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Implementation and Outcomes of Forensic Housing First Programs.

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Forensic supportive housing programs show lower fidelity to the Housing First model, particularly regarding harm reduction and independent living. Navigating criminal justice mandates challenges effective client support.

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Area of Science:

  • Social Sciences
  • Public Health
  • Criminal Justice

Background:

  • Supportive housing programs aim to assist vulnerable populations.
  • The Housing First model prioritizes rapid housing access with minimal preconditions.
  • Forensic populations present unique challenges due to criminal justice involvement.

Purpose of the Study:

  • To compare Housing First fidelity and client outcomes in forensic versus non-forensic supportive housing.
  • To explore how forensic program providers balance Housing First principles with criminal justice mandates.

Main Methods:

  • Mixed-method approach using administrative data from 68 programs.
  • Qualitative and evaluative site visit data from four forensic programs.
  • Comparison of fidelity and client outcomes between program types.

Main Results:

  • Forensic programs demonstrated lower adherence to harm reduction for substance use.
  • Clients in forensic programs were more likely to reside in congregate settings.
  • Court involvement, resource limitations, and risk environments influenced provider decisions.

Conclusions:

  • Adaptations to the Housing First model are necessary for forensic populations.
  • Integrating mental health, criminal justice, and housing services requires careful navigation.
  • Provider strategies are shaped by competing demands of client needs and external mandates.