The Dilemmas of Frontline Staff Working with the Homeless: Housing First, Discretion, and the Task Environment

Housing Policy Debate
Carissa van den Berk-Clark

Abstract

This paper examines staff discretion in permanent supportive housing facilities run by a nonprofit agency claiming to use a housing-first approach. Field observation, archival data, and individual and group interviews with staff and clients were examined to better understand agency processes involved in intake, sanctions, and disposal of clients to evaluate housing-first fidelity. In their day-to-day interactions with clients, frontline workers' discretion is affected by working conditions such as lack of resources and heavy workloads, as well as by demands placed on the agency by members of the its task environment. Implications for housing-first programs and homeless clients are discussed.

References

Mar 29, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·S Tsemberis, R F Eisenberg
Apr 1, 2004·American Journal of Public Health·Sam TsemberisMaria Nakae
Mar 9, 2007·Substance Abuse Treatment, Prevention, and Policy·Julia Dickson-GomezMargaret Weeks
Jul 3, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Ann O'Hara
Jun 16, 2009·The Milbank Quarterly·Stefan G KerteszJoseph E Schumacher
Mar 3, 2010·The Journal of Behavioral Health Services & Research·Marilyn Kresky-WolffSarah A McGraw
Sep 13, 2013·Psychiatric Services : a Journal of the American Psychiatric Association·Todd P GilmerSam Tsemberis
Aug 19, 2014·Administration and Policy in Mental Health·Carissa van den Berk-ClarkAlex Ramsey

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Citations

Apr 4, 2017·Health & Social Work·Casey MacGregor, MarySue V Heilemann
Mar 7, 2021·International Journal of Environmental Research and Public Health·Mounah Abdel-SamadDavid Sleet

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