Housing First Harm Reduction Model
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Housing First Harm Reduction Model
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Author : John J. Lambert
language : en
Publisher:
Release Date : 2011
Housing First Harm Reduction Model written by John J. Lambert and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Community mental health services categories.
Philadelphia is one of several cities in the United States that has a disproportionately high rate of homeless adults. In 2009 the Office of Supportive Housing reported that on any given night, 6,304 people were homeless in the city of Philadelphia (Kligerman, Darling & Schaffer, 2010). Many of these homeless individuals have substance abuse or mental health issues. In the past the city has primarily used conventional methods to address this very serious problem, but recently efforts have been made to adopt an innovative method of housing for those who are considered chronically-homeless, the Housing First model. This paper will take a comparative look at the "Housing First" model, and the more traditional modality, commonly called "Continuum of Care". The primary focus of this paper is to determine the effectiveness of the "Housing First" and "Harm Reduction" models on providing permanent supportive housing for homeless adults suffering with serious mental health and co-occurring substance abuse problems in the city of Philadelphia. This paper presents empirical evidence about the effectiveness of the overall services provided to the homeless population in Philadelphia, with a specific focus on Pathways to Housing, Philadelphia.
Housing First
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Author : Deborah Padgett
language : en
Publisher: Oxford University Press, USA
Release Date : 2016
Housing First written by Deborah Padgett and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Medical categories.
This book provides a unique portrayal of Housing First as a 'paradigm shift' in homeless services. Since 1992, this approach has spread nationally and internationally, changing systems and reversing the usual continuum of care. The success of Housing First has few parallels in social and human services.
Homelessness Housing And Harm Reduction
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Author : Deborah Kraus
language : en
Publisher: CMHC
Release Date : 2006
Homelessness Housing And Harm Reduction written by Deborah Kraus and has been published by CMHC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Political Science categories.
The purpose of this study was to investigate the effectiveness of innovative housing programs for persons who are homeless or at risk of homelessness and who use substances (e.g. drugs, alcohol or other substances). The research specifically examined which housing interventions and factors that incorporate a harm reduction approach best help this population access and maintain stable housing. Three research questions were addressed: 1. How effective are innovative or alternative residential housing programs for homeless people with substance use issues, especially those that incorporate high-tolerance or harm reduction into a supported living environment? 2. To what degree is secure and stable housing crucial to successful substance use treatment models? 3. Do harm reduction strategies, as part of supportive housing, enhance the stability and longevity of housing tenure for homeless people with substance use issues?
Pretreatment Guide For Homeless Outreach Housing First
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Author : Jay S. Levy
language : en
Publisher: Loving Healing Press
Release Date : 2012-09-30
Pretreatment Guide For Homeless Outreach Housing First written by Jay S. Levy and has been published by Loving Healing Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-09-30 with Political Science categories.
This book provides social workers, outreach clinicians, case managers, and concerned community members with a pretreatment guide for assisting homeless couples, youth, and single adults. The inter-relationship between Homeless Outreach and Housing First is examined in detail to inform program development and hands on practice. "Pretreatment Guide for Homeless Outreach & Housing First" shares five detailed case studies from the field to elucidate effective ways of helping and to demonstrate how the most vulnerable among us can overcome trauma and homelessness. Readers will:ÿ ÿ * Expand their assessment skills and discover new interventions for helping people who have experienced long-term or chronic homelessness.ÿ ÿ *ÿUnderstand and be able to integrate the stages of common language construction with their own practice.ÿ ÿ *ÿLearn about the positive measurable impact of a Housing First approach and its moral, fiscal, and quality of life implications.ÿ ÿ *ÿUnderstand how to better integrate program policy and supervision with Homeless Outreach & Housing First initiatives.ÿ ÿ *ÿLearn how to utilize a Pretreatment Approach with couples, youth, and unaccompanied adults experiencing untreated major mental illness and addiction.ÿ "Jay S. Levy's book is essential reading to both people new to the movement to end homelessness and folks who have been in the trenches for many years. Learn how to do effective outreach with the chronic homeless population, and the ins and outs of the Housing First model. The personal stories and the success cases will give inspiration to work even harder to help both individuals and for ending homelessness in your community." Michael Stoops, Director of Community Organizing National Coalition for the Homeless, Washington, DC Learn more at www.JaySLevy.com Another empowering book from Loving Healing Press www.LovingHealing.com
The Journey From Homelessness To Housing
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Author : Marysabel Moreno
language : en
Publisher:
Release Date : 2020
The Journey From Homelessness To Housing written by Marysabel Moreno and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.
Homelessness is a complex problem that carries disastrous consequences for individuals and societies. To help address the problem, governments have adopted the Housing First (HF) model and the Harm Reduction (HR) approach. HF provides housing and supportive services to people experiencing chronic homelessness who often have co-occurring mental health and substance use problems. HR acknowledges that some people are unable or unwilling to stop using substances, therefore, it focuses on reducing the harmful effects of drug and alcohol use. The purpose of this study is to examine how the HR approach is deployed within a HF project in Montreal, what are the factors that facilitate or hinder its use, how it helps HF residents and workers mitigate risk and understand substance use and what is its contribution to participants' reinsertion process. The results demonstrate that HR practices facilitate housing acquisition for people experiencing chronic homelessness and therefore can reduce the adverse effects of homelessness and substance use. For some people finding ontological security means that they no longer need to cope with the dangers of living in the streets and have a better management of substance use. In a similar manner, long-term support also seems to be a tool that helps people fight isolation, maintain housing and mitigate problems related to substance use. The study concludes that the use of HR in HF requires intervention that takes into account the person's level of autonomy as well as their right to self-determination with the possibility of opting out of services if they do not feel the need. In addition, It is important to acknowledge that residents have inherited HR tools based on their knowledge and experiences even though they manifest not being able to define HR principles. From the worker's perspective, HR is practiced by helping residents maintain their apartments, creating awareness about substance use, and providing support throughout the duration of the program. Nevertheless, the practice of HR faces several challenges, including the lack of education about the approach as well as the lack of inclusion of drug users in programs that serve them.
Homeless Outreach Housing First
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Author : Jay S. Levy
language : en
Publisher: Loving Healing Press
Release Date : 2011-11-01
Homeless Outreach Housing First written by Jay S. Levy and has been published by Loving Healing Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-11-01 with Political Science categories.
From the author of Homeless Narratives & Pretreatment Pathways Jay S. Levy brings us a new educationalresource entitled "Homeless Outreach & Housing First: LessonsLearned." This monograph features three written works onhomelessness inclusive of an article on moral, fiscal, andquality of life considerations, a new story entitled "Ronald'sNarrative: The Original Housing First," and an interview thatwas originally featured in "Recovering The Self: A Journal ofHope and Healing." These three documents provide a rich andfertile resource for learning, reflecting, and informing neededaction that promotes high quality outreach services andhousing stabilization for the most vulnerable among us.The Reader will... Learn about the positive measurable impact of a HousingFirst approach and its moral, fiscal, and quality of lifeimplications.Explore the relationship between Homeless Outreach andHousing First, as well as understand the five basic pretreatmentprinciples that can be applied to both.Learn how to utilize a Pretreatment Approach with individualsexperiencing major mental illness and addiction.Understand how to better integrate Housing First andHomeless Outreach initiatives with homelessness policy. Praise for Jay S. Levy "This is one of the best guides I have read about workingwith the underserved and homeless. I wonder why all citiesdon't put it into place? How we approach our homelesscan defi nitely make a diff erence. Sometimes it's not in thetechniques, but in the attitude of the case manager."--Carol S. Hoyer, PhD, for Reader Views Learn more at www.JaySLevy.comFrom Loving Healing Press www.LHPress.com
Housing First
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Author : Sam Tsemberis
language : en
Publisher: Hazelden Publishing
Release Date : 2015-10-27
Housing First written by Sam Tsemberis and has been published by Hazelden Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-10-27 with Medical categories.
As an evidence-based practice, Housing First has not only been proven to be successful in ending homelessness, but is also embraced as the most cost-effective solution. Today, the Housing First model is being implemented in hundreds of communities across the United States, Canada and Europe. As the model evolves one thing remains constant: Housing First ends homelessness. Housing First is simple: provide housing first, and then combine that housing with supportive treatment services in mental and physical health, substance abuse, education, and employment.Housing First details:solid, actionable information about the program's philosophy, operations, and administrationthe composition, staffing structures, and day-to-day operations of the clinical and support servicespractices in client assessment and engagementproperty management operationsthe best protocols for assisting clients with the search for housing, relationships with landlords, and the overall "settling in" processthe research evidence for the effectiveness of the Pathways modelThe Pathways model has been remarkably successful in ending chronic homelessness. Since its founding, housing retention rates have remained at 85 – 90 percent even among individuals who have not succeeded in other programs. Not only is Housing First effective at keeping people housed and working toward recovery, it has also proven to be incredibly cost-effective.
Navigating Harm Reduction
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Author : Danielle S Miller
language : en
Publisher:
Release Date : 2016
Navigating Harm Reduction written by Danielle S Miller and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.
Substance use and homelessness are often associated. This population struggles from barriers such as increased HIV risks, trauma, mental illness, lack of treatment, and lack of health insurance. This project was designed to evaluate and revise substance use best practices within the Navigation Center, a rapid Housing First transitional shelter in San Francisco, CA. Harm reduction is widely utilized within the Housing First model. Harm reduction uses multiple practical interventions as an approach to reduce the negative consequences linked to substance use. A thorough investigation of harm reduction best practices and programs was completed. Qualitative research methods such as a focus group, five key informant interviews, and weekly piloted onsite groups guided the harm reduction best practices identified. The research concluded that combating homelessness with harm reduction is an alternative approach for individuals that cannot maintain abstinence. Harm reduction philosophies lay the groundwork for an individual to achieve their full potential over time.
Impact Of Criminal Justice Involvement Profiles On The Effectiveness And Cost Effectiveness Of Housing First Among Homeless People With Mental Illness
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Author : Marichelle Leclair
language : en
Publisher:
Release Date : 2018
Impact Of Criminal Justice Involvement Profiles On The Effectiveness And Cost Effectiveness Of Housing First Among Homeless People With Mental Illness written by Marichelle Leclair and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
"People who experience homelessness and have mental illness are at increased risk of involvement with the criminal justice system that comes at significant personal, social and economic cost. While there is strong evidence that Housing First increases residential stability, the literature suggests that Housing First does not, on average, have any impact on justice outcomes. This thesis seeks to explore if this absence of impact is due to a heterogenous intervention effect, both in terms of profiles of criminal justice involvement and in terms of the nature of the offense, using data from the multisite randomized controlled trial At Home/Chez soi. In a prior paper, we empirically identified five profiles: Non/Infrequent Offenders (very few offences, but some single violent offences), Moderate Offenders (higher mean number of offences, longest duration of homelessness), Antisocial Offenders (highest means of violent and nuisance offences), Versatile Subsistence Offenders (highest mean of all offences and highest means of subsistence-related offences - e.g., theft), and Drug Offenders (highest mean number of drug-related offences). The first manuscript explores whether the absence of impact of Housing First on criminal charges overall was due to heterogenous intervention effects. The Risk-Needs-Responsivity model of offender rehabilitation suggests that individuals with certain risk factors of criminal justice involvement would be more likely to experience a reduction in criminal justice involvement as a result of Housing First, while others could experience an increase. For example, people for whom offending is in part driven by poverty and homelessness (Moderate Offenders) or by substance abuse (Drug Offenders) before coming into the program would be more likely to experience a reduction in offending as a result of increased residential stability and a harm reduction approach to substance abuse than Antisocial Offenders and Versatile Subsistence Offenders, whose criminogenic needs might not be addressed as part of the intervention. For these profiles, the intervention could even have a deleterious effect. Results showed that the impact of Housing First on violent charges differs by profiles. Moderate and Drug Offenders were more likely to experience fewer charges for violent crimes from Housing First (-0.40 [95% CI: -0.70, -0.10] and -0.53 [95% CI: -1.01, -0.05] new charges over two years, respectively). There was no impact of Housing First on subsistence charges and charges related to the administration of justice for any profile.The second manuscript assessed, first, the association between CJI profiles and days stably housed as well as costs. Second, it tested whether the effect of Housing First and its net benefit differed according to profile. On average, controlling for group assignment and other variables, Antisocial Offenders spent 48 fewer nights annually (95% CI: -72.1, -23.0) in stable housing than Non/Infrequent Offenders. Versatile Subsistence and Moderate Offenders engendered greater costs (1.33 [95% CI: 1.11, 1.59] and 1.21 [95% CI: 1.07, 1.36] times, respectively). However, the effectiveness and cost-effectiveness of the intervention did not differ by profile. Findings suggest that Housing First, when provided to homeless individuals with mental illness who have an ongoing risk of offending, may need to target the criminogenic needs of the participants in order to observe an overall reduction in criminal justice involvement. Future research could, for example, develop and test voluntary adjunctive interventions for specific groups of offenders who want to reduce their criminal justice behaviour. However, neither the effectiveness, in terms of residential stability, nor the cost-effectiveness of Housing First compared to usual services varied by profile. Our findings suggest that there is no ground for selective admission into Housing First programs based on criminal history." --
Homelessness Health In Canada
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Author : Manal Guirguis-Younger
language : en
Publisher: University of Ottawa Press
Release Date : 2014-04-24
Homelessness Health In Canada written by Manal Guirguis-Younger and has been published by University of Ottawa Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-24 with Medical categories.
"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--Back cover.