2016 OH Research Update

Christopher R. Beasley, PhD, MAAssistant Professor Washington College

• Current– Medication-assisted treatment– Transgender and non-transgender resident

experiences– Women’s leadership in Oxford House

• Future– Neighborhood real estate values

Overview

• Maryland MAT Use & Acceptance • Data Collection– Visited each house

• 23 houses• 89 residents

– Survey via iPads• MAT use• MAT stigma

• Data Analysis– Descriptive statistical analyses

Medication-Assisted Treatment

• Results– About 4/5 think the recovery community

has a positive attitudes toward MAT– Approximately 2/3 would consider voting in a

resident that uses MAT– Nearly 15% currently using MAT

• Less than a 1/4 disclose in their recovery meetings• About 1/3 felt out of place in recovery circles• All but one had told someone in OH

Medication-Assisted Treatment

• Limitations– Maryland only– Low rates of participation

• Future Directions– National survey of prevalence of MAT in OH

• How attitudes toward MAT affect success• Success of people on MAT in OH

Medication-Assisted Treatment

• Experiences of T-Girl & Cisgender OH residents• 2 Oxford Houses in Hawaii

– Men’s houses– Known for t-girls living there

• Mix of cisgender & transgender• Data Collection

– Interviews• 7 cisgender & 7 transgender • Telephone

• Data Analysis– Grounded Theory

T-Girls

• Results– General Process

• Lacking support, stability, & normalcy• Using to suppress negative feelings• Seeking stability & normalcy• Prioritization of sobriety• Emulation of housemates• Feelings of stability & normalcy• Familial connection w/ housemates• Reestablishing social support networks• Feeling positive about progress• Cisgender self-efficacy (confidence)

T-Girls

• Results– Unique to t-girls

• Stigma and shame• Acceptance• Female family roles

– Auntie– Sister– Cooking & cleaning

• Self-esteem instead of self-efficacy• Mentoring/helping t-girls

T-Girls

• Limitations– Unique Hawaiian culture

• Future Directions– Affirmation through family roles– Best setting for t-girls (male vs. female homes)

T-Girls

• Process of Leadership in OH Women– Emily Stecker

• Data Collection– In-Person Interviews– 10 Women in Seattle

• Analysis– Grounded Theory

Women’s Leadership

• Results– Initial lack of confidence– Initial unwillingness to volunteer– Housemates encouraged/pushed volunteering– Housemates helped get leadership positions &

succeed – Confidence grew after leadership– Feelings of paying it forward by helping others

like they were helped– Critical for sobriety, happiness, & self – House & chapter growth

Women’s Leadership

• Limitations– Small sample– Limited to Seattle leaders

• Future Directions– Quantitative study to

• Confirm • Generalize

Women’s Leadership

• Participatory Action Research– OH Research Advisory Board

• Real Estate Values– Random selection of Oxford Houses– Gather 10 years of neighborhood real estate

values – Select similar neighborhoods in same city/state– Gather 10 years of comparison real estate

values – Compare trends for OH neighborhoods to

comparison neighborhoods

Future Research