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Project-based Housing First for chronically homeless individuals with alcohol problems: Within-subjects analyses of 2-year alcohol trajectories

Author

Listed:
  • Collins, S.E.
  • Malone, D.K.
  • Clifasefi, S.L.
  • Ginzler, J.A.
  • Garner, M.D.
  • Burlingham, B.
  • Lonczak, H.S.
  • Dana, E.A.
  • Kirouac, M.
  • Tanzer, K.
  • Hobson, W.G.
  • Marlatt, G.A.
  • Larimer, M.E.

Abstract

Objectives: Two-year alcohol use trajectories were documented among residents in a project-based Housing First program. Project-based Housing First provides immediate, low-barrier, nonabstinence-based, permanent supportive housing to chronically homeless individuals within a single housing project. The study aim was to address concerns that nonabstinence-based housing may enable alcohol use. Methods: A 2-year, within-subjects analysis was conducted among 95 chronically homeless individuals with alcohol problems who were allocated to projectbased Housing First. Alcohol variables were assessed through self-report. Data on intervention exposure were extracted from agency records. Results: Multilevel growth models indicated significant within-subjects decreases across alcohol use outcomes over the study period. Intervention exposure, represented by months spent in housing, consistently predicted additional decreases in alcohol use outcomes. Conclusions: Findings did not support the enabling hypothesis. Although the project-based Housing First program did not require abstinence or treatment attendance, participants decreased their alcohol use and alcohol-related problems as a function of time and intervention exposure.

Suggested Citation

  • Collins, S.E. & Malone, D.K. & Clifasefi, S.L. & Ginzler, J.A. & Garner, M.D. & Burlingham, B. & Lonczak, H.S. & Dana, E.A. & Kirouac, M. & Tanzer, K. & Hobson, W.G. & Marlatt, G.A. & Larimer, M.E., 2012. "Project-based Housing First for chronically homeless individuals with alcohol problems: Within-subjects analyses of 2-year alcohol trajectories," American Journal of Public Health, American Public Health Association, vol. 102(3), pages 511-519.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300403_2
    DOI: 10.2105/AJPH.2011.300403
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    Cited by:

    1. Sanjay Basu, 2014. "Improving Public Health Safety Nets After an Economic Recession," Center for Policy Research Policy Briefs 50, Center for Policy Research, Maxwell School, Syracuse University.
    2. Montgomery, Ann Elizabeth & Cusack, Meagan & Szymkowiak, Dorota & Fargo, Jamison & O’Toole, Thomas, 2017. "Factors contributing to eviction from permanent supportive housing: Lessons from HUD-VASH," Evaluation and Program Planning, Elsevier, vol. 61(C), pages 55-63.
    3. Julia R. Woodhall-Melnik & James R. Dunn, 2016. "A systematic review of outcomes associated with participation in Housing First programs," Housing Studies, Taylor & Francis Journals, vol. 31(3), pages 287-304, April.
    4. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.

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