Case Management Models in Permanent Supported Housing Programs for People With Complex Behavioral Issues Who Are Homeless

Clark, Colleen; Guenther, Christina C.; Mitchell, Jessica

doi:10.1080/15504263.2016.1176852

Cited by 14 publications

(9 citation statements)

References 25 publications

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“…Among 152 studies in multiracial or multiethnic populations, 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , ...…”

Section: Resultsunclassified

Racial Health Equity and Social Needs Interventions

et al. 2023

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ImportanceSocial needs interventions aim to improve health outcomes and mitigate inequities by addressing health-related social needs, such as lack of transportation or food insecurity. However, it is not clear whether these studies are reducing racial or ethnic inequities.ObjectiveTo understand how studies of interventions addressing social needs among multiracial or multiethnic populations conceptualize and analyze differential intervention outcomes by race or ethnicity.Evidence ReviewSources included a scoping review of systematic searches of PubMed and the Cochrane Library from January 1, 1995, through November 29, 2021, expert suggestions, and hand searches of key citations. Eligible studies evaluated interventions addressing social needs; reported behavioral, health, or utilization outcomes or harms; and were conducted in multiracial or multiethnic populations. Two reviewers independently assessed titles, abstracts, and full text for inclusion. The team developed a framework to assess whether the study was “conceptually thoughtful” for understanding root causes of racial health inequities (ie, noted that race or ethnicity are markers of exposure to racism) and whether analyses were “analytically informative” for advancing racial health equity research (ie, examined differential intervention impacts by race or ethnicity).FindingsOf 152 studies conducted in multiracial or multiethnic populations, 44 studies included race or ethnicity in their analyses; of these, only 4 (9%) were conceptually thoughtful. Twenty-one studies (14%) were analytically informative. Seven of 21 analytically informative studies reported differences in outcomes by race or ethnicity, whereas 14 found no differences. Among the 7 that found differential outcomes, 4 found the interventions were associated with improved outcomes for minoritized racial or ethnic populations or reduced inequities between minoritized and White populations. No studies were powered to detect differences.Conclusions and RelevanceIn this review of a scoping review, studies of social needs interventions in multiracial or multiethnic populations were rarely conceptually thoughtful for understanding root causes of racial health inequities and infrequently conducted informative analyses on intervention effectiveness by race or ethnicity. Future work should use a theoretically sound conceptualization of how race (as a proxy for racism) affects social drivers of health and use this understanding to ensure social needs interventions benefit minoritized racial and ethnic groups facing social and structural barriers to health.

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Section: Resultsunclassified

Racial Health Equity and Social Needs Interventions

et al. 2023

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“…If a “housing‐led” approach—providing access to permanent housing as the initial response to homelessness with flexible support services (Pleace, )—would become the norm in Dutch shelter services, CTI could be effective in preventing recurrent homelessness for those excluded from the present study. In the United States, combining CTI with a housing‐led approach has been successful in helping people with complex needs and chronic homelessness to move to stable housing (Clark, Guenther & Mitchell, ).…”

Section: Discussionmentioning

confidence: 99%

Critical Time Intervention for Homeless People Making the Transition to Community Living: A Randomized Controlled Trial

Vet

Beijersbergen

Jonker

et al. 2017

American J of Comm Psychol

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Highlights This study contributes to a European evidence base for effective interventions for homeless people.It is the first RCT conducted in Dutch shelter services; this is uncommon outside the United States.In this sample, recurrent homelessness was rare 9 months after moving from a shelter to housing.Beneficial effects of CTI on mental health seem to be independent of health care system or context.

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“…They are independent small group homes rented in regular neighbourhoods or clustered group homes. In such models, the support provided along with accommodation is underpinned by services of a case manager or peer support worker, and such case management models to support homeless ‘people with complex behavioural issues in permanent supported housing programs’ are fast evolving (Clark et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Clinical and psychosocial profile of persons with mental illness living in non-hospital residential facilities in a district in Kerala, India: A cross-sectional survey

Ramkumar

Michael

Sadath

2021

Int J Soc Psychiatry

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Background: Clinical and psychosocial profiles of persons living with mental illness (PMI) in non-hospital settings in India have not been adequately studied. Aim: This study describes the profile of PMI living in non-hospital settings by focussing on variables like functioning and social networks. Method: Residents of all available residential facilities in one district area were surveyed and descriptive data was obtained. Socio occupational functioning was assessed using the Social and Occupational Functioning Scale (SOFS) and social network was measured by modified Lubben Social Network Scale-6 (LSNS-6). Results: A total of nine centres housing 491 residents (7–128) were surveyed via field visits. The mean age of the residents was 49 ± 14.0 years. Fifty per cent of them were never married, 22% were separated or widowed. Almost half of the people had psychotic disorders, while diagnosis could not be delineated in a quarter of the population. Almost half the people reached the facilities with the help of their families, while 40% were brought by police or volunteers who found them wandering. Impairment in socio-occupational functioning was only mild in 90% of residents, while 60% did not contact relatives or friends in the past 3 months. Conclusion: PMI living in non-hospital residential facilities were on average in their middle age and were deficient in marital bonds and other social support. They had reached the centres with the help of extended family or by police/volunteers who rescued them from wandering status. Nevertheless, most of them had only mild to moderate levels of impairment, and their functional capacity was good for independent living in the community with support. Hence, newer models of supported housing that provide greater community reintegration, like independent shared housing within regular neighbourhoods, can be tried. In persons with residual family ties, providing continuous community-based support may help re-establish family integration.

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Case Management Models in Permanent Supported Housing Programs for People With Complex Behavioral Issues Who Are Homeless

Cited by 14 publications

References 25 publications

Racial Health Equity and Social Needs Interventions

Racial Health Equity and Social Needs Interventions

Critical Time Intervention for Homeless People Making the Transition to Community Living: A Randomized Controlled Trial

Clinical and psychosocial profile of persons with mental illness living in non-hospital residential facilities in a district in Kerala, India: A cross-sectional survey

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