Zerger Suzanne, Francombe Pridham Katherine, Jeyaratnam Jeyagobi, Connelly Jolynn, Hwang Stephen, O'Campo Patricia, Stergiopoulos Vicky
Centre for Research on Inner City Health.
Toronto North Support Services.
Am J Orthopsychiatry. 2014 Jul;84(4):431-7. doi: 10.1037/h0099842.
The housing first (HF) model for individuals experiencing homelessness and mental illness differs by design from traditional models that require consumers to achieve "housing readiness" by meeting program or treatment prerequisites in transitional housing settings prior to permanent housing placement. Given a growing body of evidence for its favorable outcomes and cost effectiveness, HF is increasingly seen as an alternative to and argument against these traditional programs. As such, it is important that the elements and implementation challenges of the HF model be clearly understood and articulated. This qualitative study explored a largely unexamined aspect of the HF model-the need for and meaning of temporary residential settings (interim housing), a place to stay while waiting to secure permanent housing-using interviews and focus groups with service providers and consumers who experienced interim housing during implementation of HF in a large urban center. Although interim housing may not be necessary for all programs implementing the model, our study revealed numerous reasons and demands for safe, flexible interim housing options, and illustrated how they influence the effectiveness of consumer recovery, continuous service engagement, and housing stability.
针对无家可归且患有精神疾病的个人的“住房优先”（HF）模式，在设计上不同于传统模式。传统模式要求消费者在获得永久性住房安置之前，先在过渡性住房环境中满足项目或治疗先决条件，以达到“住房准备就绪”状态。鉴于越来越多的证据表明HF模式具有良好的效果和成本效益，它越来越被视为这些传统项目的替代方案，并成为反对这些传统项目的依据。因此，清楚理解和阐明HF模式的要素及实施挑战非常重要。这项定性研究探讨了HF模式一个很大程度上未被审视的方面——临时居住场所（临时住房）的必要性和意义，即在等待获得永久性住房期间的居住之地——通过对服务提供者以及在一个大城市中心实施HF模式期间体验过临时住房的消费者进行访谈和焦点小组讨论来展开研究。尽管对于所有实施该模式的项目而言，临时住房可能并非必要，但我们的研究揭示了对安全、灵活的临时住房选择的诸多原因和需求，并说明了它们如何影响消费者康复、持续接受服务以及住房稳定性的成效。
