Fidelity to the Housing First Model and Variation in Health Service Use Within Permanent Supportive Housing

Psychiatric Services : a Journal of the American Psychiatric Association
Todd P GilmerSusan L Ettner

Abstract

Permanent supportive housing (PSH) programs are being implemented throughout the United States. This study examined the relationship between fidelity to the Housing First model and health service use among clients in PSH programs in California. Data from a survey of PSH program practices were merged with administrative data on service utilization to examine the association between fidelity to a benchmark program, the Housing First model, and health service use among 5,067 clients in 77 PSH programs. Regression analyses were used to compare inpatient, crisis and residential, and outpatient mental health service use between high-, mid-, and low-fidelity programs in a pre-post design. During the preenrollment period, clients in mid- and high-fidelity PSH programs, compared with low-fidelity programs, used inpatient and crisis and residential services more but used outpatient mental health services less. Postenrollment, patients in high-fidelity programs showed the largest increase in the number of outpatient visits, followed by clients in mid- and low-fidelity programs: 71.6 versus 48.2 and 29.0, respectively. Clients in housing programs with higher fidelity to the Housing First model had greater increases in outpatient visits. Co...Continue Reading

Citations

Jun 18, 2017·Acta Psychiatrica Scandinavica·D Richter, H Hoffmann
Jan 25, 2018·International Journal of Environmental Research and Public Health·Peter McPhersonHelen Killaspy
Jan 23, 2020·Journal of General Internal Medicine·Elizabeth AbbsMargot Kushel
Jun 10, 2020·Journal of Community Psychology·Kristen GurdakAna Stefancic
Aug 26, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Eric A LatimerUNKNOWN At Home/Chez Soi Investigators
Sep 11, 2020·International Journal of Language & Communication Disorders·Leigh Andrews, Nicola Botting
Jun 20, 2017·Health & Social Care in the Community·Katherine QuinnArturo V Bendixen
Oct 7, 2017·Health & Social Care in the Community·Benjamin F HenwoodSuzanne L Wenzel

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