Fidelity to the Housing First Model and Effectiveness of Permanent Supported Housing Programs in California
Fidelity to the Housing First Model and Effectiveness of Permanent Supported Housing Programs in California
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DOI：
10.1176/appi.ps.201300447
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发表时间：
2014-11-01
影响因子：
3.8
通讯作者：
Palinkas, Lawrence A.
中科院分区：
文献类型：
--
作者：
Gilmer, Todd P.;Stefancic, Ana;Palinkas, Lawrence A.
目标：美国各地正在实施永久性支助住房方案。本研究探讨了加州全方位服务伙伴关系（FSP）客户对住房第一模式的忠诚度与住宅成果之间的关系。方法：采用混合方法设计。定量行政和调查数据用于描述FSP实践，并检查86个项目的6，584名FSP客户注册前后一年对住房第一的忠诚度与住宅结果之间的关联。焦点小组在20个金融服务提供了定性数据，以提高对这些调查结果的理解与实际帐户的住房相关的经验，在高和低保真度的方案。结果：在登记之前，平均无家可归的天数在高保真度与低保真度（101天与46天）FSP更大。在对个人特征进行调整后，分析发现，在高保真项目中，入学后无家可归的天数减少了87天，在低保真项目中减少了34天。在调整入学前无家可归的天数后，高保真项目入学后无家可归的天数减少了63天，高保真项目入学后无家可归的天数减少了53天。入学后，高保真项目的客户比低设施项目的客户在公寓里多呆了60多天。高和低保真度的金融服务提供商之间的差异被发现在客户选择的住房和多少客户的目标被认为是在住房安置。结论：更忠实于住房第一模式的方案招收了无家可归历史较长的客户，并将其中大多数人安置在公寓里。
Objectives: Permanent supported housing programs are being implemented throughout the United States. This study examined the relationship between fidelity to the Housing First model and residential outcomes among clients of full service partnerships (FSPs) in California. Methods: This study had a mixed-methods design. Quantitative administrative and survey data were used to describe FSP practices and to examine the association between fidelity to Housing First and residential outcomes in the year before and after enrollment of 6,584 FSP clients in 86 programs. Focus groups at 20 FSPs provided qualitative data to enhance the understanding of these findings with actual accounts of housing-related experiences in high- and low-fidelity programs. Results: Prior to enrollment, the mean days of homelessness were greater at high-versus low-fidelity (101 versus 46 days) FSPs. After adjustment for individual characteristics, the analysis found that days spent homeless after enrollment declined by 87 at high-fidelity programs and by 34 at low-fidelity programs. After adjustment for days spent homeless before enrollment, days spent homeless after enrollment declined by 63 at high-fidelity programs and by 53 at low-fidelity programs. After enrollment, clients at high-fidelity programs spent more than 60 additional days in apartments than clients at low-facility programs. Differences were found between high- and low-fidelity FSPs in client choice in housing and how much clients' goals were considered in housing placement. Conclusions: Programs with greater fidelity to the Housing First model enrolled clients with longer histories of homelessness and placed most of them in apartments.