (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 psychology44(7), 845-855.


Ongoing Independent Evaluations

The Navigation Center Evaluation (Co-PIs: Clifasefi and Collins): We have been contracted by the City of Seattle, Human Services Department, to conduct a 2-part program evaluation of Seattle’s Navigation Center (the Center), a low-barrier, 24-hour, 60-day, referral-only shelter program for adults experiencing homelessness. Our aim is to work together with community members (i.e., people with the lived experience of homelessness who are guests of the Center), as well as local stakeholders that have partnered together to operate the Center, to yield recommendations for future planning, development and program enhancement.

Part 1 (July 2017-February 2018) entailed qualitative interviews and focus groups to document and analyze stakeholders’ (i.e., Center guests; DESC, REACH and SPD onsite and outreach staff and management; and City partners) experiences with and perceptions of the Center as well as potential points for improvement of the Center’s policies, procedures, amenities, services, and community-building efforts.

Click here to view our report.

Click here for the slide presentation.

Click here for the panel discussion.

Part 2 (November 2017-August 2018) entails the assessment of self-reported changes in guests’ housing, substance use, mental health, physical health, and quality of life prior and subsequent to their entry into the Center (120 days). Guest satisfaction at the end of stay is also being assessed.

Results will be posted in September 2018.

The King County Mental Health Court and Veterans Court Evaluation (Co-PIs: Clifasefi and Collins)We have been contracted by the Department of Social and Health Services (DSHS) to conduct a process evaluation of King County’s Regional Mental Health and Veterans Courts. Our aims are to document the Courts’ current operations and services and compare these with their stated missions and national standards. Our findings will yield recommendations for future planning, development and program enhancement.

Results will be posted in September 2018.


Completed

The LEAD evaluation (PI: Collins & Clifasefi): The Law Enforcement Assisted Diversion (LEAD) is a pre-booking diversion pilot program currently in place in the Belltown neighborhood of Seattle and the Skyway area of unincorporated King County, WA. LEAD was developed to allow law enforcement officers to divert low-level drug and prostitution offenders to community-based treatment and support services instead of jail and prosecution. This program was developed by the King County Prosecuting Attorney’s Office, the Seattle City Attorney’s Office, the Seattle Police Department, the King County Sheriff’s Office, the King County Executive, the Mayor’s Office, The Washington State Department of Corrections, The Defender Association, the ACLU of Washington, REACH homeless outreach and community members.

Click here for a video that features LEAD.

For more information and to read about our findings please visit http://leadkingcounty.org/.

The HaRT-A study (PI: Collins): HaRT-A stands for Harm Reduction Treatment for Alcohol use disorders. The purpose of this study was to develop and conduct a pilot randomized controlled trial evaluating the initial effectiveness of an individual harm-reduction treatment for homeless individuals with AUDs. This study comprised of a 4-session individual, behavioral AUD intervention. Components included providing personalized alcohol feedback, eliciting participants’ harm reduction goals, building motivation, and supporting the use of safer drinking strategies using a nonjudgmental, empathetic stance, and acceptance of participants wherever they were along the spectrum of behavior change.

Collins, S. E., Taylor, E., Jones, C., Haelsig, L., Grazioli, V. S., Mackelprang, J. L., … & Clifasefi, S. L. (2017). Content analysis of advantages and disadvantages of drinking among individuals with the lived experience of homelessness and alcohol use disorders. Substance Use & Misuse, 1-10.

Collins, S. E., Jones, C. B., Hoffmann, G., Nelson, L. A., Hawes, S. M., Grazioli, V. S., … & Herndon, P. (2016). In their own words: Content analysis of pathways to recovery among individuals with the lived experience of homelessness and alcohol use disorders. International Journal of Drug Policy27, 89-96.

Project Vivitrol® (PI: Collins): A pilot study of extended-release naltrexone as medication support for harm reduction counseling among currently and formerly chronically homeless individuals with alcohol dependence. Participants in this study were able to define their own goals—abstinence and use reduction were not required.

Collins, S. E., Duncan, M. H., Smart, B. F., Saxon, A. J., Malone, D. K., Jackson, T. R., & Ries, R. K. (2015). Extended-release naltrexone and harm reduction counseling for chronically homeless people with alcohol dependence. Substance Abuse36(1), 21-33.

Collins, S. E., Grazioli, V. S., Torres, N. I., Taylor, E. M., Jones, C. B., Hoffman, G. E., … & Herndon, P. (2015). Qualitatively and quantitatively evaluating harm-reduction goal setting among chronically homeless individuals with alcohol dependence. Addictive behaviors, 45, 184-190.

Project M2M: Project Match to Motivation (M2M) was a three-year, NIH-funded randomized controlled trial. In this study, we tested the efficacy of two web-based motivational enhancement interventions in reducing alcohol-related harm among college drinkers. We also tested whether we can match certain interventions to participants’ level of motivation to support less harmful drinking.

Collins, S. E., Kirouac, M., Lewis, M. A., Witkiewitz, K., & Carey, K. B. (2014). Randomized controlled trial of web-based decisional balance feedback and personalized normative feedback for college drinkers. Journal of studies on alcohol and drugs75(6), 982-992.

Collins, S. E., Kirouac, M., Taylor, E., Spelman, P., Grazioli, V., Hoffman, G., Haelsig, L., Holttum, J., Kanagawa, A., Nehru, M., and Hicks, J. (2014). Advantages and disadvantages of college drinking in students’ own words: Content analysis of the decisional balance worksheet. Psychology of Addictive Behaviors, 28(3), 727.