Understanding Housing Delays and Relocations Within the Housing First Model

Zerger, Suzanne; Pridham, Katherine Francombe; Hwang, Stephen W.; O’Campo, Patricia; Kohli, Jaipreet; Stergiopoulos, Vicky

doi:10.1007/s11414-014-9408-9

Cited by 13 publications

(21 citation statements)

References 23 publications

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“…Longer times to housing may have been influenced by both external factors (such as Toronto’s housing market), as well as participant-specific characteristics (participant’s particular choice of neighborhood and/or unit, factors associated with their mental and physical health, etc.). The subject of housing delays and the participants who experienced them in our sample are the topic of another forthcoming paper [ 69 ].…”

Section: Discussionmentioning

confidence: 99%

Housing First: exploring participants’ early support needs

Stergiopoulos

Gozdzik

O’Campo

et al. 2014

BMC Health Serv Res

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113

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BackgroundHousing First has become a popular treatment model for homeless adults with mental illness, yet little is known about program participants’ early experiences or trajectories. This study used a mixed methods design to examine participant changes in selected domains 6 months after enrolment in a Canadian field trial of Housing First.MethodsThe study sample included 301 participants receiving the Housing First intervention at the Toronto site of the At Home/Chez Soi project. This study used a pre-post design to compare quantitative 6-month outcome data to baseline values in key domains and multivariate regression to identify baseline demographic, clinical or service use variables associated with observed changes in these domains. In addition, qualitative data exploring participant and service provider perspectives and experiences was collected via stakeholder interviews and focus groups, and analyzed using thematic analysis.ResultsThe majority (60 to 72%) of participants followed the expected trajectory of improvement, with the remaining experiencing difficulties in community integration, mental health symptom severity, substance use, community functioning and quality of life 6 months after program enrolment. Diagnosis of psychotic disorder was associated with a reduction in quality of life from baseline to 6-months, while substance use disorders were associated with reduced mental illness symptoms and substance use related problems and an improvement in quality of life. Participants housed in independent housing at 6-months had greater improvements in community integration and quality of life, and greater reduction in mental illness symptoms, compared to those not independently housed. The quality of the working alliance was positively associated with improvements in physical and psychological community integration and quality of life. Qualitative data provided a unique window into the loneliness and isolation experienced by Housing First participants, as well as problems related to substance use and a need for life skills training and support.ConclusionsAdditional strategies can help support Housing First participants in the early stages of program participation and address potential causes of early difficulties, including lack of life skills and social isolation. This study highlights the importance of early and ongoing evaluation, monitoring and program adaptations to address consumer support needs.Trial registrationCurrent Controlled Trials ISRCTN42520374

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Section: Discussionmentioning

confidence: 99%

Housing First: exploring participants’ early support needs

Stergiopoulos

Gozdzik

O’Campo

et al. 2014

BMC Health Serv Res

Self Cite

113

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“…A separate, qualitative study of a HF program in Toronto, Canada, examined housing relocation and focused more on how staff and HF clients negotiate initial housing placement and requests for relocation. 9 In that study, both HF participants and case managers made an important conceptual distinction between moves that were due to HF participants encountering tenancy problems (e.g., causing property damage or failing to pay rent) and moves that were initiated by a client request.…”

Section: Introductionmentioning

confidence: 99%

“…Housing loss can be interpreted as resulting from challenges experienced by HF participants in maintaining housing stability, including navigating landlordtenant relationships, exercising good tenant practices, and avoiding criminal justice-related problems. Yet, as suggested by Zerger and colleagues, 9 rehousing tenants after housing loss may also function as a learning experience to help participants with future housing stability.…”

mentioning

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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“…The results of the study strongly indicate that homeless and marginally housed individuals benefit from the combination of housing and integrated supports, like health care provision and mental health/substance use supports. It should be noted, however, that while supported as an integrated approach, the implementation of the Housing First model requires that structural issues be addressed, such as the existing shortage of affordable housing in Ontario [35,36].…”

Section: Homelessness Health and Integrated Care In Canadamentioning

confidence: 99%

Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada

Buccieri

2016

Social Sciences

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Abstract:Homelessness is a complex social issue that requires a coordinated systems approach. In recent years, Canada has seen an emergence of integrated care, the joining of health care and social care, to address the needs of homeless persons. This article documents the findings of open-ended interviews with eleven members of the central east Ontario Housing and Homelessness Framework Steering Committee, comprised of service managers and the Local Health Integration Network. As the system planners for social housing and health care, respectively, members of the group work together to align system approaches for homeless persons. Research by this group identified three challenges of collaborating-their different histories and legislation, varied accountability structures, and differing roles and responsibilities within the central east region of Ontario. The study findings indicate that developing a joint document to guide the work was a process through which members began to work through these differences.

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Understanding Housing Delays and Relocations Within the Housing First Model

Cited by 13 publications

References 23 publications

Housing First: exploring participants’ early support needs

Housing First: exploring participants’ early support needs

Residential Moves Among Housing First Participants

Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada

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