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Examining Provider Perspectives within Housing First and Traditional Programs.

Benjamin F Henwood1, Marybeth Shinn2, Sam Tsemberis3

  • 1University of Southern California, School of Social Work, Montgomery Ross Fisher Building, Los Angeles, CA 90089-0411.

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|March 25, 2014
PubMed
Summary

Frontline providers in Pathways' Housing First programs show greater consumer value endorsement and behavioral tolerance than those in traditional services. This approach facilitates engagement by prioritizing housing, unlike traditional models.

Keywords:
Housing Firstfrontline providershomelessnessserious mental illnesssupportive housing

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Area of Science:

  • Mental Health Services
  • Homelessness Research
  • Social Work Practice

Background:

  • Traditional programs for homelessness with co-occurring disorders often face challenges in engaging clients.
  • The Housing First (HF) model offers an alternative by prioritizing immediate housing.
  • Provider perspectives are crucial for understanding program effectiveness and implementation.

Purpose of the Study:

  • To compare the perspectives of frontline providers in Pathways' Housing First programs versus traditional programs.
  • To identify differences in provider values and attitudes towards consumer behavior.
  • To explore the impact of program models on provider experiences and implementation.

Main Methods:

  • Analysis of two federally funded comparison studies.
  • Quantitative analysis of structured, close-ended survey responses.
  • Qualitative analysis of semistructured, open-ended interview responses.

Main Results:

  • Pathways' Housing First providers demonstrated greater endorsement of consumer values and tolerance for non-harmful abnormal behavior.
  • Providers in traditional programs showed greater endorsement of systems values.
  • An 'implementation paradox' emerged: traditional providers struggled without housing, while HF providers focused on other issues.

Conclusions:

  • Provider perspectives differ significantly between Housing First and traditional models, favoring HF in consumer-centric values.
  • The Housing First model facilitates provider focus on treatment by decoupling it from housing acquisition.
  • Workforce adaptation to the Housing First approach presents ongoing implementation challenges due to ingrained traditional service habits.