scholarly journals Exploring Variation in Housing First Implementation: The Role of Fit

Author(s):  
Karissa Fenwick ◽  
Benjamin Henwood ◽  
Rebecca Lengnick-Hall ◽  
Ana Stefancic ◽  
Todd Gilmer
Keyword(s):  
2019 ◽  
Vol 22 (4) ◽  
pp. 207-215 ◽  
Author(s):  
Rebecca Schiff ◽  
Bernie Pauly ◽  
Shana Hall ◽  
Kate Vallance ◽  
Andrew Ivsins ◽  
...  

Purpose Recently, Managed Alcohol Programs (MAPs have emerged as an alcohol harm reduction model for those living with severe alcohol use disorder (AUD) and experiencing homelessness. There is still a lack of clarity about the role of these programs in relation to Housing First (HF) discourse. The authors examine the role of MAPs within a policy environment that has become dominated by a focus on HF approaches to addressing homelessness. This examination includes a focus on Canadian policy contexts where MAPs originated and are still predominately located. The purpose of this paper is to trace the development of MAPs as a novel response to homelessness among people experiencing severe AUD and to describe the place of MAPs within a HF context. Design/methodology/approach This conceptual paper outlines the development of discourses related to persons experiencing severe AUD and homelessness, with a focus on HF and MAPs as responses to these challenges. The authors compare the key characteristics of MAPs with “core principles” and values as outlined in various definitions of HF. Findings MAPs incorporate many of the core values or principles of HF as outlined in some definitions, although not all. MAPs (and other housing/treatment models) provide critical housing and support services for populations who might not fit well with or who might not prefer HF models. Originality/value The “silver bullet” discourse surrounding HF (and harm reduction) can obscure the importance of programs (such as MAPs) that do not fully align with all HF principles and program models. This is despite the fact that MAPs (and other models) provide critical housing and support services for populations who might fall between the cracks of HF models. There is the potential for MAPs to help fill a gap in the application of harm reduction in HF programs. The authors also suggest a need to move beyond HF discourse, to embrace complexity and move toward examining what mixture of different housing and harm reduction supports are needed to provide a complete or comprehensive array of services and supports for people who use substances and are experiencing homelessness.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rebeca D. Sandu ◽  
Frederick Anyan ◽  
Vicky Stergiopoulos

Abstract Background Despite the accumulating evidence on the role of professional helping relationships for highly disadvantaged populations, methodological shortcomings have made it difficult to establish a robust relationships-outcomes link. This study sought to establish the impact of professional helping relationships on the trajectories over 24 months of housing stability for 2141 people facing severe and multiple disadvantage using data from the Housing First controlled trial in Canada. Method The study used a mixed method design. Latent growth curve and growth mixture models assessed the impact of working alliance across the sample as a whole and within subgroups with different patterns of housing stability. Thematic analysis explored the factors that may affect the quality of working alliances within different subgroups. Results Three distinct trajectories of housing stability emerged (i.e., Class 1: “sharp rise, sustained, and decline housing”; Class 2: “hardly any time housed”; Class 3: “high rise, sustained, and decline housing”) with professional helping relationships having different effects in each. The analysis revealed structural and individual circumstances that may explain differences among the classes. Conclusions The findings underscore the role of professional helping relationships, as distinct from services, in major interventions for highly disadvantaged populations, and draws new attention to the temporal patterns of responses to both the quality of relationship and targeted interventions.


Author(s):  
Mike Allen ◽  
Lars Benjaminsen ◽  
Eoin O’Sullivan ◽  
Nicholas Pleace

Chapter 5 explores the role of Housing First and then the broader housing market, particularly social housing, in explaining the variations in outcomes described in previous chapters. The chapter argues that the scale of secure affordable housing and the targeting of those experiencing homelessness are crucial in reducing homelessness. The Irish do worse in this regard despite expending considerable amounts of public funding on the provision of social housing. This is because it largely relies on private providers to provide housing, with the gap between ability to pay and market rents made up by a housing benefit payment. Denmark retains a considerable stock of public social housing, but is facing tight housing markets in its major urban areas, particularly Copenhagen, where homelessness in concentrated. In Finland, the steady provision of secure affordable housing, coupled with a housing-led/focused response to homelessness have allowed for the provision of a significant number of secure tenancies for households experiencing homelessness.


Author(s):  
Michael G. Young ◽  
Joshua Moses

Homelessness in the Beaufort-Delta represents a significant problem that is underserved by government, market, and nonprofit agencies. Based on research conducted during 2011-2012, this article outlines the breadth and scope of the housing problem and details extant service provision networks for homeless and hard-to-house (HtH) persons with addiction and mental health problems. A critique of neoliberal governance on housing development and social services suggests that significant effort is needed to deal with the problems associated with centralization on the one hand and the isolation associated with Arctic life on the other. The authors conclude by making recommendations for the future role of nonprofit agencies in the Beaufort-Delta through the adoption of a housing first approach. Dans le delta de Beaufort, l’itinérance pose un sérieux défi que négligent les secteurs gouvernemental, commercial et sans but lucratif. Cet article se fonde sur une étude menée en 2011-2012 qui souligne l’envergure du problème de logement et recense les réseaux actuels qui desservent les sans-abris et les personnes difficiles à héberger souffrant de problèmes de dépendance et de santé mentale. Il s’ensuit dans cet article la critique d’une politique néolibérale envers la fourniture de logements et de services sociaux. Cette critique suggère qu’un effort important est requis pour surmonter les problèmes reliés à la centralisation des services d’une part et à l’isolement du milieu arctique d’autre part. Pour conclure, l’article propose un rôle futur pour les agences à but non lucratif dans le delta de Beaufort en recommandant à ces dernières une approche qui met l’accent sur les logements avant tout. 


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