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Implementing Housing First in rural areas: Pathways Vermont

Author

Listed:
  • Stefancic, A.
  • Henwood, B.F.
  • Melton, H.
  • Shin, S.-M.
  • Lawrence-Gomez, R.
  • Tsemberis, S.

Abstract

The benefits of Pathways Housing First in addressing chronic homelessness for persons with severe mental illness have been well established. However, the implementation and effectiveness of such programs in rural areas has yet to be examined. We described the model's adaptations in Vermont, including the use of hybrid assertive community treatment-intensive case management teams, which consisted of service coordinators with geographically based caseloads (staff/client ratio of 1:20) and regional multidisciplinary specialists. The program's innovative and widespread inclusion of technology into operations facilitated efficiency and responsiveness, and a pilot telehealth initiative supplemented in-person client visits. The program achieved a housing retention rate of 85% over approximately 3 years, and consumers reported decreased time spent homeless, demonstrating that program adaptations and technological enhancements were successful.

Suggested Citation

  • Stefancic, A. & Henwood, B.F. & Melton, H. & Shin, S.-M. & Lawrence-Gomez, R. & Tsemberis, S., 2013. "Implementing Housing First in rural areas: Pathways Vermont," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 206-209.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301606_9
    DOI: 10.2105/AJPH.2013.301606
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    Cited by:

    1. Byrne, Thomas & Montgomery, Ann Elizabeth & Chapman, Alec B. & Pettey, Warren & Effiong, Atim & Suo, Ying & Velasquez, Tania & Nelson, Richard E., 2023. "Predictors of homeless service utilization and stable housing status among Veterans receiving services from a nationwide homelessness prevention and rapid rehousing program," Evaluation and Program Planning, Elsevier, vol. 97(C).
    2. Tammy Kiser & Linda Hulton, 2018. "Addressing Health Care Needs in the Homeless Population: A New Approach Using Participatory Action Research," SAGE Open, , vol. 8(3), pages 21582440187, July.

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