PRISM: A Shelter-Based Partnership for People Experiencing Homelessness and Severe Mental Illness

Laliberté, Vincent; Roussel-Bergeron, Delphine; Latimer, Éric; Farmer, Olivier

doi:10.1176/appi.ps.202000682

Cited by 3 publications

(6 citation statements)

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“…Additionally, 78% of program completers were engaged with psychiatric follow-up of varying intensity prior to program discharge. Our results are congruent with the findings of Laliberté et al, 1 who found, based on a chart review that 63% of program users transitioned to housing after discharge while 85% had psychiatric follow-up care immediately after program completion. Given that follow-up care in the month after psychiatric discharge can be as low as 49% for patients who need to be reassessed in that timeframe, 22 our findings reinforce the notion that the period of stabilization that clients benefit from in PRISM translates into a better transition to stable housing and more adequate follow-up.…”

Section: Discussionsupporting

confidence: 92%

“…PRISM also refers participants to scatteredsite Housing First providers. A more exhaustive report of PRISM and its services is described in Laliberté et al 1 The PRISM program has been the subject of two studies to date. First, a descriptive study conducted from November 18, 2013, to May 31, 2019, based on a chart review of 4 operating PRISM partnerships 1 revealed that, of 579 clients, 63% were housed after program discharge (52% to permanent housing and 11% to temporary housing), 21% were not, and 16% were transferred to a hospital or rehabilitation centre.…”

mentioning

confidence: 99%

“…Projet Réaffiliation Itinérance Santé Mentale (PRISM) is a shelter-based mental health service launched in Montreal, Canada, in 2013 1 , 2 as a novel approach to provide services to homeless individuals with mental illness by establishing partnerships between the city's shelters and public mental health and social service providers. There are currently three PRISMs in Montreal.…”

mentioning

confidence: 99%

“…PRISM also refers participants to scattered-site Housing First providers. A more exhaustive report of PRISM and its services is described in Laliberté et al 1 …”

mentioning

confidence: 99%

“…The PRISM program has been the subject of two studies to date. First, a descriptive study conducted from November 18, 2013, to May 31, 2019, based on a chart review of 4 operating PRISM partnerships 1 revealed that, of 579 clients, 63% were housed after program discharge (52% to permanent housing and 11% to temporary housing), 21% were not, and 16% were transferred to a hospital or rehabilitation centre. Furthermore, 85% had received some form of outpatient or community service support at discharge.…”

mentioning

confidence: 99%

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Benefits of the PRISM Shelter-Based Program for Attainment of Stable Housing and Functional Outcomes by People Experiencing Homelessness and Mental Illness: A Quantitative Analysis

et al. 2023

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Objective To explore the housing trajectory, personal recovery, functional level, and quality of life of clients at discharge and 1 year after completing Projet Réaffiliation Itinérance Santé Mentale (PRISM), a shelter-based mental health and rehabilitation program intended to provide individuals experiencing homelessness and severe mental illness with transition housing and to reconnect them with mental health and social services. Method Housing status, psychiatric follow-up trajectory, personal recovery (Canadian Personal Recovery Outcome Measure), functional level (Multnomah Community Ability Scale), and quality of life (Lehman Quality of Life Interview) were assessed at program entry, at program discharge and 1 year later. Results Of the 50 clients who participated in the study from May 31, 2018, to December 31, 2019, 43 completed the program. Of these, 76.7% were discharged to housing modalities and 78% were engaged with psychiatric follow-up at the program's end. Housing stability, defined as residing at the same permanent address since discharge, was achieved for 62.5% of participants at 1-year follow-up. Functional level and quality of life scores improved significantly both at discharge and at 1-year follow-up from baseline. Conclusions Admission to PRISM helped clients secure long-term stable housing and appropriate psychiatric follow-up. Stable housing was maintained for most clients at 1-year follow-up, and they benefited from sustained functional and quality of life outcomes in long-term follow-up.

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

mentioning

confidence: 99%

“…PRISM also refers participants to scattered-site Housing First providers. A more exhaustive report of PRISM and its services is described in Laliberté et al 1 …”

mentioning

confidence: 99%

mentioning

confidence: 99%

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