Housing First, but what comes second? A qualitative study of resident, staff and management perspectives on single-site Housing First program enhancement

Abstract

Single-site Housing First (HF) is associated with reduced publicly funded service utilization and costs and alcohol-related harm for chronically homeless individuals with severe alcohol problems. Many residents, however, continue to experience alcohol-related problems after their move into single-site HF. Thus, it is necessary to explore areas for program enhancement after individuals move into single-site HF. To this end, we collected qualitative data via 30 hours of naturalistic observation, staff focus groups (n = 3), and one-on-one interviews with single-site HF residents (n = 44), program staff (n = 7), and agency management (n = 4). Qualitative analyses were used to construct a conceptual or thematic description of residents’, staff’s, and management’s suggestions for program enhancement, which comprised 3 areas: (a) enhancing training and support for staff, (b) increasing residents’ access to meaningful activities, and (c) exploring alternate pathways to recovery. Development of programming addressing these areas may help residents continue to reduce alcohol-related harm and improve health and quality of life after their move into single-site HF.

Related articles

  • RESEARCH: Networking and housing advocacy in the homelessness sector: a path towards social sustainability? A study of the Housing First Europe Hub

    ABSTRACT “This paper investigates the potential of pro-Housing First advocacy conducted by international and inter-organisational homelessness coalitions to realise social sustainability ambitions in the homelessness sector. In particular, it...

    Check it out here
    Category: | Housing FirstResearch
  • Housing First Research Digest: Volume 7

    “Housing First, Meaningful Activity, and Well-being” When individuals exit homelessness through Housing First (HF) programmes, individualised wraparound services are put into place to support them to maintain their tenancies...

    Check it out here
    Category: | Research
  • EVALUATION: Findings from the 50 LIVES 50 HOMES Program – Zero Project, Perth, Australia

    The 50 Lives 50 Homes program (50 Lives), which commenced in late-2015 and was the first Housing First program in Western Australia (WA). It was a collaborative program that...

    Check it out here