Implementing housing first with families and young adults: challenges and progress toward self-sufficiency
Implementing housing first with families and young adults: challenges and progress toward self-sufficiency
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DOI：
10.1016/j.childyouth.2018.11.025
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发表时间：
2019-01-01
影响因子：
3.3
通讯作者：
Cherney, Emily
中科院分区：
文献类型：
--
作者：
Collins, Cyleste C.;Bai, Rong;Cherney, Emily
住房优先的方法在帮助解决长期无家可归的单身男性中表现出了希望，但当它应用于家庭和年轻人时，人们对这种方法知之甚少。这项研究检查了试点住房优先计划的数据，该计划服务于78个有无家可归史、心理健康和/或物质使用障碍的家庭(n=63)和单身年轻人(n=15)，以探索计划的功能和客户服务的使用模式。采用探索性顺序混合方法研究设计(Creswell&Plano Clark，2011)，首先进行定性访谈数据，然后分析定量管理数据和定性进度记录数据，以探索定性访谈中提出的想法。对工作人员(N=9)进行了深入的定性访谈，收集了有关项目运作和客户成功与挑战的信息。收集了所有78名受助人的定量数据，来源包括关于返乡无家可归、儿童福利参与、接受公共援助以及与案件管理人员互动的行政数据。随后对客户进展笔记样本(N=32)进行了定性研究。综合调查结果，采访表明，客户面临许多挑战，特别是与收入很少或没有收入、多个孩子和耻辱有关的挑战，但随着时间的推移，对案件经理的需求将会减少，这将标志着“成功”。我们发现，89%的人仍然参加了该计划，21%的人在某个时候回到了庇护所，参与儿童福利的人数减少了，公共援助收入在计划加入后增加了。案例管理笔记的内容分析表明，案例经理与客户合作发展独立的生活技能，以提高客户长期变得足够的机会。
The Housing First approach has shown promise in helping to combat homelessness among chronically homeless single males, but less is known about the approach when it is applied to families and young adults. This study examined data from a pilot Housing First program that served 78 families (n = 63) and single young adults (n = 15) with homeless histories and mental health and/or substance use disorders to explore program functioning and client service use patterns. Using an exploratory sequential mixed methods research design (Creswell & Plano Clark, 2011), qualitative interview data were conducted first, and quantitative administrative data and qualitative progress note data were then analyzed to explore ideas presented in the qualitative interviews. The in-depth qualitative interviews with staff (N = 9) collected information on program functioning and client successes and challenges. Quantitative data were collected on all 78 clients and sources included administrative data about return to homelessness, child welfare involvement, receipt of public assistance, and interactions with case managers. Qualitative exploration of a sample of client progress notes (N = 32) then followed. Integrating the findings, interviews suggested that clients faced many challenges, especially those related to having little to no income, multiple children, and stigmas, but that "success" would be indicated by needing their case managers less over time. We found that 89% remained enrolled in the program, 21% returned to shelter at some point, child welfare involvement decreased, and public assistance receipt increased after program entry. Content analysis of case management notes indicated that case managers worked with clients to develop independent living skills to improve clients' chances for becoming sufficient over the long-term.