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Goals and Principles of Providers Working with People Experiencing Homelessness: A Comparison Between Housing First and Traditional Staircase Services in Eight European Countries

Author

Listed:
  • Marta Gaboardi

    (Department of Developmental and Social Psychology, University of Padova, 35131 Padua, Italy)

  • Michela Lenzi

    (Department of Developmental and Social Psychology, University of Padova, 35131 Padua, Italy)

  • Francesca Disperati

    (Department of Developmental and Social Psychology, University of Padova, 35131 Padua, Italy)

  • Massimo Santinello

    (Department of Developmental and Social Psychology, University of Padova, 35131 Padua, Italy)

  • Alessio Vieno

    (Department of Developmental and Social Psychology, University of Padova, 35131 Padua, Italy)

  • Aurélie Tinland

    (Department of Research and Innovation, Support Unit for clinical research and economic evaluation, Assistance Publique–Hôpitaux de Marseille, 13385 Marseille, France)

  • Maria J. Vargas-Moniz

    (APPsyCI—Applied Psychology Research Center Capabilities and Inclusion, ISPA-Instituto Universitário, Lisboa 1149-041, Portugal)

  • Freek Spinnewijn

    (FEANTSA, European Federation of National Organisations Working with the Homeless, Bruxelles 1210, Belgique)

  • Branagh R. O’Shaughnessy

    (Department of Psychology, University of Limerick, Limerick V94 T9PX, Ireland)

  • Judith R. Wolf

    (Impuls-Netherlands Center for Social Care Research, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen 6525 EZ, The Netherlands)

  • Anna Bokszczanin

    (Institute of Psychology, Opole University, Opole 45-052, Poland)

  • Roberto Bernad

    (Rais Fundación, 28028 Madrid, Spain)

  • Ulla Beijer

    (STAD, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm 113 64, Sweden)

  • José Ornelas

    (APPsyCI—Applied Psychology Research Center Capabilities and Inclusion, ISPA-Instituto Universitário, Lisboa 1149-041, Portugal)

  • Marybeth Shinn

    (Department of Human and Organizational Development, Peabody College, Vanderbilt University, Nashville, TN 37203, USA)

  • HOME-EU Consortium Study Group

    (Department of Developmental and Social Psychology, University of Padova, 35131 Padua, Italy)

Abstract

The implementation and adaptation of the Housing First (HF) model represented profound changes the structure and delivery, goals, and principles of homeless services. These features of homeless services directly influence providers, their work performance and the clients’ outcomes. The present research, conducted in eight European countries, investigated how social providers working in HF or TS (Traditional Staircase) describe and conceptualize the goals and the principles of their services. Data were collected through 29 focus group discussions involving 121 providers. The results showed that HF and TS had similar and different goals for their clients in the following areas: support, social integration, satisfaction of needs, housing, and well-being. HF providers emphasized clients’ autonomy and ability to determine their personal goals, with housing being considered a start on the path of recovery, while TS were more focused on individual clients’ basic needs with respect to food, health and finding temporary accommodations. HF providers privileged the person-centered approach and housing as a right, while TS providers were more focused on helping everyone. Implications of the results are discussed as suggestions both for practice and for research.

Suggested Citation

  • Marta Gaboardi & Michela Lenzi & Francesca Disperati & Massimo Santinello & Alessio Vieno & Aurélie Tinland & Maria J. Vargas-Moniz & Freek Spinnewijn & Branagh R. O’Shaughnessy & Judith R. Wolf & Ann, 2019. "Goals and Principles of Providers Working with People Experiencing Homelessness: A Comparison Between Housing First and Traditional Staircase Services in Eight European Countries," IJERPH, MDPI, vol. 16(9), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1590-:d:228756
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    References listed on IDEAS

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    1. Michele Lancione & Alice Stefanizzi & Marta Gaboardi, 2018. "Passive adaptation or active engagement? The challenges of Housing First internationally and in the Italian case," Housing Studies, Taylor & Francis Journals, vol. 33(1), pages 40-57, January.
    2. Deborah Quilgars & Nicholas Pleace, 2016. "Housing First and Social Integration: A Realistic Aim?," Social Inclusion, Cogitatio Press, vol. 4(4), pages 5-15.
    3. 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.
    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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    2. Paul Batchelor & James Kingsland, 2020. "Improving the Health of the Homeless and How to Achieve It within the New NHS Architecture," IJERPH, MDPI, vol. 17(11), pages 1-7, June.
    3. Stuart Gilmour & Phuong Le Mai & Phuong Nguyen & Bibha Dhungel & Maki Tomizawa & Huy Nguyen, 2020. "Progress towards Health for All: Time to End Discrimination and Marginalization," IJERPH, MDPI, vol. 17(5), pages 1-5, March.

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