Availability of comprehensive services in permanent supportive housing in Los Angeles

Henwood, Benjamin F.; Harris, Taylor; Woo, Darlene; Winetrobe, Hailey; Rhoades, Harmony; Wenzel, Suzanne L.

doi:10.1111/hsc.12510

Cited by 31 publications

(26 citation statements)

References 37 publications

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“…Even without concerns of being surveilled, most participants agreed that they received limited assistance from social service providers that were assigned to them as part of PSH programming. This perceived lack of support may be due to limited provider capacity given high caseloads in this particular service system (Henwood et al, 2017) or may reflect a more general passive and nondirective supportive stance taken by some PSH providers (Tiderington, 2017). Whatever the reason, the policy context that influences how PSH is implemented contributed to tenants’ isolation, difficulty navigating a complex health and social services system, and inability to develop additional life skills.…”

Section: Discussionmentioning

confidence: 99%

Understanding Risk Environments in Permanent Supportive Housing for Formerly Homeless Adults

et al. 2018

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In this study, we used ethnographic methods and a risk environment framework to consider how contextual factors produce or reduce risk for substance use with a sample of 27 adults who recently moved into permanent supportive housing (PSH). Most apparent was how the social and physical environments interacted, because most participants focused on how having an apartment had dramatically changed their lives and how they interact with others. Specific themes that emerged that also involved economic and policy environments included the following: isolation versus social engagement; becoming one's own caseworker; and engaging in identity work. This study underscores the scarcity yet importance of research that examines the multiple types of environment in which PSH is situated, and suggests that a better understanding of how these environments interact to produce or reduce risk is needed to develop optimal interventions and support services.

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Section: Discussionmentioning

confidence: 99%

Understanding Risk Environments in Permanent Supportive Housing for Formerly Homeless Adults

et al. 2018

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“…Although the results of this study indicate a need for efforts within permanent supportive housing that focus on enabling residents to thrive, existing research with PSH providers suggests that, due to limited provider capacity and high resident-to-provider ratios, program staff typically perceive their jobs to be primarily focused on keeping people in housing (Henwood et al, 2017b). Other needs of PSH residents, for example, HIV prevention (Wenzel et al, 2017), receive less attention in this context of competing priorities.…”

Section: Discussionmentioning

confidence: 85%

Life Goals Over Time Among Homeless Adults in Permanent Supportive Housing

Wenzel

Rhoades

Moore

et al. 2018

American J of Comm Psychol

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Permanent supportive housing (PSH) is a widely-accepted solution to the challenge of chronic homelessness. While housing support and retention, physical health, and healthcare continue to be important for formerly homeless persons in PSH, "higher-order" and humanistic needs such as thriving have received less attention and as a result are less well understood in this population. One important indicator of thriving is the ability to establish and articulate life goals. This study utilizes longitudinal data from 421 formerly homeless adults prior to their move into PSH, and at 3-, 6- and 12-months after move-in (369 respondents completed all four interviews), to examine what life goals are articulated by this population and how those goals change over time. Prior to housing, most respondents articulated housing attainment as their primary life goal, whereas at follow-up interviews health goals, housing relocation, and financial goals became more prevalent. Aspirational goals (e.g., independence, self-improvement, artistic pursuits) were also common, but demonstrated a decrease over time in housing. Relationship goals remained common and consistent over time. Findings indicate that housing is a necessary, but perhaps not sufficient, step for improving thriving among formerly homeless adults. Implications for practice and future research are discussed.

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“…In Australia, there is an absence of institutionalised policy frameworks to embed the ongoing provision of support required to meet the criteria of permanent supportive housing (Parkinson & Parsell, ). The international literature shows that without a policy and funding commitment to the provision of ongoing support, permanent supportive housing is limited in the capacity to assist people sustain tenancies (Quinn et al, ) or to improve non‐housing domains (Henwood et al, ).…”

Section: Discussionmentioning

confidence: 99%

Evidence for an integrated healthcare and psychosocial multidisciplinary model to address rough sleeping

Parsell

Clarke

Vorsina

2019

Health Soc Care Community

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People who sleep rough/experience unsheltered homelessness face barriers accessing mainstream healthcare and psychosocial services. The barriers to service access exacerbate poor health, which in turn create additional challenges for rough sleepers to access health and psychosocial services, including stable housing. The study presents descriptive statistics to identify housing outcomes of people working with a Multidisciplinary Model that comprises integrated healthcare and psychosocial support, and qualitative data with clients and service providers to investigate how the Model is experienced and delivered in practice. Fieldwork was conducted between December 2016 and March 2018 with the Multidisciplinary Team operating in Cairns, in the far north of Australia. Qualitative data are drawn from in‐depth interviews with 26 rough sleepers and 33 health and psychosocial service providers from the Multidisciplinary Team and the wider service system. Descriptive statistics show that 67% of clients who were sleeping rough were supported to immediately access stable housing, and at the end of the program, all clients remained housed. The qualitative findings illustrated how integrated healthcare and psychosocial outreach enabled people sleeping rough to overcome barriers they experienced accessing mainstream healthcare and other services. With the benefit of healthcare, people felt sufficiently well to engage with the psychosocial service providers to have their housing and other psychosocial needs addressed. This article demonstrates how individual responsibility for and control over healthcare is not only a matter of the individual, but also a matter requiring systems change and the active provision of resources to cater for the constraints and opportunities present in people's immediate environments.

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Availability of comprehensive services in permanent supportive housing in Los Angeles

Cited by 31 publications

References 37 publications

Understanding Risk Environments in Permanent Supportive Housing for Formerly Homeless Adults

Understanding Risk Environments in Permanent Supportive Housing for Formerly Homeless Adults

Life Goals Over Time Among Homeless Adults in Permanent Supportive Housing

Evidence for an integrated healthcare and psychosocial multidisciplinary model to address rough sleeping

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