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A systematic review of outcomes associated with participation in Housing First programs

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  • Julia R. Woodhall-Melnik
  • James R. Dunn

Abstract

Housing First (HF) models have gained popularity among many politicians, policy-makers, and social service providers. Proponents of this model argue for its strength by drawing on research evidence. In other words, the use of HF is deemed an ‘evidence-based practice.’ Despite this, a strong synthesis of the evidence used to champion these models is lacking. This article seeks to address this gap, with a review focused on outcomes associated with participation in HF programs. Specifically, we investigate the details of program design coupled with specific outcomes, so as to better inform future action and research. We conclude that the research forming the evidence base for HF is methodologically strong. However, additional research is needed to determine the benefits of HF for diverse populations. Additional research is also required to conclusively determine the impact of HF on substance use and psychiatric treatment. We recommend that policy-makers consider the needs of local populations when developing and implementing HF programing.

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  • 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.
  • Handle: RePEc:taf:chosxx:v:31:y:2016:i:3:p:287-304
    DOI: 10.1080/02673037.2015.1080816
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    Cited by:

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    2. Canham, Sarah L. & Wister, Andrew & O’Dea, Eireann, 2019. "Strengths, weaknesses, opportunities, and threats to housing first in Metro Vancouver," Evaluation and Program Planning, Elsevier, vol. 75(C), pages 69-77.
    3. Kirst, Maritt & Friesdorf, Rebecca & Ta, Martha & Amiri, Alexandra & Hwang, Stephen W. & Stergiopoulos, Vicky & O'Campo, Patricia, 2020. "Patterns and effects of social integration on housing stability, mental health and substance use outcomes among participants in a randomized controlled Housing First trial," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Ciara Keenan & Sarah Miller & Jennifer Hanratty & Therese D. Pigott & Peter Mackie & John Cowman & Christopher Coughlan & Jayne Hamilton & Suzanne Fitzpatrick, 2020. "PROTOCOL: Accommodation‐based interventions for individuals experiencing, or at risk of experiencing, homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(3), September.
    5. Canham, Sarah L. & Fang, Mei Lan & Battersby, Lupin & Wada, Mineko, 2019. "Understanding the functionality of housing-related support services through mapping methods and dialogue," Evaluation and Program Planning, Elsevier, vol. 72(C), pages 33-39.
    6. Nav Persaud & Liane Steiner & Hannah Woods & Tatiana Aratangy & Susitha Wanigaratne & Jane Polsky & Stephen Hwang & Gurleen Chahal & Andrew Pinto, 2019. "Health outcomes related to the provision of free, tangible goods: A systematic review," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-29, March.
    7. Brown, Molly & Klebek, Lauren & Chodzen, Gia & Scartozzi, Samantha & Cummings, Camilla & Raskind, Alejandro, 2018. "Housing status among single adults following Homelessness Prevention and Rapid Re-housing Program participation in Indianapolis," Evaluation and Program Planning, Elsevier, vol. 69(C), pages 92-98.
    8. Mejia-Lancheros, Cilia & Lachaud, James & Woodhall-Melnik, Julia & O'Campo, Patricia & Hwang, Stephen W. & Stergiopoulos, Vicky, 2021. "Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness," Social Science & Medicine, Elsevier, vol. 268(C).

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