Greenwood Ronni Michelle, Manning Rachel M, O'Shaughnessy Branagh R, Cross Oisin, Vargas-Moniz Maria J, Auquier Pascal, Santinello Massimo, Wolf Judith R, Bokszczanin Anna, Bernad Roberto, Källmén Håkan, Spinnewijn Frederik, Ornelas José
Psychology Department, University of Limerick, Limerick, Ireland.
Applied Psychology Research Center Capabilities and Inclusion, Instituto Superior de Psicologia Aplicada, Instituto Universitário, Lisbon, Portugal.
JMIR Res Protoc. 2020 Feb 5;9(2):e14584. doi: 10.2196/14584.
Homeless services expend considerable resources to provide for service users' most basic needs, such as food and shelter, but their track record for ending homelessness is disappointing. An alternative model, Housing First, reversed the order of services so that homeless individuals are offered immediate access to independent housing, with wraparound supports but no treatment or abstinence requirements. Although the evidence base for Housing First's effectiveness in ending homelessness is robust, less is known about its effectiveness in promoting recovery.
The objective of this research is to compare rehabilitation- and recovery-related outcomes of homeless services users who are engaged in either Housing First or traditional staircase services in eight European countries: France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain, and Sweden.
A mixed methods, multi-site investigation of Housing First and traditional services will compare quantitative outcomes at two time points. Key rehabilitation outcomes include stable housing and psychiatric symptoms. Key growth outcomes include community integration and acquired capabilities. Semistructured interviews will be used to examine service users' experiences of environmental constraints and affordances on acquired capabilities to identify features of homeless services that enhance service users' capabilities sets. Multi-level modelling will be used to test for group differences-Housing First versus traditional services-on key outcome variables. Thematic analysis will be used to understand the ways in which service users make sense of internal and external affordances and constraints on capabilities.
The study is registered with the European Commission (registration number: H2020-SC6-REVINEQUAL-2016/ GA726997). Two press releases, a research report to the funding body, two peer-reviewed articles, and an e-book chapter are planned for dissemination of the final results. The project was funded from September 2016 through September 2019. Expected results will be disseminated in 2019 and 2020.
We will use the findings from this research to formulate recommendations for European social policy on the configuration of homeless services and the scaling up and scaling out of Housing First programs. From our findings, we will draw conclusions about the setting features that promote individuals' exits from homelessness, rehabilitation, and recovery.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/14584.
无家可归者服务机构投入大量资源来满足服务对象的最基本需求，如食物和住所，但在终结无家可归状态方面的记录却令人失望。一种替代模式，即“住房优先”模式，颠倒了服务顺序，为无家可归者直接提供独立住房，并提供全面支持，但没有治疗或戒酒要求。尽管“住房优先”模式在终结无家可归状态方面的有效性证据确凿，但对于其在促进康复方面的有效性了解较少。
本研究的目的是比较在法国、爱尔兰、意大利、荷兰、波兰、葡萄牙、西班牙和瑞典这八个欧洲国家中，接受“住房优先”服务或传统阶梯式服务的无家可归者服务对象与康复及恢复相关的结果。
对“住房优先”服务和传统服务进行混合方法、多地点调查，将在两个时间点比较定量结果。关键的康复结果包括稳定住房和精神症状。关键的成长结果包括社区融入和获得的能力。将使用半结构化访谈来考察服务对象对环境限制和对获得能力的影响的体验，以确定无家可归者服务中增强服务对象能力集的特征。将使用多层次模型来测试“住房优先”服务与传统服务在关键结果变量上的组间差异。将使用主题分析来了解服务对象理解内部和外部对能力的影响和限制的方式。
该研究已在欧盟委员会注册（注册号：H2020 - SC6 - REVINEQUAL - 2016 / GA726997）。计划发布两份新闻稿、一份给资助机构的研究报告、两篇同行评审文章以及一章电子书来传播最终结果。该项目于2016年9月至2019年9月获得资助。预期结果将于2019年和2020年发布。
我们将利用本研究的结果为欧洲社会政策制定关于无家可归者服务配置以及“住房优先”项目扩大规模和推广的建议。从我们的研究结果中得出关于促进个人摆脱无家可归状态、康复和恢复的环境特征的结论。
国际注册报告标识符（IRRID）：RR1 - 10.2196 / 14584。
