Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness

Urbanoski, Karen; Veldhuizen, Scott; Krausz, Michael; Schütz, Christian; Somers, Julian M.; Kirst, Maritt; Fleury, Marie‐Josée; Stergiopoulos, Vicky; Patterson, Michelle; Strehlau, Verena; Goering, Paula

doi:10.1111/add.13928

Cited by 50 publications

(89 citation statements)

References 43 publications

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“…Two decades of research have consistently shown that Housing First is effective in helping many people experiencing homelessness to achieve stable housing (Aubry et al, 2020; Baxter, Tweed, Katikireddi, & Thomson, 2019; Padgett, Henwood, & Tsemberis, 2016). Similar housing stability outcomes have also been found for various homeless adult subpopulations, including people with problematic substance use (e.g., Adair et al, 2017; Cherner, Aubry, Sylvestre, Boyd, & Pettey, 2017; Padgett, Gulcur, & Tsemberis, 2006; Tsemberis, Gulcur, & Nakae, 2004; Urbanoski et al, 2018).…”

Section: Introductionsupporting

confidence: 53%

Finding home: Community integration experiences of formerly homeless women with problematic substance use in Housing First

Bassi

Sylvestre

Kerman

2020

Journal Community Psychology

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Aims This study explored community integration among women participating in a Housing First program. Physical, social, and psychological dimensions of community integration were examined. Methods This study used neighborhood walk‐along and photo‐elicitation interviews to explore 16 formerly homeless women's experiences of community integration. Results Participants described limited community integration. Health, poverty, service inaccessibility, and safety concerns shaped how they took part in activities in their neighborhoods. Participants primarily socialized with people in their buildings, though some preferred to keep to themselves. There was minimal sense of neighborhood belonging, with participants not interested in belonging to a community and being judged by others. Conclusion Housing First promoted housing stability but did not contribute to community integration. Participants did not express a strong desire to integrate in their communities. Future research should consider the extent to which community integration remains a priority for marginalized populations, such as formerly homeless women.

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Section: Introductionsupporting

confidence: 53%

Finding home: Community integration experiences of formerly homeless women with problematic substance use in Housing First

Bassi

Sylvestre

Kerman

2020

Journal Community Psychology

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“…In this sense, the care for this user profile may not be only oriented towards the use itself, but should also act on the subjects' basic needs, as envisaged in the CAPS as work in territorial coordination. International programs known as "housing first" have been efficient in treating addictive disorders for those cases, and what is most interesting is that good results happen regardless of abstinence (13) . When admitted to the beds, 87.6% subjects used multiple substances daily, specially alcohol (77%), crack (60%), and cocaine (48.1%).…”

Section: Discussionmentioning

confidence: 99%

Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization

et al. 2018

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Objective: To analyze and characterize the use of night beds in a Psychosocial Attention Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas – CAPS ad). Method: It is a quantitative, documental, descriptive and retrospective study. Data were gathered from 565 medical records. An analysis of continuous variables was performed. Results: When admitted to the beds, most users (87.6%) consumed multiple substances daily and were vulnerable, specially in street situation (68.3%). These users were admitted on an average of two times, undergoing a previous evaluation by the nurse (85.8%), usually for detoxication or due to the vulnerable condition. They stayed in the center for an average of seven days and 31.1% did not finish what was proposed. For a few cases, hospital support was needed. Overall, discharges were planned, but the return happened without booking. Conclusion: Social issues cut through the use of night beds, however, it is a therapeutic resource that meets significant demands and is present in the daily lives of vulnerable users as a comprehensive care.

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“…Some evidence, cited by Urbanoski et al . , suggests that two of the main variants of Housing First, i.e. those offering assertive community treatment (ACT) and intensive case management (ICM) and those following an ICM‐only approach, do not differ significantly in terms of outcomes.…”

Section: Declaration Of Interestsmentioning

confidence: 99%

Commentary on Urbanoski et al. (2018): Housing First and addiction–exploring the evidence

Pleace

2017

Addiction

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Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness

Cited by 50 publications

References 43 publications

Finding home: Community integration experiences of formerly homeless women with problematic substance use in Housing First

Finding home: Community integration experiences of formerly homeless women with problematic substance use in Housing First

Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization

Commentary on Urbanoski et al. (2018): Housing First and addiction–exploring the evidence

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