Housing First Model Fidelity and Implications for Substance Abuse Treatment

描述（由申请人提供）：住房第一是一个模型，为无家可归的个人提供物质使用障碍和严重精神疾病的双重诊断。虽然该模式与客户获得更多的药物滥用治疗有关，但人们认识到，在进一步调查住房第一方案拟订与药物滥用治疗之间的联系之前，需要对其基本要素作出更明确的定义。以下应用程序请求支持博士论文研究，其目的是：（1）定义住房第一模型的基本组成部分;（2）为住房第一编程开发保真度指数;（3）测试最终的保真度指数的可靠性和有效性;以及（4）评估保真度预测改善药物滥用治疗的程度。该研究旨在通过分三个阶段开展的活动来实现这些目标。在第一阶段，将与住房第一组织的工作人员和客户进行访谈，确定该模式的核心要素。在第二阶段，将与住房第一专家进行访谈，以创建最终的忠诚指数。最后阶段将通过将机构忠诚度分数与住房保留和住房组织的客户待遇访问数据相关联来评估该模型。 公共卫生相关性：住房第一模式基于人权和公共卫生原则。在药物滥用方面，住房第一寻求协助个人按照自己的条件进行治疗，作为获得更好治疗结果的一种手段。该项目旨在通过制定一个忠实指数来推动对“住房第一”模式的研究，该指数将有助于更有力地衡量“住房第一”方案的执行和评价情况。

DESCRIPTION (provided by applicant): Housing First is a model for serving homeless individuals with dual diagnoses of substance use disorder and serious mental illness. While model has been associated with higher substance abuse treatment access for clients, it has been recognized that stronger definitions of its essential elements are needed before further investigation into the association between Housing First programming and substance abuse treatment can be carried out. The following application requests support for doctoral dissertation research that aims to: (1) define the essential components of the Housing First model; (2) develop a fidelity index for Housing First programming; (3) test the finalized fidelity index for reliability and validity; and (4) assess the degree to which fidelity predicts improved substance abuse treatment access for clients. The study seeks to address these aims through activities carried out in three phases. In the first phase interviews with staff and clients from Housing First organizations will define the core essential elements of the model. In the second phase, interviews with Housing First experts will be conducted to create a finalized fidelity index. The final phase will assess the model by correlating agency fidelity scores with housing retention and client treatment access data from housing organizations. PUBLIC HEALTH RELEVANCE: The Housing First model is based on human rights and public health principles. In relation to substance abuse, Housing First seeks to assist individuals to engage in treatment on their own terms as a means to obtaining stronger treatment outcomes. This project seeks to advance research on the Housing First model by developing a fidelity index that will allow for stronger measurement of Housing First programming for implementation and evaluation purposes.