Document Detail


The role of housing: a comparison of front-line provider views in housing first and traditional programs.
MedLine Citation:
PMID:  20521164     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Within the mental health system, there are two distinct service models for adults who have severe mental illness and are homeless: one prioritizes treatment before accessing permanent housing (Treatment First) while the other provides permanent housing upfront followed by clinical support (Housing First). Investigating front-line providers working within these two models affords an opportunity to learn more about their implementation from an insider perspective, thus shedding light on whether actual practice is consistent with or contrary to these program models' contrasting philosophical values.
METHODS: Forty-one providers were recruited from four agencies as part of a NIMH funded qualitative study. Multiple, in-depth interviews lasting 30-45 min were conducted with providers that explored working within these agencies. Thematic analysis was utilized to compare the views of 20 providers working in Housing First versus the 21 providers working in Treatment First programs.
RESULTS: Providers viewed housing as a priority but differences emerged between Treatment First and Housing First providers along three major themes: the centrality of housing, engaging consumers through housing, and (limits to...) a right to housing.
CONCLUSION: Ironically, this study revealed that providers working within Treatment First programs were consumed with the pursuit of housing, whereas Housing First providers focused more on clinical concerns since consumers already had housing. Clearly, how programs position permanent housing has very different implications for how providers understand their work, the pressures they encounter, and how they prioritize client goals.
Authors:
Benjamin F Henwood; Victoria Stanhope; Deborah K Padgett
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Administration and policy in mental health     Volume:  38     ISSN:  1573-3289     ISO Abbreviation:  Adm Policy Ment Health     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-06-23     Revised Date:  2011-09-22    
Medline Journal Info:
Nlm Unique ID:  8914574     Medline TA:  Adm Policy Ment Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-85     Citation Subset:  IM    
Affiliation:
School of Social Work, New York University, 1 Washington Square North, New York, NY 10003, USA. bfh205@nyu.edu
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MeSH Terms
Descriptor/Qualifier:
Female
Health Services Research
Homeless Persons*
Housing*
Humans
Male
Mental Disorders / therapy*
Mental Health Services / organization & administration*
Qualitative Research
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
5F31MH083372/MH/NIMH NIH HHS; F31 MH083372-01/MH/NIMH NIH HHS; R01 69865//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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