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Patterns and effects of social integration on housing stability, mental health and substance use outcomes among participants in a randomized controlled Housing First trial

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  • Kirst, Maritt
  • Friesdorf, Rebecca
  • Ta, Martha
  • Amiri, Alexandra
  • Hwang, Stephen W.
  • Stergiopoulos, Vicky
  • O'Campo, Patricia

Abstract

Recent research has shown that social integration, involving community integration and social support, can be protective resources for the health of homeless individuals. However, it is not clear how social integration affects health in the transition from homelessness into housing, and subsequent housing retention. This paper examines, through mixed quantitative and qualitative methods, how social integration changes over time, and how these changes relate to housing stability, substance use and mental health outcomes among a sample of homeless individuals experiencing mental illness participating in the At Home/Chez Soi Housing First randomized controlled trial in Canada.

Suggested Citation

  • Kirst, Maritt & Friesdorf, Rebecca & Ta, Martha & Amiri, Alexandra & Hwang, Stephen W. & Stergiopoulos, Vicky & O'Campo, Patricia, 2020. "Patterns and effects of social integration on housing stability, mental health and substance use outcomes among participants in a randomized controlled Housing First trial," Social Science & Medicine, Elsevier, vol. 265(C).
    • Handle: RePEc:eee:socmed:v:265:y:2020:i:c:s0277953620307000
    DOI: 10.1016/j.socscimed.2020.113481
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    References listed on IDEAS

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    1. Deborah Quilgars & Nicholas Pleace, 2016. "Housing First and Social Integration: A Realistic Aim?," Social Inclusion, Cogitatio Press, vol. 4(4), pages 5-15.
    2. 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.
    3. Elizabeth Golembiewski & Dennis P. Watson & Lisa Robison & John W. Coberg II, 2017. "Social Network Decay as Potential Recovery from Homelessness: A Mixed Methods Study in Housing First Programming," Social Sciences, MDPI, vol. 6(3), pages 1-16, August.
    4. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
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