Canadian Observatory on Homelessness
The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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Author(s): Seema L. Clifasefi, Susan E. Collins, Nicole I. Torres, Véronique S. Grazioli, Jessica L. Mackelprang
Publication Date: 2017
Single-site Housing First (HF) is associated with reduced publicly funded service utilization and costs and alcohol-related harm for chronically homeless individuals with severe alcohol problems. Many residents, however, continue to experience alcohol-related problems after their move into single-site HF. Thus, it is necessary to explore areas for program enhancement after individuals move into single-site HF. To this end, we collected qualitativ...
Author(s): Susan E. Collins, Connor B. Jones, Gail Hoffmann, Lonnie A. Nelson, Starlyn M. Hawes, Véronique S. Grazioli, Jessica L. Mackelprang, Jessica Holttum, Greta Kaese, James Lenert, Patrick Herndon, Seema L. Clifasefi
Publication Date: 2015
Background
Alcohol use disorders (AUDs) are 10 times more prevalent among homeless individuals than in the general population, and homeless individuals are disproportionately affected by alcohol-related morbidity and mortality. Unfortunately, abstinence-based approaches are neither desirable to nor highly effective for most members of this population. Recent research has indicated that homeless people aspire to clinically significant recovery goa...
Author(s): Daniel K. Malone, Susan E. Collins, Seema L. Clifasefi
Publication Date: 2015
Purpose
Chronic homelessness is a serious public health issue that places a strain on health-care and criminal justice systems. Typical housing models place requirements on chronically homeless individuals that are often experienced as insurmountable barriers to housing. Housing First (HF) models attempt to more effectively reach this population, and an emerging version of this is the single-site HF approach introduced by Seattle’s DESC. Sin...
Author(s): Jessica L. Mackelprang, Susan E. Collins, Seema L. Clifasefi
Publication Date: 2014
Objective
Chronically homeless adults with severe alcohol problems are disproportionately burdened with health-care problems and are high utilizers of emergency medical services (EMS). Single-site Housing First (HF), which provides immediate, permanent, low-barrier, nonabstinence-based, supportive housing, has been associated with reduced publicly funded service utilization. The aims of the current study were to determine whether time spent in si...
Author(s): Susan E. Collins, Andrew J. Saxon, Mark H. Duncan, Brian F. Smart, Joseph O. Merrill, Daniel K. Malone, T. Ron Jackson, Seema L. Clifasefi, Jutta Joesch, Richard K. Ries
Publication Date: 2014
Background
Interventions requiring abstinence from alcohol are neither preferred by nor shown to be highly effective with many homeless individuals with alcohol dependence. It is therefore important to develop lower-threshold, patient-centered interventions for this multimorbid and high-utilizing population. Harm-reduction counseling requires neither abstinence nor use reduction and pairs a compassionate style with patient-driven goal-setting. Ex...
Author(s): Susan E. Collins, Daniel K. Malone, Seema L. Clifasefi
Publication Date: 2013
Objectives. We studied housing retention and its predictors in the single-site Housing First model.
Methods. Participants (n = 111) were chronically homeless people with severe alcohol problems who lived in a single-site Housing First program and participated in a larger nonrandomized controlled trial (2005–2008) conducted in Seattle, Washington. At baseline, participants responded to self-report questionnaires assessing demographic, illness bur...
Author(s): Seema L. Clifasefi, Daniel K. Malone, Susan E. Collins
Publication Date: 2013
Description: Project-based Housing First (HF) programs provide immediate, permanent, low-barrier, nonabstinence-based supportive housing to chronically homeless people within a single housing project. Previous studies have shown project-based HF is associated with 6-month reductions in jail time, and that people with criminal histories are able to maintain their housing in supportive housing, such as project-based HF. This study aimed to extend t...
Author(s): Susan E. Collins, Daniel K. Malone, Seema L. Clifasefi, Joshua A. Ginzler, Michelle D. Garner, Bonnie. Burlingham, Heather S. Lonczak, Elizabeth A. Dana, Megan. Kirouac, Kenneth. Tanzer, William G. Hobson, G. Alan. Marlatt, Mar Larimer
Publication Date: 2012
Objectives. Two-year alcohol use trajectories were documented among residents in a project-based Housing First program. Project-based Housing First provides immediate, low-barrier, nonabstinence-based, permanent supportive housing to chronically homeless individuals within a single housing project. The study aim was to address concerns that nonabstinence-based housing may enable alcohol use. Methods. A 2-year, within-subjects analysis was cond...
Author(s): Mary E. Larimer, Daniel K. Malone, Michelle D. Garner, David C. Atkins, Bonnie Burlingham, Heather S. Lonczak, Kenneth Tanzer, Joshua Ginzler, Seema L. Clifasefi, William G. Hobson, Alan Marlatt
Publication Date: 2009
"Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems." HRC is providing open access to this article.
ContextChronically homeless individuals with severe alcohol problems often have multiple medical and psychiatric problems and use costly health and criminal justice services at high rates. Objective To evaluate association of a "Housing First" intervention...