The curious case of Housing First: The limits of evidence based policy

Stanhope, Victoria; Dunn, Kerry

doi:10.1016/j.ijlp.2011.07.006

Cited by 35 publications

(47 citation statements)

References 33 publications

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“…In recent years, researchers, policy-makers and political leaders in Canada and the US have championed 'Housing First' (HF) as a solution to homelessness (Klodawsky, 2009;Stanhope & Dunn, 2011). HF is an intervention that supplies people experiencing both homelessness and challenges around mental health with housing and supports.…”

Section: Introductionmentioning

confidence: 99%

Housing First the conversation: discourse, policy and the limits of the possible

Katz

Zerger

Hwang

2016

Critical Public Health

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Always cite the published version, so the author(s) will receive recognition through services that track citation counts, e.g. Scopus. If you need to cite the page number of the TSpace version (original manuscript or accepted manuscript) because you cannot access the published version, then cite the TSpace version in addition to the published version using the permanent URI (handle) found on the record page. 1 AbstractResearchers, policy-makers and political leaders in Canada and the US are championing the 'Housing First' (HF) intervention as a solution to homelessness. HF supplies people experiencing both homelessness and challenges around mental health with housing and a range of supports that can include case-coordination, psychiatry and primary care. While HF's impact on the housing status of individual participants has received considerable scientific and public consideration, less attention has been paid to its effects on societal conversations related to housing, public services and social justice. We explore some of the impacts, not of HF the intervention, but of HF the conversation -the way public documents related to HF interact with broader discourses. Specifically, we examine the potential for this conversation to undermine the ultimate goal of ending homelessness in Canada. We conclude that positioning program interventions-no matter how important in the current context -as singular solutions to issues like homelessness or preventable chronic disease risks obscuring distal causes and marginalizing systemic responses.

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Section: Introductionmentioning

confidence: 99%

Housing First the conversation: discourse, policy and the limits of the possible

Katz

Zerger

Hwang

2016

Critical Public Health

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“…Esta importancia reside en los efectos positivos evidenciados del alojamiento con apoyo, que mejora de calidad de vida, tanto objetiva como subjetiva, de sus usuarios (Hubley et al, 2014). Destacamos, entre otros, los siguientes resultados: ofrecen estabilidad residencial; mejoran el funcionamiento básico y la integración social; reducen síntomas psiquiátricos y la incidencia de hospitalización; mejoran la vinculación con recursos comunitarios; aumentan la satisfacción con su propia vida; producen un gran sentido y pertenencia de hogar; además, son rentables debido a que se reducen costes como consecuencia de un menor uso de servicios (Fakhoury et al, 2002;López et al, 2004;Nelson, 2010;Nelson, Aubry y Hutchinson, 2010;Pleace y Wallace, 2011;Pleace y Quilgars, 2013;Rogers et al, 2009;Ridgway, 2008;Stanhope y Dunn, 2011;Tsemberis, 2010). Así pues, la prestación de servicios residenciales se convierte en la "base para imaginar un futuro diferente" (Polvere et al, 2013, p.111), además de un elemento clave sobre el que construir una intervención socioeducativa que mejore su calidad de vida (García-Pérez y Torío-López, 2014).…”

Section: Calidad De Vida Y Alojamiento Con Apoyo Para Personas Con Trunclassified

Calidad de vida, alojamiento con apoyo y trastorno mental severo: el valor de la perspectiva socioeducativa en su recuperación

2016

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En el nuevo marco de atención comunitaria a personas con Trastorno Mental Severo (TMS), el alojamiento con apoyo se convierte en un componente crucial de intervención socioeducativa, constatando los efectos positivos para su recuperación y mejora de calidad de vida. El objetivo es analizar la calidad de vida de los usuarios de las viviendas supervisadas en Asturias y determinar en qué medida influyen en ella las variables socioclínicas, su funcionamiento personal y social y su apoyo social y comunitario. Se utilizan diversos instrumentos y entrevistas: Lancashire Quality of Life Profile-LQOLP; BELS-Basic Everyday Living Schedule; SBS-Social Behaviour Schedule; EMAS-Entrevista Mannheim de Apoyo Social y el Cuestionario de Apoyo Social Comunitario. Se obtienen resultados óptimos en: seguridad y actividades de tiempo libre; mejorables en: finanzas, trabajo, familia y estado de salud. Su funcionamiento básico-social repercute directamente sobre su calidad de vida, así como tener un empleo. El alojamiento con apoyo incrementa su calidad de vida, ayuda a mejorar su inclusión social y colabora en su recuperación. Se propone un cambio transformador en las políticas públicas sociosanitarias, destacando la trascendencia de la perspectiva socioeducativa para conseguir el desarrollo integral de la persona y un entorno comunitario favorable.

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“…by stressing the importance of research into mixed communities under the last Labour government). Whilst our examples have been taken from a UK context, the use of evidence as a rhetorical strategy to promote housing policy has been prevalent in other national contexts such as the US and Australia (see Stanhope and Dunn, 2011). In the context of policy debate and scrutiny, EBP not only serves to camouflage the underlying ideologies that inform decision-making but it also closes off -rather than opens upspace for debates about the appropriate role of government (see Marston and Watts 2003 for a useful discussion).…”

Section: Conclusion Conclusion Conclusionmentioning

confidence: 99%

Modernisation, marketisation and housing reform: The use of evidence based policy as a rationality discourse

Jacobs¹,

Manzi²

2013

PPP

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Abstract AbstractEvidence based policy (EBP) has served as a persuasive rationale for government intervention; providing a framework for evaluation through techniques of comprehensive and systematic review, closely associated in the UK with the welfare reforms undertaken by the Blair and Brown led Labour governments. In this article, we show how EBP serves as a convenient device for governments to present policy-making to a wider public, gaining legitimacy through an appeal to technical rationality and thereby shielding from scrutiny the underlying ideologies and politics that constitute housing practice. Following a brief discussion of the emergence of an 'instrumental' turn in housing policy, we consider the deployment of evidence based rationalities using the examples of public housing stock transfer, the housing market renewal programme and the 2011 Localism Act as evidence to support our arguments. Our key claim is that whilst housing policy makers continue to promote EBP to justify decision making, the choices they pursue are best explained by factors largely unrelated to 'evidence'; for example the relative power and influence of interest groupings both within government and beyond. We conclude with the suggestion that housing policy research requires a significant reorientation if it is to provide insights into aspects of policy making that remain under-examined.

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The curious case of Housing First: The limits of evidence based policy

Cited by 35 publications

References 33 publications

Housing First the conversation: discourse, policy and the limits of the possible

Housing First the conversation: discourse, policy and the limits of the possible

Calidad de vida, alojamiento con apoyo y trastorno mental severo: el valor de la perspectiva socioeducativa en su recuperación

Modernisation, marketisation and housing reform: The use of evidence based policy as a rationality discourse

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