The Housing First Model (HFM) fidelity index: designing and testing a tool for measuring integrity of housing programs that serve active substance users.
The Housing First Model (HFM) fidelity index: designing and testing a tool for measuring integrity of housing programs that serve active substance users.
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DOI：
10.1186/1747-597x-8-16
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发表时间：
2013-05-03
期刊：
影响因子：
--
通讯作者：
Tolliver R
中科院分区：
文献类型：
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作者：
Watson DP;Orwat J;Wagner DE;Shuman V;Tolliver R
住房优先模式 (HFM) 是一种为患有双重诊断的心理健康和药物滥用障碍的前无家可归者提供服务的方法，无论他们选择使用药物或从事其他危险行为。由于与消费者结果相关的积极发现，该模型自 2000 年以来已在美国广泛推广。然而，由于缺乏明确的保真指南，导致实施不一致。研究团队与其社区合作伙伴合作开发了 HFM 保真度指数。我们描述了仪器开发过程并展示了其初始测试的结果。 HFM 忠诚度指数分两个阶段制定：(1) 对四个 HFM 组织进行定性案例研究；(2) 采访 14 名 HFM“用户”。然后通过对永久住房计划工作人员的电话采访来测试该指数的可靠性和有效性。最终样本包括 35 个州的 51 个项目（39 个住房优先项目和 12 个禁欲项目）。结果为该指数的整体信度和效度提供了证据。结果表明该指数能够区分采用不同服务方法的住房计划。在实践方面，该指数为寻求实施 HFM 的组织提供了指南。
The Housing First Model (HFM) is an approach to serving formerly homeless individuals with dually diagnosed mental health and substance use disorders regardless of their choice to use substances or engage in other risky behaviors. The model has been widely diffused across the United States since 2000 as a result of positive findings related to consumer outcomes. However, a lack of clear fidelity guidelines has resulted in inconsistent implementation. The research team and their community partner collaborated to develop a HFM Fidelity Index. We describe the instrument development process and present results from its initial testing. The HFM Fidelity Index was developed in two stages: (1) a qualitative case study of four HFM organizations and (2) interviews with 14 HFM "users". Reliability and validity of the index were then tested through phone interviews with staff members of permanent housing programs. The final sample consisted of 51 programs (39 Housing First and 12 abstinence-based) across 35 states. The results provided evidence for the overall reliability and validity of the index. The results demonstrate the index’s ability to discriminate between housing programs that employ different service approaches. Regarding practice, the index offers a guide for organizations seeking to implement the HFM.