Objectives: A standard approach to treating homeless persons with a disability is called Treatment First, requiring clients be “housing ready”—that is, in psychiatric treatment and substance-free—before and while receiving permanent housing. A more…
Background: The literature on interventions addressing the intersection of homelessness, mental illness and race is scant. The At Home/Chez Soi research demonstration project is a pragmatic field trial investigating a Housing First intervention for…
Objective: Permanent supportive housing (PSH) programs are being implemented throughout the United States. This study examined the relationship between fidelity to the Housing First model and health service use among clients in PSH programs in…
The screening process can serve several purposes. The process allows for initial engagement to be made with homeless individuals in the community. Once contact has been made, homeless service providers can begin to determine if individuals meet…
Part 2 of this guide takes the form of an operations manual, providing practical guidance for how to implement HF4Y. It touches upon a number of areas, including case management, supervision, community planning, and designing youth-focused service…
This new version of THIS is Housing First has been broken into two sections. Part 1 provides an overview of the research, principles, and philosophy underpinning the HF4Y model. It concludes with a series of case examples of successful local…
Housing First has emerged as an effective and humane approach to addressing homelessness. In spite of the strength of the evidence, questions remain regarding the applicability of Housing First to sub-populations, including youth. The proposed…
Single-site Housing First (HF) is associated with reduced publicly funded service utilization and costs and alcohol-related harm for chronically homeless individuals with severe alcohol problems. Many residents,however, continue to experience…
This study examined the effectiveness of the Pathways to Housing supported housing program over a five-year period. Unlike most housing programs that offer services in a linear, step-by-step continuum, the Pathways program in New York City provides…
Objectives. We examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals’ on those individuals’ consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms. Methods. Two…
This manual explains phf practices in detail, including staffing patterns, finances, and operations. By laying bare the program, we hope that administrators, advocates, policy makers, educators, and others may find it useful for implementing (or…
This toolkit is based on the experience of the Canadian At Home/Chez Soi project that used the Pathways to Housing model of Housing First for homeless people with mental illness. While the toolkit has a mental health focus because it is based on the…
The importance of program implementation in achieving desired outcomes is well- documented, but there remains a need for concrete guidance on how to achieve fidelity to evidence- based models within dynamic local contexts. Housing First (HF), an…
In 2002, the United States embraced the Housing First approach, which led to the widespread adoption of this approach in cities across the nation. This resulted in programmatic variations of Housing First and calls for clarity about the Housing First…
There is strong evidence that the Pathways Housing First model can move homeless people with sustained experiences of living rough, with problematic drug and alcohol use, and with severe mental illness straight into ordinary housing, and successfully…
Fact sheet, provides easily digestible evidence of the benefits of housing first over treatment first or abstinence programs, across a variety of indicators.