Positive and negative features of a computer assisted drug treatment program delivered by mentors to homeless drug users living in hostels

This paper explores positive and negative features of computer assisted therapy (CAT) delivered by mentors to homeless drug users (HDUs) living in hostels. Qualitative interviews were conducted with 30 HDUs and 15 mentors (all hostel staff) at the beginning and end of a 12-week CAT program. Findings indicate that successful delivery of the CAT relates to: ‘program features’ (e.g. its accessibility, flexibility, user-friendly interface); ‘delivery context’ (e.g. privacy, having appropriate computing equipment), ‘client characteristics’ (HDUs being recovery-focused and committed to using the program), and ‘mentor support’ (clients having personalized attention from an encouraging and sympathetic other). It is concluded that CATs can be used with HDUs but are unlikely to replace addiction therapists. Rather, they are more likely to be effective when combined with a strong therapeutic relationship. Services using CATs with HDUs need to provide staff training, support, and time to maximize the potential benefits.