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Programmatic and Organizational Barriers and Facilitators to Addressing High-Risk Issues in Supportive Housing and
Nick Kerman1, Timothy de Pass2, Sean A Kidd2,3
1Centre for Addiction and Mental Health, Toronto, ON, Canada. nick.kerman@camh.ca.
Community Mental Health Journal
|October 18, 2024
Summary
Service providers in supportive housing and Housing First programs identify flexibility, early risk identification, environment, and resources as key to managing high-risk behaviors. Effective risk management requires balancing these factors with program values.
Area of Science:
- Social Sciences
- Public Health
- Health Services Research
Background:
- Risk management is crucial in supportive housing and Housing First (HF) programs.
- Evidence on implementing risk management in these settings is lacking.
- High-risk behaviors pose significant challenges to service delivery.
Purpose of the Study:
- To explore programmatic and organizational factors influencing risk management in Canadian supportive housing and HF programs.
- To identify barriers and facilitators to preventing and managing high-risk behaviors.
Main Methods:
- Qualitative study involving in-depth interviews with 32 service providers.
- Purposive sampling of participants from supportive housing and HF programs.
- Integrative data analysis using qualitative description and thematic analysis.
Main Results:
- Four key thematic factors emerged: flexibility in addressing risk, early risk identification, the built environment/housing location, and resource availability.
- Service providers aim for prompt identification of risks, starting at referral.
- Capacity for intervention is shaped by program model, environment, and resources.
Conclusions:
- Effective risk management in supportive housing and HF programs depends on flexibility, early detection, environmental considerations, and resource allocation.
- Risk management strategies may conflict with other program goals, necessitating a balanced approach.
- Systems-level changes are needed to enhance risk prevention capacity.
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