Housing First as an effective model for community stabilization among vulnerable individuals with chronic and nonchronic homelessness histories
Abstract
Housing First (HF) is an effective intervention for reducing homelessness and service utilization among vulnerable adults and is most often focused on individuals experiencing chronic homelessness. This study explored the effectiveness of a single‐site HF program for 2 groups of people with serious mental illness: those experiencing chronic street homelessness, and those whose homelessness was limited but had high psychiatric service needs, often experiencing multiple hospitalizations or residential treatment. A sample of 91 HF and 91 matched usual care comparison participants were obtained from administrative records. Those in HF spent significantly less time homeless and psychiatrically hospitalized compared to usual care. Ninety percent of HF residents were housed after 1 year compared to 35% of the comparison group. Homelessness and hospitalization outcomes were unrelated to homelessness history. This study provides initial evidence for HF's effectiveness for promoting community stability among a population previously requiring a high level of intensive psychiatric care.
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Compared with TAU, Housing First programs reduced homelessness by a median of 89% (IQI −36% to −90%).
“or with TAU13,21,24,28 (median decrease of 89%, IQI: −36% to −90%)”
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- Authors
- Brown, M. M., Jason, L. A., Malone, D. K., Srebnik, D., & Sylla, L.
- Affiliations
- DePaul University (US)
- Downtown Emergency Service Center
- King County Mental Health Chemical Abuse and Dependency Services Division
- Corresponding author
- Brown, Molly M.
- Venue
- Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2016-03-09
- Volume
- 44
- Issue
- 3
- Pages
- 384-390
- ISSN
- 0090-4392 (ISSN-L)
- 1520-6629
- OpenAlex
- W2294088345
- Cited by
- 61
- References
- 9
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 7 · 2022: 5 · 2021: 25 · 2020: 11 · 2019: 1 · 2018: 5 · 2017: 1 · 2015: 1
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Community Psychology (publishedVersion)
- Funders
- DePaul University and Downtown Emergency Service Center
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Urban Studies › Urban and Rural Development Challenges
- Keywords
- Housing First, chronic homelessness, severe mental illness, psychiatric hospitalization, community stability, housing stability, service utilization, vulnerable adults
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