When Housing First Lasts: Exploring the Lived Experience of Single‐site Housing First Residents

Stahl, Natalie; Collins, Susan E.; Clifasefi, Seema L.; Hagopian, Amy

doi:10.1002/jcop.21783

Cited by 16 publications

(25 citation statements)

References 42 publications

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“…This example demonstrates how Housing First principles can be applied in a congregate setting. These findings echo the results of the study of a single-site Housing First program by (Stahl et al 2016). Stahl et al (2016) used a grounded theory approach to study the experience of formerly homeless individuals in a single-site Housing First program.…”

Section: Single-site Housing and Fidelity To Housing Firstsupporting

confidence: 67%

“…These findings echo the results of the study of a single-site Housing First program by (Stahl et al 2016). Stahl et al (2016) used a grounded theory approach to study the experience of formerly homeless individuals in a single-site Housing First program. Their findings suggest that the sense of community and stability of single-site Housing First programs may also support housing retention and stability (Stahl et al 2016).…”

Section: Single-site Housing and Fidelity To Housing Firstsupporting

confidence: 67%

“…Stahl et al (2016) used a grounded theory approach to study the experience of formerly homeless individuals in a single-site Housing First program. Their findings suggest that the sense of community and stability of single-site Housing First programs may also support housing retention and stability (Stahl et al 2016). While single-site housing deviates from the Pathways model, the findings here show that programs using different types of housing can still adhere to the Housing First approach.…”

Section: Single-site Housing and Fidelity To Housing Firstmentioning

confidence: 99%

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Housing First and Single-Site Housing

Chen

2019

Social Sciences

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In 2002, the United States embraced the Housing First approach, which led to the widespread adoption of this approach in cities across the nation. This resulted in programmatic variations of Housing First and calls for clarity about the Housing First model. This study uses a comparative case study approach to explore the differences across Housing First programs in five selected cities: Dallas, Austin, Houston, Los Angeles, and Salt Lake City. It focuses on one aspect of programmatic variation: housing type. Data collection consisted of in-depth interviews with 53 participants, documentation review, and site visits. Findings show differences in the type of housing used and explore the reasons why Housing First programs select such housing configurations. The results highlight how programmatic variation does not necessarily mean the Housing First model lacks clarity. Rather, homeless service providers adapt the model to address local challenges and needs, resulting in the variation seen across programs and cities. The findings elucidate the debate about variation in the Housing First model and the call for fidelity.

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Section: Single-site Housing and Fidelity To Housing Firstsupporting

confidence: 67%

Section: Single-site Housing and Fidelity To Housing Firstsupporting

confidence: 67%

Section: Single-site Housing and Fidelity To Housing Firstmentioning

confidence: 99%

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Housing First and Single-Site Housing

Chen

2019

Social Sciences

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“…Even when employment and social connections are not feasible, feeling settled in one's housing has been linked to housing stability. In qualitative research on life changes following permanent supportive housing, participants' descriptions of making housing "feel like home" through personal belongings, the establishment of routines, and increased safety corresponded with an intention to stay in housing (Stahl et al, 2016). The authors concluded that the perception of being "at home" was a key component of recovery related to the experience of housing and reconstructing one's identity.…”

Section: Importance Of Feeling Like "Home"mentioning

confidence: 99%

Safe Spaces, Agency, and Connections to “Regular Stuff”: What Makes Permanent Supportive Housing Feel Like “Home”

Chan

2018

Rehabilitation Counseling Bulletin

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Permanent, supportive housing for people with a history of homelessness is often a first step toward regaining stability in other life areas, but such housing may not always feel like “home.” Whether supportive housing feels like “home” has received increasing attention due to links with positive identity reconstruction, housing stability, and improved community engagement. This qualitative study explored what makes supportive housing feel like “home” for individuals who were once homeless. Semi-structured interviews were completed among 37 adults with physical and/or psychiatric disabilities who were currently living in congregate or independent permanent housing in Boston, Massachusetts. Three themes emerged regarding what makes housing feel like “home”: (a) safe spaces, (b) connections to “regular stuff” and past occupations, and (c) agency to choose and pursue personal goals. Feelings of “home” were associated with a safe, peaceful environment where participants preferred to spend time in solitary activities. However, housing that felt like “home” also provided a base to engage in daily routines and community activities, reconnecting participants to “everyday things people do.” Findings are interpreted related to constructing a new, nonhomeless identity, and current issues of social isolation and limited community integration affecting individuals who were once homeless.

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“…Research has shown that HF is associated with reductions in alcohol‐related harm, publicly funded service utilization, and associated costs for people experiencing chronic homelessness (Clifasefi, Malone, & Collins, ; Collins, Malone et al, ; Larimer et al, ; Mackelprang, Collins, & Clifasefi, ; Stergiopoulos et al, ; Tsemberis & Eisenberg, ; Tsemberis et al, ). Despite these positive outcomes, many HF residents also continue to experience alcohol‐related harm (Collins, Clifasefi et al, ; Stahl, Collins, Clifasefi, & Hagopian, ). HF residents have also indicated they are interested in community‐based, creative, and meaningful activities to promote community cohesiveness and resident‐driven recovery and growth (Clifasefi, Collins, Torres, Grazioli, & Mackelprang, ).…”

Section: Introductionmentioning

confidence: 99%

The life‐enhancing alcohol‐management program: Results from a 6‐month nonrandomized controlled pilot study assessing a community based participatory research program in housing first

Clifasefi

Collins

2019

Journal Community Psychology

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A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality‐of‐life (QoL) outcomes. The LEAP entails resident‐driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol‐related harm and improving QoL. Data analyses were conducted to test between‐ and within‐subjects effects of the LEAP on self‐reported alcohol and QoL outcomes among HF residents. At the 6‐month follow up, between groups analysis revealed nonsignificant findings for alcohol quantity or alcohol‐related harm (ps > 0.06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants (p < .001), and within‐subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol‐related harm (ps < 0.01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol‐related harm. Planning is underway for a future, large‐scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.

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When Housing First Lasts: Exploring the Lived Experience of Single‐site Housing First Residents

Abstract: Mortality rates among homeless adults are estimated to be between three to four times higher than in the general population (O'Connell, 2005;Fazel, Geddes, & Kushel, 2014) This work was performed at the University of Washington, Seattle. Natalie Stahl is now a student at

Cited by 16 publications

References 42 publications

Housing First and Single-Site Housing

Housing First and Single-Site Housing

Safe Spaces, Agency, and Connections to “Regular Stuff”: What Makes Permanent Supportive Housing Feel Like “Home”

The life‐enhancing alcohol‐management program: Results from a 6‐month nonrandomized controlled pilot study assessing a community based participatory research program in housing first

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