Early implementation evaluation of a multi-site housing first intervention for homeless people with mental illness: A mixed methods approach

Nelson, Geoffrey; Stefancic, Ana; Rae, Jennifer; Townley, Greg; Tsemberis, Sam; Macnaughton, Eric; Aubry, Tim; Distasio, Jino; Hurtubise, Roch; Patterson, Michelle; Stergiopoulos, Vicky; Piat, Myra; Goering, Paula

doi:10.1016/j.evalprogplan.2013.10.004

Cited by 67 publications

(91 citation statements)

References 35 publications

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“…Sources for RH: Polcin, 2015;Polcin, Mericle, Howell, Sheridan, & Christensen, 2014;Paquette et al, 2013;NARR, 2012;Jason & Ferrari, 2010. Sources for HF/PSH: Woodhall-Melnik & Dunn, 2015;Nelson et al, 2014;Gilmer et al, 2014;Polvere et al, 2013;Tsemberis et al, 2004. LGBT D lesbian, gay, bisexual, and transgender. Rog, 2004;Hwang, Tolomiczenko, Kouyoumdjian, & Garner, 2005).…”

Section: Emphasis On Social Connectionmentioning

confidence: 99%

“…Housing first approaches promote consumer choice, immediately providing an apartment of one's own without any prerequisites for psychiatric treatment or sobriety, although a range of supportive services is made available. Other essential program ingredients include a low-threshold admissions policy, harm reduction, eviction prevention, separation of housing and services, and resident education (Nelson et al, 2014;Watson, Wagner, & Rivers, 2013;Tsemberis, Gulcur, & Nakae, 2004). Housing first programs aim to provide permanent housing; this approach is often combined with permanent supportive housing models, with an array of supportive services available but not required.…”

Section: A Parallel System Addressing Similar Needsmentioning

confidence: 99%

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The Role of Recovery Housing: Prioritizing Choice in Homeless Services

Paquette

Winn

2016

Journal of Dual Diagnosis

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Housing options for people exiting homelessness and seeking recovery from substance use disorders are limited. Policies tend to favor low-demand models such as housing first and permanent supportive housing that do not require abstinence, but offer immediate housing placement based on consumer choice and separate housing from clinical services. While these models have proven effective in promoting housing retention, especially among individuals with a primary diagnosis of mental illness, evidence to support positive outcomes related to people with a primary or co-occurring substance use disorder are mixed. Recovery housing models provide abstinence-focused environments and integrated peer support embedded within a recovery framework. Various models exist along a continuum from fully peer-run to clinically staffed residences. However, this continuum is typically separate from the homeless services system, and many barriers to integration persist. Recent national dialogues have begun to explore opportunities to integrate housing and substance use recovery approaches to meet the needs of people who need both types of support. This perspective paper argues that recovery housing is essential for supporting some homeless individuals and families. Within a comprehensive continuum based on choice, both recovery housing and low-demand models can support housing retention, reduce homelessness, promote recovery, and foster self-determination.

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Section: Emphasis On Social Connectionmentioning

confidence: 99%

Section: A Parallel System Addressing Similar Needsmentioning

confidence: 99%

The Role of Recovery Housing: Prioritizing Choice in Homeless Services

Paquette

Winn

2016

Journal of Dual Diagnosis

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“…At a minimum, study participants agreed to observe the terms of their lease and be available for a weekly visit by program staff. An assessment of fidelity conducted nine to 13 months after the beginning of the study found the programs at all five sites showing on average a high level of fidelity to the Pathways Housing First model (24). Fidelity assessment entailed site visits by three individuals knowledgeable about Housing First, who rated the programs on 38 Housing First standards related to housing choice and structure, separation of housing and services, service philosophy, service array, and program structure (25).…”

Section: Intervention Groupmentioning

confidence: 99%

One-Year Outcomes of a Randomized Controlled Trial of Housing First With ACT in Five Canadian Cities

Aubry

Tsemberis

Adair

et al. 2015

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“…Un ejemplo es el tratamiento asertivo comunitario (ACT), en el que además de proveer asistencia social (por ejemplo búsqueda de alojamiento estable y alimento), se proporcionan servicios de salud mental, en los que cada caso es atendido por equipos completos de profesionales (Nelson et al, 2014); en un ensayo clínico reciente, esta estrategia demostró efectividad en indigentes con trastornos mentales severos (Aubry et al, 2015), al compararla con la provisión por separado de atención para la salud y asistencia social. También se debate la pertinencia de los enfoques orientados a la reducción del daño (por ejemplo intervenciones que permiten a alcohólicos crónicos continuar bebiendo) que minimizan los costos de atención, contra las intervenciones orientadas a la abstinencia; así como el potencial del apoyo comunitario brindado por pares (Vet de et al, 2014;Hwang & Burns, 2014;Hwang, Tolomiczenko, Kouyoumdjian, & Garner, 2005;Polcin, 2015;Tsemberis, Gulcur, & Nakae, 2004 Entrevista clínica estructurada para el DSM-IV (SCID-I).…”

Section: Implicaciones De Salud Públicaunclassified

Patología dual en poblaciones especiales: una revisión narrativa

Szerman¹,

Marín-Navarrete²,

Fernández-Mondragón³

et al. 2015

RIIAD

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RESUMENIntroducción: la patología dual se refiere a la concurrencia de un trastorno por consumo de sustancias con otro trastorno psiquiátrico. Estudios epidemiológicos en población general reportan una alta prevalencia de patología dual. Sin embargo, la información disponible sobre el tema en poblaciones especiales es limitada. Objetivo: revisar la evidencia disponible sobre la epidemiología, la atención y los aspectos relevantes para la salud pública acerca de la patología dual en las siguientes poblaciones especiales: personas en situación de indigencia, en prisión, con VIH, VHB y VHC, mujeres y adultos mayores. Método: búsqueda en bases de datos bibliográficos (PubMed, Science Direct, EBSCO y OVID) de reportes de investigación enfocados en la prevalencia y el tratamiento de patología dual en las poblaciones mencionadas. Resultados: la prevalencia de la patología dual se presenta de manera diferenciada en estas poblaciones, en comparación con la población general; además está altamente asociada con mayores tasas de morbilidad y mortalidad. La mayoría de los estudios específicos sobre patología dual y las poblaciones especiales, tanto de epidemiología como de tratamientos, se ha realizado en países de alto ingreso. Discusión y conclusiones: se requiere de políticas públicas que contemplen la medición epidemiológica de la patología dual en estas poblaciones, sobre todo en países de mediano y bajo ingreso, e incluyan intervenciones integradas adecuadas a las necesidades específicas de cada población.Palabras clave: patología dual; grupos minoritarios; epidemiología; revisión. ABSTRACTBackground: dual disorders is a term that refers to the co-occurrence of a substance use disorder with other mental disorders. Epidemiological studies have reported a high prevalence of dual disorders in the general population. However, information on dual disorders in special population is limited. Objective: to give an overview of the available evidence on the epidemiology, care and other relevant aspects for public health of dual disorders in the following special populations: homeless, prison inmates, people with sexually-transmitted infections, and the elderly. Method: search in peer-review publication databases (PubMed, Science Direct, EBSCO and OVID) for research reports on the epidemiology and treatment of dual pathology in the aforementioned populations. Results: prevalence of dual disorders in these populations appears to be different than in the general population; and it is highly associated with higher mortality and morbidity rates. The majority of studies aimed specifically on the epidemiology and treatment of dual disorders and special populations has been conducted in high-income countries. Discussion and conclusions: there is a need for public policies that consider the epidemiological assessment of dual disorders in special populations, specially in low-and middle-income countries, and include integrated care interventions adequate to the specific needs of each population.

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Early implementation evaluation of a multi-site housing first intervention for homeless people with mental illness: A mixed methods approach

Cited by 67 publications

References 35 publications

The Role of Recovery Housing: Prioritizing Choice in Homeless Services

The Role of Recovery Housing: Prioritizing Choice in Homeless Services

One-Year Outcomes of a Randomized Controlled Trial of Housing First With ACT in Five Canadian Cities

Patología dual en poblaciones especiales: una revisión narrativa

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