Psychiatr Serv. 2013 Sep 1;64(9):911-4. doi: 10.1176/appi.ps.201200500.
Programs that use the Housing First model are being implemented throughout the United States and internationally. The authors describe the development and validation of a Housing First fidelity survey.
A 46-item survey was developed to measure fidelity across five domains: housing process and structure, separation of housing and services, service philosophy, service array, and team structure. The survey was administered to staff and clients of 93 supported-housing programs in California. Exploratory and confirmatory factor analyses were used to identify the items and model structure that best fit the data.
Sixteen items were retained in a two-factor model, one related to approach to housing, separation of housing and services, and service philosophy and one related to service array and team structure.
Our survey mapped program practices by using a common metric that captured variation in fidelity to Housing First across a large-scale implementation of supported-housing programs.
“住房优先”模式的项目正在美国和国际上实施。作者描述了住房优先保真度调查的开发和验证。
开发了一个包含 46 个项目的调查，以衡量五个领域的保真度：住房过程和结构、住房和服务的分离、服务理念、服务范围和团队结构。该调查在加利福尼亚州的 93 个支持性住房项目的工作人员和客户中进行。采用探索性和验证性因素分析来确定最适合数据的项目和模型结构。
16 个项目保留在一个两因素模型中，一个与住房、住房和服务的分离以及服务理念相关，另一个与服务范围和团队结构相关。
我们的调查使用通用指标来映射项目实践，该指标通过对支持性住房项目的大规模实施中的住房优先保真度的变化进行了捕捉。
