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Housing First improves residential stability in homeless adults with concurrent substance dependence and mental disorders

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  • Palepu, A.
  • Patterson, M.L.
  • Moniruzzaman, A.
  • Frankish, C.J.
  • Somers, J.

Abstract

Objectives. We examined the relationship between substance dependence and residential stability in homeless adults with current mental disorders 12 months after randomization to Housing First programs or treatment as usual (no housing or support through the study). Methods. The Vancouver At Home study in Canada included 2 randomized controlled trials of Housing First interventions. Eligible participants met the criteria for homelessness or precarious housing, as well as a current mental disorder. Residential stability was defined as the number of days in stable residences 12 months after randomization. We used negative binomial regression modeling to examine the independent association between residential stability and substance dependence. Results. We recruited 497 participants, and 58% (n = 288) met the criteria for substance dependence. We found no significant association between substance dependence and residential stability (adjusted incidence rate ratio = 0.97; 95% confidence interval = 0.69, 1.35) after adjusting for housing intervention, employment, sociodemographics, chronic health conditions, mental disorder severity, psychiatric symptoms, and lifetime duration of homelessness. Conclusions. People with mental disorders might achieve similar levels of housing stability from Housing First regardless of whether they experience concurrent substance dependence.

Suggested Citation

  • Palepu, A. & Patterson, M.L. & Moniruzzaman, A. & Frankish, C.J. & Somers, J., 2013. "Housing First improves residential stability in homeless adults with concurrent substance dependence and mental disorders," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 30-36.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301628_7
    DOI: 10.2105/AJPH.2013.301628
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    Cited by:

    1. Charles Walsh & Anita M Hubley & Matthew J To & Monica Norena & Anne Gadermann & Susan Farrell & Stephen W Hwang & Anita Palepu, 2019. "The effect of forensic events on health status and housing stability among homeless and vulnerably housed individuals: A cohort study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    2. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.
    3. Canham, Sarah L. & Wister, Andrew & O’Dea, Eireann, 2019. "Strengths, weaknesses, opportunities, and threats to housing first in Metro Vancouver," Evaluation and Program Planning, Elsevier, vol. 75(C), pages 69-77.
    4. Gouse, Isabel & Walters, Sarah & Miller-Archie, Sara & Singh, Tejinder & Lim, Sungwoo, 2023. "Evaluation of New York/New York III permanent supportive housing program," Evaluation and Program Planning, Elsevier, vol. 97(C).
    5. Loubière, Sandrine & Taylor, Owen & Tinland, Aurelie & Vargas-Moniz, Maria & O'Shaughnessy, Branagh & Bokszczanin, Anna & Kallmen, Hakan & Bernad, Roberto & Wolf, Judith & Santinello, Massimo & Loundo, 2020. "Europeans’ willingness to pay for ending homelessness: A contingent valuation study," Social Science & Medicine, Elsevier, vol. 247(C).
    6. Julia R. Woodhall-Melnik & James R. Dunn, 2016. "A systematic review of outcomes associated with participation in Housing First programs," Housing Studies, Taylor & Francis Journals, vol. 31(3), pages 287-304, April.
    7. Nav Persaud & Liane Steiner & Hannah Woods & Tatiana Aratangy & Susitha Wanigaratne & Jane Polsky & Stephen Hwang & Gurleen Chahal & Andrew Pinto, 2019. "Health outcomes related to the provision of free, tangible goods: A systematic review," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-29, March.
    8. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    9. Gemma Crawford & Elizabeth Connor & Kahlia McCausland & Karina Reeves & Krysten Blackford, 2022. "Public Health Interventions to Address Housing and Mental Health amongst Migrants from Culturally and Linguistically Diverse Backgrounds Living in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-22, December.

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