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Evolving an evidence-based model for homelessness prevention.

Abe Oudshoorn1, Erin Dej2, Colleen Parsons1

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|April 24, 2020
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Summary

This study reviews homelessness prevention strategies, proposing a six-domain framework including structural, systems, early intervention, eviction prevention, housing stability, and empowerment. This comprehensive approach aims to prevent housing loss through upstream interventions.

Keywords:
empowermentframeworkhomelessnesshomelessness preventionhousing firstprevention

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Area of Science:

  • Public Health
  • Social Policy
  • Housing Studies

Background:

  • Chronic homelessness requires comprehensive solutions beyond supportive models, necessitating a focus on prevention.
  • Existing frameworks for homelessness prevention integrate primary, secondary, tertiary, and primordial prevention strategies.
  • The concept of quaternary prevention, focused on mitigating harms from interventions, has not been fully integrated into homelessness prevention frameworks.

Purpose of the Study:

  • To systematically review the literature on existing domains within the Framework for Homelessness Prevention.
  • To theorize an additional domain for the framework by examining literature on quaternary prevention in the context of homelessness.
  • To propose an enhanced, comprehensive Framework for Homelessness Prevention for effective community and governmental action.

Main Methods:

  • Systematic literature review using research databases, internet searches, and reference list reviews.
  • Identification and sorting of high-quality journal articles on homelessness prevention by prevention level.
  • Exploration of quaternary prevention literature to inform the development of a new domain.

Main Results:

  • The review identified and built an evidence base for five existing domains: Structural, Systems, Early Intervention, Eviction Prevention, and Housing Stability.
  • Literature on quaternary prevention informed the theorization of a sixth domain: Empowerment.
  • The study evolved the Framework for Homelessness Prevention to include six distinct domains.

Conclusions:

  • A comprehensive Framework for Homelessness Prevention, incorporating six domains including Empowerment, is crucial for effective upstream interventions.
  • This enhanced framework can guide communities and governments in developing more effective strategies to prevent homelessness.
  • Integrating quaternary prevention principles through an empowerment domain strengthens the approach to preventing housing loss.