Implementation Evaluation of a Housing First Program in a Small Canadian City

EckerJohn,; AubryTim,; ChernerRebecca,; JettéJonathan,

doi:10.7870/cjcmh-2014-028

Cited by 5 publications

(4 citation statements)

References 28 publications

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“…Kloos et al (2002) provide a very useful framework for a regular landlord-service provider forum based on their implementation and experience with such a forum for a supported housing program. Finally, our interviews with landlords were part of two implementation evaluations that provided important information for improving the program (Aubry et al , 2012Ecker et al 2015). In addition to program staff holding regular meetings with landlords, it would seem important that periodic evaluations of HF programs include interviews or surveys of landlords.…”

Section: Discussionmentioning

confidence: 99%

“…The design for the effectiveness and cost-effectiveness studies at this site involved a randomized controlled trial of 201 participants recruited in the tri-city region, and a smaller quasi-experimental study of 43 participants recruited in the adjoining rural region. The study of private market landlords was conducted as part of two implementation evaluations of the HF program with the first one completed between January and April, 2011, (15-19 months after the start of the program) Ecker et al 2015) and the second one between February and July, 2012 (28-33 months after the start of the program) (Aubry et al 2012).…”

Section: Methodsmentioning

confidence: 99%

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Perceptions of Private Market Landlords Who Rent to Tenants of a Housing First Program

Aubry

Cherner

Ecker

et al. 2015

American J of Comm Psychol

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The rental of housing units by landlords to participants in Housing First (HF) programs is critical to the success of these programs. Therefore, it is important to understand the experiences of landlords with having these individuals as tenants. The paper presents findings of qualitative interviews with 23 landlords who rented to tenants from a HF program located in a small city and adjoining rural area in eastern Canada and in which approximately 75 % of tenants had been housed for at least six consecutive months at 2 years in the program. Findings showed that landlords are motivated to rent to HF tenants for financial and pro-social reasons. They reported holding a range of positive, neutral, and negative perceptions of these tenants. They identified problems encountered with some HF tenants that included disruptive visitors, conflict with other tenants, constant presence in their apartments, and poor upkeep of units. On the other hand, landlords perceived HF tenants as being mostly good tenants who are similar to their other tenants. Implications for practice in the context of HF programs are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Perceptions of Private Market Landlords Who Rent to Tenants of a Housing First Program

Aubry

Cherner

Ecker

et al. 2015

American J of Comm Psychol

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“…An external team made up of Pathways HF staff, the lead researcher of the AHCS trial, and another expert in HF conducted two fidelity assessments, one approximately 10 months after the program began [29] and another when the program was 27 months old [30]. The fidelity assessment entailed visits from three external individuals with expertise in HF who assessed the program on the validated HF with ACT fidelity scale based on observations, interviews with program managers, and focus groups with staff and program participants [29, 30]. Both fidelity assessments showed the program as having good fidelity overall, with 86% of the 37 assessed items rating a score of 3 or more on a 4-point scale in the second fidelity assessment [30].…”

Section: Methodsmentioning

confidence: 99%

A randomized controlled trial of the effectiveness of Housing First in a small Canadian City

et al. 2019

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Background The paper presents two-year findings from a study investigating the effectiveness of Housing First (HF) with assertive community treatment (ACT) in helping individuals with serious mental illness, who are homeless or precariously housed and living in a small city, to become stably housed. Methods The research design was a parallel group non-blinded RCT with participants randomly assigned after the baseline interview to receive HF with ACT ( N = 100) or treatment as usual (TAU; N = 101). Participants were interviewed every 3 months over 21/24 months to investigate changes on a range of housing and psychosocial outcomes. The primary outcomes were housing stability (as defined by a joint function of number of days housed and number of moves) and improvement in community functioning. Secondary predicted outcomes were improvements in self-rated physical and mental health status, substance use problems, quality of life, community integration, and recovery. Results An intent-to-treat analysis was conducted. Compared to TAU participants, HF participants who entered housing did so more quickly (23.30 versus 88.25 days, d = 1.02, 95% CI [0.50–1.53], p < 0.001), spent a greater proportion of time stably housed ( Z = 5.30, p < 0.001, OR = 3.12, 95% CI [1.96–4.27]), and rated the quality of their housing more positively ( Z = 4.59, p < 0.001, d = 0.43, 95% CI [0.25–0.62]). HF participants were also more likely to be housed continually in the final 6 months (i.e., 79.57% vs. 55.47%), χ 2 (2, n = 170) = 11.46, p = .003, Cramer’s V = 0.26, 95% CI [0.14–0.42]). HF participants showed greater gains in quality of life, ( Z = 3.83, p < 0.001, ASMD = 0.50, 95% CI [0.24–0.75]), psychological integration ( Z = 12.89, p < 0.001, pooled ASMD = 0.91, 95% CI [0.77–1.05]), and perceived recovery ( Z = 2.26, p = 0.03, ASMD = 0.39, 95% CI [0.05–0.74]) than TAU participants. Conclusions The study indicates that HF ends homelessness significantly more rapidly than TAU for a majority of individuals with serious mental illness who have a history of homelessness and live in a small city. In addition, compared to TAU, HF produces psychosocial benefits for its recipients that include an enhanced quality of life, a greater sense of belonging in the community, and greater improvements in perceived recovery from mental illness. Trial registration International Standard Randomized Control Trial Number Registe...

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“…O ACT é mais frequentemente empregado para pessoas com grande necessidade de apoio em saúde mental e o Gerenciamento de Casos, para aquelas com necessidades moderadas 56 . Os estudos que abordaram programas que utilizaram somente o ACT aparecem com menor destaque 29,47,50,[57][58][59] .…”

Section: Características Dos Estudos E Intervençõesunclassified

Fatores contextuais e implantação da intervenção Housing First: uma revisão da literatura

Carvalho

Furtado

2022

Ciênc. saúde coletiva

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Resumo O Housing First (HF) tem se difundido no cenário internacional como uma intervenção baseada em evidência para superar a situação de rua entre pessoas com agravos de saúde mental. No Brasil, o HF tem sido adotado como referência no desenvolvimento de iniciativas voltadas para pessoas em situação de rua que fazem uso prejudicial de drogas. Estudos apontam a necessidade de maior compreensão da dinâmica implantação do modelo HF em diferentes cenários. De tal modo, utilizando o método de revisão de literatura, analisamos os fatores que facilitam e dificultam a implantação do HF. Foram selecionados 68 artigos, publicados entre 2003 e 2020, nas bases PubMed, Scopus, PsychoINFO, Embase, Lilacs e Scielo. Identificamos fatores em quatro dimensões: características da intervenção, contexto de implantação, aspectos institucionais e processo de implantação. A indisponibilidade de habitações, a falta de coordenação dos serviços necessários aos moradores e a resistência dos agentes implantadores aos princípios do HF são fatores que dificultam a implantação. Por sua vez, agentes com valores, atitudes e competências convergentes ao modelo e educação permanente aparecem como facilitadores. Apontamos a necessidade de se compreender e favorecer o processo de integração do HF aos sistemas de proteção social existentes.

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Implementation Evaluation of a Housing First Program in a Small Canadian City

Cited by 5 publications

References 28 publications

Perceptions of Private Market Landlords Who Rent to Tenants of a Housing First Program

Perceptions of Private Market Landlords Who Rent to Tenants of a Housing First Program

A randomized controlled trial of the effectiveness of Housing First in a small Canadian City

Fatores contextuais e implantação da intervenção Housing First: uma revisão da literatura

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