caa a22 4500 463244389 CHVBK 20180405153321.0 cr unu---uuuuu 170326e20070701xx s 000 0 eng 10.1007/s10935-007-0093-9 doi (NATIONALLICENCE)springer-10.1007/s10935-007-0093-9 Housing First for Long-Term Shelter Dwellers with Psychiatric Disabilities in a Suburban County: A Four-Year Study of Housing Access and Retention [Elektronische Daten] [Ana Stefancic, Sam Tsemberis] Housing First is an effective intervention that ends and prevents homelessness for individuals with severe mental illness and co-occurring addictions. By providing permanent, independent housing without prerequisites for sobriety and treatment, and by offering support services through consumer-driven Assertive Community Treatment teams, Housing First removes some of the major obstacles to obtaining and maintaining housing for consumers who are chronically homeless. In this study, consumers diagnosed with severe mental illness and who had the longest histories of shelter use in a suburban county were randomly assigned to either one of two Housing First programs or to a treatment-as-usual control group. Participants assigned to Housing First were placed in permanent housing at higher rates than the treatment-as-usual group and, over the course of four years, the majority of consumers placed by both Housing First agencies were able to maintain permanent, independent housing. Results also highlight that providers new to Housing First must be aware of ways in which their practices may deviate from the essential features of Housing First, particularly with respect to enrolling eligible consumers on a first-come, first-served basis and separating clinical issues from tenant or housing responsibilities. Finally, other aspects of successfully implementing a Housing First program are discussed. Springer Science+Business Media, LLC, 2007 Housing First nationallicence Homelessness nationallicence Mental illness nationallicence Choice nationallicence Stefancic Ana Department of Sociomedical Sciences, Columbia University, New York, NY, USA aut Tsemberis Sam Pathways to Housing, Inc., 55 W 125th St., 10th Floor, 10027, New York, NY, USA aut The Journal of Primary Prevention Springer US; http://www.springer-ny.com 28/3-4(2007-07-01), 265-279 0278-095X 28:3-4<265 2007 28 10935 https://doi.org/10.1007/s10935-007-0093-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10935-007-0093-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Stefancic Ana Department of Sociomedical Sciences, Columbia University, New York, NY, USA aut NATIONALLICENCE 700 1- Tsemberis Sam Pathways to Housing, Inc., 55 W 125th St., 10th Floor, 10027, New York, NY, USA aut NATIONALLICENCE 773 0- The Journal of Primary Prevention Springer US; http://www.springer-ny.com 28/3-4(2007-07-01), 265-279 0278-095X 28:3-4<265 2007 28 10935 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer