Providing Housing First and recovery services for homeless adults with severe mental illness

Psychiatric Services (Impact Factor: 2.41). 10/2005; 56(10):1303-1305. DOI: 10.1176/
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    • "The goal of At Home=Chez Soi is to influence policy by finding out what service system interventions best achieve housing stability and improved health and well-being through a rigorous mixed methods evaluation (Goering, Steiner, Adair et al., 2011; Macnaughton, Goering, & Nelson, 2012). HF was chosen as the intervention because it combines three evidence-based approaches (assertive community treatment or intensive case management with supported housing) provided within a recovery-based philosophy (Bond, Drake, Mueser, & Latimer, 2001; Nelson, 2010; Tsemberis, 2005). This intervention includes housing and mental health treatment; it also offers services in the areas of income and entitlements, addiction, social support, and employment. "
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    ABSTRACT: At Home/Chez Soi, a large, $110-million, randomized trial evaluating the effectiveness of Housing First services for 2,235 individuals who are homeless and experiencing mental illness, was implemented in five Canadian cities, beginning in fall 2009. This paper describes initial implementation of the Housing First model, focusing on specific strategies, including centrally coordinated training/technical assistance and local site coordinators as change agents in each city. Implementation of this complex intervention varied across sites but was remarkably consistent regarding the essential ingredients of the program model. A strategy that balanced a strong centrally coordinated approach to technical assistance with customization and adaptation on the local level was essential for achieving a high fidelity implementation.
    American Journal of Psychiatric Rehabilitation 10/2013; 16(4). DOI:10.1080/15487768.2013.847761
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    ABSTRACT: This work analyzes the relationship between the services clients receive in treatment programs and client ratings of program efficacy. It relies on data from a random sample of clients served by Chicago's homelessness system (N = 554). Regressions utilizing that data suggest that ratings of program efficacy are positively predicted by program ambiance, the ambiance of referral arrangements, residence in programs providing housing, and receipt of employment services. The measures of ambiance are predicted by receipt of professional services and help in locating housing. Receipt of advocacy services does not predict ratings of program efficacy nor ambiance; receipt of tangible services is negatively related to ratings of program efficacy. Results suggest that clients rate highly programs that have a positive ambiance or that provide services that clients view as immediately helpful for solving long-term needs. Clients thereby discount services known to contribute to the amelioration of homelessness.
    Journal of Community Psychology 03/2012; 40(2). DOI:10.1002/jcop.20510 · 0.99 Impact Factor