Housing First Services for People Who Are Homeless With Co-Occurring Serious Mental Illness and Substance Abuse
Top Cited Papers
- 1 January 2006
- journal article
- Published by SAGE Publications in Research on Social Work Practice
- Vol. 16 (1), 74-83
- https://doi.org/10.1177/1049731505282593
Abstract
The literature on homeless adults with severe mental illness is generally silent on a critical issue surrounding service delivery—the contrast between housing first and treatment first program philosophies. This study draws on data from a longitudinal experiment contrasting a housing first program (which offers immediate permanent housing without requiring treatment compliance or abstinence) and treatment first (standard care) programs for 225 adults who were homeless with mental illness in New York City. After 48 months, results showed no significant group differences in alcohol and drug use. Treatment first participants were significantly more likely to use treatment services. These findings, in combination with previous reports of much higher rates of housing stability in the housing first group, show that “dual diagnosed” adults can remain stably housed without increasing their substance use. Thus, housing first programs favoring immediate housing and consumer choice deserve consideration as a viable alternative to standard care.Keywords
This publication has 34 references indexed in Scilit:
- Research in supported housingSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2002
- Outcomes and Service Use Among Homeless Persons With Serious Mental Illness and Substance AbusePsychiatric Services, 2002
- Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: A clinical trial.American Journal of Orthopsychiatry, 1998
- Housing status among formerly homeless dually diagnosed adultsPsychiatric Services, 1997
- Integrated Treatment for Dually Diagnosed Homeless AdultsThe Journal of Nervous & Mental Disease, 1997
- Reliability and validity of self-report data of homeless mentally ill individualsEvaluation and Program Planning, 1997
- Modifying the PACT model to serve homeless persons with severe mental illnessPsychiatric Services, 1995
- Public shelter admission rates in Philadelphia and New York City: The implications of turnover for sheltered population countsHousing Policy Debate, 1994
- Homelessness and dual diagnosis.American Psychologist, 1991
- Major mental illness, housing, and supports: The promise of community integration.American Psychologist, 1990