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

Aubry, Tim; Tsemberis, Sam; Adair, Carol E.; Veldhuizen, Scott; Streiner, David L.; Latimer, Éric; Sareen, Jitender; Patterson, Michelle; McGarvey, Kathleen; Kopp, Brianna; Hume, Catharine; Goering, Paula

doi:10.1176/appi.ps.201400167

Cited by 143 publications

(116 citation statements)

References 30 publications

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“…It offers apartments with private landlords to people living on the street, without requirements for sobriety or participation in treatment. In experimental studies, it ends homelessness more successfully than traditional models of supportive housing that do have such requirements (Aubrey et al 2015; Tsemberis et al 2004). …”

Section: Nussbaum’s Central Capabilitiesmentioning

confidence: 99%

Community Psychology and the Capabilities Approach

Shinn

2015

American J of Comm Psychol

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What makes for a good life? The capabilities approach to this question has much to offer community psychology, particularly with respect to marginalized groups. Capabilities are freedoms to engage in valued social activities and roles—what people can do and be given both their capacities, and environmental opportunities and constraints. Economist Amartya Sen’s focus on freedoms and agency resonates with psychological calls for empowerment, and philosopher Martha Nussbaum’s specification of requirements for a life that is fully human provides an important guide for social programs. Community psychology’s focus on mediating structures has much to offer the capabilities approach. Parallels between capabilities, as enumerated by Nussbaum, and settings that foster positive youth development, as described in a National Research Council Report (Eccles and Gootman (Eds) in Community programs to promote youth development. National Academy Press, Washington, 2002) suggest extensions of the approach to children. Community psychologists can contribute to theory about ways to create and modify settings to enhance capabilities as well as empowerment and positive youth development. Finally, capabilities are difficult to measure, because they involve freedoms to choose but only choices actually made or enacted can be observed. The variation in activities or goals across members of a setting provides a measure of the capabilities that the setting fosters.

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Section: Nussbaum’s Central Capabilitiesmentioning

confidence: 99%

Community Psychology and the Capabilities Approach

Shinn

2015

American J of Comm Psychol

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“…5 For example, Tsemberis et al 2 measured housing stability as "the proportion of time spent in stable housing," which could refer to living arrangements other than the apartment provided by the HF agency. Aubry et al 6 considered housing stability to be "defined as living in one's own room, apartment, or house or with family for an expected duration of at least six months or having tenancy rights (holding a lease to the housing)." Collins et al 7 measured both whether a person maintained residency during the 2 years after they moved into a specific HF project building and "the number of days they spent continuously housed during the 2 years."…”

Section: Introductionmentioning

confidence: 99%

Residential Moves Among Housing First Participants

Byrne

Henwood

Scriber

2016

J Behav Health Serv Res

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Research has demonstrated that Housing First (HF) is an effective intervention for improving housing stability among individuals with serious mental illness experiencing chronic homelessness, but efforts to examine residential moves experienced by HF participants remain limited. The present study assessed the extent to which participants in an HF program in Philadelphia experienced residential moves, situational factors related to residential moves, and HF participant characteristics associated with experiencing moves. Roughly half of HF participants in the study cohort experienced a residential move at some point during the study period, which translates into participants experiencing an average of one move every 2.3 years.Moves categorized as due to housing loss were more common than those related to housing fit.Length of time between program admission and initial move-in and older age were positively associated with an increased rate of moves following initial move-in. Study findings have important implications for HF providers and programs.

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“…Nevertheless, given the success of the housing first model and its continued implementation across the country, the question is what proportion of housing stock in communities ought to be housing first and how much housing with even greater support is needed. Despite the especially positive findings that housing first has had in Canada, there is still a minority-roughly 25% of individuals-who do not achieve favourable housing outcomes via the model (Aubry et al, 2015b(Aubry et al, , 2016. Although the reasons why some people experience difficulties are not fully understood, it is crucially important to consider that housing first may not be a one-size-fits-all model in the development and implementation of future housing for people with mental illness.…”

Section: Discussionmentioning

confidence: 99%

Canadian Service Providers’ Perceptions of Barriers and Support Gaps in Housing and Mental Health

Kerman

Sirohi

Curwood

et al. 2017

Canadian Journal of Community Mental Health

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People experiencing mental illness and homelessness face numerous barriers to becoming housed. Service providers who work with this population also encounter challenges to meeting service users' needs, yet their perspectives have been only minimally studied. Using survey data from a pan-Canadian study, this article explores the barriers and facilitators to fostering lasting change in housing and mental health according to 96 housing providers and 186 community-based mental health service providers. Findings show that the perspectives of mental health service providers are largely consistent with those of housing providers, and identify a range of support gaps and barriers.Keywords: housing, mental illness, community mental health services, unmet support needs, service provision RÉSUMÉLes sans-abris ayant des maladies mentales font face à plusieurs défis dans la recherche d'un logement. De leur côté, les gens qui travaillent dans le domaine ont de la difficulté à combler les besoins de ces

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

Cited by 143 publications

References 30 publications

Community Psychology and the Capabilities Approach

Community Psychology and the Capabilities Approach

Residential Moves Among Housing First Participants

Canadian Service Providers’ Perceptions of Barriers and Support Gaps in Housing and Mental Health

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