Housing First Model Fidelity and Implications for Substance Abuse Treatment

描述（由申请人提供）：住房优先是一个服务无家可归者的模式，他们被双重诊断为物质使用障碍和严重精神疾病。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，在进一步调查住房优先方案与药物滥用治疗之间的关系之前，需要对其基本要素作出更强有力的定义。以下申请要求支持博士论文研究，旨在：(1)定义住房优先模式的基本组成部分；(2)建立住房优先规划的保真度指标；(3)对最终确定的保真度指标进行信度和效度检验；(4)评估保真度预测客户药物滥用治疗获得改善的程度。这项研究力求通过分三个阶段进行的活动来实现这些目标。在第一阶段，与来自住房优先组织的员工和客户的访谈将定义该模型的核心基本要素。在第二阶段，将与住房优先专家进行访谈，以创建最终的保真度指数。最后阶段将通过将代理保真度得分与住房保留和来自住房组织的客户待遇访问数据相关联来评估模型。

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.