Service Content as a Determinant of Homeless Adults’ Perceptions of Program Efficacy

Abstract

This work analyzes the relationship between the services clients receive in treatment programs and client ratings of program efficacy. It relies on data from a random sample of clients served by Chicago's homelessness system (N = 554). Regressions utilizing that data suggest that ratings of program efficacy are positively predicted by program ambiance, the ambiance of referral arrangements, residence in programs providing housing, and receipt of employment services. The measures of ambiance are predicted by receipt of professional services and help in locating housing. Receipt of advocacy services does not predict ratings of program efficacy nor ambiance; receipt of tangible services is negatively related to ratings of program efficacy. Results suggest that clients rate highly programs that have a positive ambiance or that provide services that clients view as immediately helpful for solving long-term needs. Clients thereby discount services known to contribute to the amelioration of homelessness. C 2012 Wiley Periodicals, Inc.Since the reemergence of homelessness as a social problem, most cities established local networks of treatment programs. Many such networks are organized around the continuum of care approach (Couzens, 1997), under which adults are housed in shelters and

A vacation for the homeless: evaluating a collaborative community respite programme in Canada through clients’ perspectives

“…However, no matter the age group, satisfaction with services is increased when providers offer respectful, empathetic, supportive services that foster a sense of autonomy (Greenwood et al 2005, Thompson et al 2006, Sosin et al 2012. Interventions that focus on emotional support are appreciated, and face-to-face assistance that is accessible, flexible, participatory and long-term is also recommended (Stewart et al 2009).…”