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Publication Date: 2018
Abstract
Housing-led interventions have become recognized as a best practice for addressing homelessness among adults, yet whether and how they apply to transition-age youth (TAY) is less clear. The purpose of the present study is to expand on a burgeoning literature that has provided marginalized TAY an opportunity to voice their perspectives on housing-led program design. The goal of the study it to build on the existing literature that has pr...
Publication Date: 2017
Background
Permanent supportive housing (PSH) has been recognized as an effective intervention and the national policy for addressing chronic homelessness in the United States. Due to an aging cohort of homeless adults and prioritizing those who are most vulnerable for housing, the health status of those entering PSH is likely worse than those previously reported in the literature.
Methods
This report examined the self-reported health and health...
Publication Date: 2016
Housing First (HF), which is recognized as an evidence-based practice by the Substance Abuse and Mental Health Services Administration,1 addresses homelessness by offering immediate access to housing while providing ongoing community-based services.2 An important marker of its success has been increased housing stability and retention rates. Randomized controlled trials have found housing stability and retention for HF participants to be between...
Examining mortality among formerly homeless adults enrolled in Housing First: An observational study
Publication Date: 2015
Background
Adults who experience prolonged homelessness have mortality rates 3 to 4 times that of the general population. Housing First (HF) is an evidence-based practice that effectively ends chronic homelessness, yet there has been virtually no research on premature mortality among HF enrollees. In the United States, this gap in the literature exists despite research that has suggested chronically homeless adults constitute an aging cohort, wit...
Publication Date: 2015
Objective:
Permanent supportive housing (PSH) programs are being implemented throughout the United States. This study examined the relationship between fidelity to the Housing First model and health service use among clients in PSH programs in California.
Methods:
Data from a survey of PSH program practices were merged with administrative data on service utilization to examine the association between fidelity to a benchmark program, the Ho...
Organization: American Academy of Social Work and Social Welfare
Publication Date: 2015
The notion that homelessness in the United States can be ended, rather than managed, represents a fundamental shift in expectations that has occurred over the past three decades. Many U.S. cities now have plans to end homelessness. Yet homelessness and housing instability are substantial problems that afflict a diverse group of subpopulations such as families, youth, veterans, and chronically homeless single adults. Ending homelessness for each o...
Publication Date: 2014
Abstract
This 1-year longitudinal study of adults who have recently transitioned from homelessness to Permanent Supportive Housing (PSH) focuses on quality of life as a primary outcome of interest. Eighty of 103 new tenants participated in structured interviews at the time of entry into their new home and at 12-months post-housing. t-tests assessed differences in community participation and quality of life measures at the 2 time points. Mixed eff...
Publication Date: 2014
Objectives
This study examined whether and how permanent supportive housing (PSH) programs are able to support aging in place among tenants with serious mental illness.
Design
Investigators used a mixed-method approach known as a convergent parallel design in which quantitative and qualitative data are analyzed separately and findings are merged during interpretation. Quantitative analysis compared 1-year pre-residential and post-residentia...
Publication Date: 2014
Harm reduction is considered by many to be a legitimate alternative to abstinence-based services for dually diagnosed individuals, yet there is limited understanding of how varying approaches affect front-line practice within services for homeless adults. This paper examines how front-line providers working with individuals who have experienced homelessness, serious mental illness, and addiction view policies of harm reduction versus abstinence w...
Publication Date: 2012
This article draws upon findings from the New York Services Study, a Federally-funded qualitative study conducted in practice settings representing two fundamentally different approaches to serving homeless adults with serious mental illness and co-occurring substance abuse. The findings yielded four themes—cumulative adversity, individual acts of kindness in a system designed to control, discordant case managers’ perspectives, and the benefits o...
Publication Date: 2010
Housing First (HF) is an evidence-based practice that ends chronic homelessness for individuals with serious mental illness by providing immediate access to permanent independent housing and team-based community supports. Little is known about the health status of homeless individuals entering HF programs. Through a cross-sectional analysis, this paper reports on the chronic physical disease burden of people entering a newly established HF progra...
Publication Date: 2011
Within the mental health system, there are two distinct service models for adults experiencing homelessness who have severe mental illnesses and co-occurring addictions: one prioritizes treatment before accessing permanent housing (Treatment First), while the other provides immediate access to permanent housing followed by clinical support (Housing First). This study makes use of qualitative methods to compare the views of 20 providers working in...
Publication Date: 2011
Individuals with a serious mental illness, especially those who have experienced homelessness, have high rates of medical comorbidities and early mortality. Our “housing first” program combines supported housing, assertive community treatment (ACT), and primary care in order to address these complex service needs. The program began in October 2008 and serves 125 individuals who have met the federal definition of chronic homelessness and have an...
Publication Date: 2009
Disengagement from services by persons experiencing homelessness and co-occurring disorders challenges the mental health system and the frontline providers who build clinical relationships that end prematurely. This qualitative study explored how case managers understand and respond to disengagement.