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Housing retention in single-site Housing First for chronically homeless individuals with severe alcohol problems

Author

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  • Collins, S.E.
  • Malone, D.K.
  • Clifasefi, S.L.

Abstract

Objectives. We studied housing retention and its predictors in the single-site Housing First model. Methods. Participants (n = 111) were chronically homeless people with severe alcohol problems who lived in a single-site Housing First program and participated in a larger nonrandomized controlled trial (2005-2008) conducted in Seattle, Washington. At baseline, participants responded to self-report questionnaires assessing demographic, illness burden, alcohol and other drug use, and psychiatric variables. Housing status was recorded over 2 years. Results. Participants were interested in housing, although a sizable minority did not believe they would be able to maintain abstinence-based housing. Only 23% of participants returned to homelessness during the 2-year follow-up. Commonly cited risk factors - alcohol and other drug use, illness burden, psychiatric symptoms, and homelessness history - did not predict resumed homelessness. Active drinkers were more likely to stay in this housing project than nondrinkers. Conclusions. We found that single-site Housing First programming fills a gap in housing options for chronically homeless people with severe alcohol problems.

Suggested Citation

  • Collins, S.E. & Malone, D.K. & Clifasefi, S.L., 2013. "Housing retention in single-site Housing First for chronically homeless individuals with severe alcohol problems," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 269-274.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301312_9
    DOI: 10.2105/AJPH.2013.301312
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    Cited by:

    1. Cameron Parsell, 2016. "Surveillance in supportive housing: Intrusion or autonomy?," Urban Studies, Urban Studies Journal Limited, vol. 53(15), pages 3189-3205, November.
    2. Patricia M. Chen, 2019. "Housing First and Single-Site Housing," Social Sciences, MDPI, vol. 8(4), pages 1-10, April.
    3. 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.
    4. Francisca G.-C. Richter & Claudia Coulton & Robert L. Fischer & Nina Lalich, 2021. "Public Assistance and Homeless Shelter Trajectories," The ANNALS of the American Academy of Political and Social Science, , vol. 693(1), pages 123-140, January.
    5. Esther S Shoemaker & Claire E Kendall & Christine Mathew & Sarah Crispo & Vivian Welch & Anne Andermann & Sebastian Mott & Christine Lalonde & Gary Bloch & Alain Mayhew & Tim Aubry & Peter Tugwell & V, 2020. "Establishing need and population priorities to improve the health of homeless and vulnerably housed women, youth, and men: A Delphi consensus study," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-14, April.
    6. Gemma Crawford & Elizabeth Connor & Kahlia McCausland & Karina Reeves & Krysten Blackford, 2022. "Public Health Interventions to Address Housing and Mental Health amongst Migrants from Culturally and Linguistically Diverse Backgrounds Living in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-22, December.

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