Housing First for Homeless Persons with Active Addiction: Are We Overreaching?

Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This...

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Published inThe Milbank quarterly Vol. 87; no. 2; pp. 495 - 534
Main Authors KERTESZ, STEFAN G., CROUCH, KIMBERLY, MILBY, JESSE B., CUSIMANO, ROBERT E., SCHUMACHER, JOSEPH E.
Format Journal Article
LanguageEnglish
Published Malden, USA Blackwell Publishing Inc 01.06.2009
Wiley Subscription Services
Wiley
Blackwell Publishing Ltd
Subjects
Addiction
addiction treatment
Addictions
Addictive behaviors
Community care
Cooperative Behavior
Drug addiction
Experimentation
Health policy
Health Services Accessibility - statistics & numerical data
Health Services Needs and Demand - statistics & numerical data
Homeless people
Homeless persons
Homeless Persons - statistics & numerical data
Homelessness
Housing
Housing programs
Humans
Interinstitutional Relations
Linear models
Medical treatment
Mental health outcomes
Mental illness
Original
Outcome Assessment (Health Care)
Personality disorders
Public housing
Public Housing - statistics & numerical data
public policy
Rehabilitation
Rehabilitation, Vocational - statistics & numerical data
Residential Treatment - organization & administration
Retention
review literature
Shelters
Social Environment
Social problems and social policy. Social work
Sociology
Sociology of health and medicine
Substance abuse
Substance-Related Disorders - therapy
Therapeutic communities
U.S.A
United States
United States Of America
United States
United States > US
Drug
Homeless
Social Policy
Accomodation
Alcoholism
Online AccessGet full text

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Abstract Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This article reviews studies of Housing First and more traditional rehabilitative (e.g., "linear") recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. Findings: According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
AbstractList Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This article reviews studies of Housing First and more traditional rehabilitative (e.g., "linear") recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. Findings: According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. This article reviews studies of Housing First and more traditional rehabilitative (e.g., "linear") recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This article reviews studies of Housing First and more traditional rehabilitative (e.g., “linear”) recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. Findings: According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long‐term housing success and retention. Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This article reviews studies of Housing First and more traditional rehabilitative (e.g., `linear') recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. Findings: According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs. Reprinted by permission of Blackwell Publishers
Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This article reviews studies of Housing First and more traditional rehabilitative (e.g., “linear”) recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. Findings: According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long‐term housing success and retention. Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. This article reviews studies of Housing First and more traditional rehabilitative (e.g., "linear") recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. Methods: This article reviews studies of Housing First and more traditional rehabilitative (e.g., 'linear') recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. Findings: According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs. Adapted from the source document.
Author SCHUMACHER, JOSEPH E.
KERTESZ, STEFAN G.
MILBY, JESSE B.
CROUCH, KIMBERLY
CUSIMANO, ROBERT E.
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Snippet Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers...
More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early...
Context: More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers...
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StartPage 495
SubjectTerms Addiction
addiction treatment
Addictions
Addictive behaviors
Community care
Cooperative Behavior
Drug addiction
Experimentation
Health policy
Health Services Accessibility - statistics & numerical data
Health Services Needs and Demand - statistics & numerical data
Homeless people
Homeless persons
Homeless Persons - statistics & numerical data
Homelessness
Housing
Housing programs
Humans
Interinstitutional Relations
Linear models
Medical treatment
Mental health outcomes
Mental illness
Original
Outcome Assessment (Health Care)
Personality disorders
Public housing
Public Housing - statistics & numerical data
public policy
Rehabilitation
Rehabilitation, Vocational - statistics & numerical data
Residential Treatment - organization & administration
Retention
review literature
Shelters
Social Environment
Social problems and social policy. Social work
Sociology
Sociology of health and medicine
Substance abuse
Substance-Related Disorders - therapy
Therapeutic communities
U.S.A
United States
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Title Housing First for Homeless Persons with Active Addiction: Are We Overreaching?
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Volume 87
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