Outcomes of Supported Housing for Homeless Veterans with Psychiatric and Substance Abuse Problems
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This study examines the effect of previous participation in time limited residential treatment and other factors on treatment outcomes among homeless veterans with serious mental illness placed into permanent supported housing. The sample consisted of 655 veterans placed into supported housing at 18 sites through the VA's Healthcare for Homeless Veterans (HCHV) Supported Housing Program during the period 1993–2000. Data on client and program characteristics, and treatment outcomes, were documented by HCHV case managers staffing these programs. Data on use of VA services, including time limited residential treatment received 6 months prior to entry into supported housing, were extracted from VA administrative files. The relationship of prior residential treatment, as well as other measures of client characteristics, service use, and program characteristics, to outcomes were assessed using both bivariate and multivariate Cox proportional hazards regression and logistic regression. After adjusting for client characteristics, service use, and program characteristics, no differences in outcomes were found between clients who had received prior residential treatment and those placed directly into permanent supported housing. Prior residential treatment appears to have little effect on treatment outcomes among formerly homeless veterans placed into permanent supported housing programs providing indirect support for the direct placement supported housing model.
- Blanch, A. K., Carling, P. J., & Ridgway, P. (1988). Normal housing with specialized supports: A psychiatric rehabilitation approach to living in the community. Rehabilitation Psychology, 33(1), 47–55.
- Carling, P. J. (1992). Homes or group homes?: Future approaches to housing, support, and integration for people with psychiatric disabilities. Adult Residential Care Journal, 6(2), 87–96.
- Carling, P. J. (1993). Housing and supports for persons with mental illness: Emerging approaches to research and practice. Hospital and Community Psychiatry, 44(5), 439–449.
- Carling, P. J. (1996). Emerging approaches to housing and support for people with psychiatric disabilities. In M. Moscarelli, A. Rupp, & N. Sartorius (Eds.), Handbook of mental health economics and health policy: Vol. 1. Schizophrenia (pp. 239–259). New York: Wiley.
- Carling, P. J. (1990). Supported housing: An evaluation agenda. Psychosocial Rehabilitation Journal, 13(4), 95–104.
- Cohen, M. D., & Somers, S. (1990). Supported housing: Insights from the Robert Wood Johnson Foundation Program on Chronic Mental Illness. Psychosocial Rehabilitation Journal, 13(4), 43–50.
- Fakhoury, W., Murray, A., Shepherd, G., & Priebe S. (2002). Research in supported housing. Social Psychiatry and Psychiatric Epidemiology, 37(7), 301–315.
- Frisman, L. K., Rosenheck, R. DiLella, D., & Errera, P. (1993). Health care for homeless veterans programs: The fifth annual progress report. West Haven, CT: Northeast Program Evaluation Center.
- Goldfinger, S. M., Schutt, R. K., Tolomiczenko, G. S., Seidman, L., Penk, W.E., Turner W., et al. (1999). Housing placement and subsequent days homeless among formerly homeless adults with mental illness. Psychiatric Services, 50(5),674–679.
- Gulcur, L., Stefancic, A., Shinn, M., Tsemberis, S., & Fischer S. N. (2003). Housing, hospitalization, and cost outcomes for homeless individuals with psychiatric disabilities participating in continuum of care and housing first programmes. Journal of Community and Applied Social Psychology, 13, 171–186.
- Hogan, M. F., & Carling, P. J. (1992). Normal housinrg: A key element of a supported housing approach for people with psychiatric disabilities. Community Mental Health Journal, 28(3), 215–226.
- Hurlburt, M. S., Wood, P. A., & Hough, R. L. (1996). Providing independent housing for the homeless mentally ill: A novel approach to evaluating long-term longitudinal housing patterns. Journal of Community Psychology, 24(3), 291–310.
- Kasprow, W. J., Rosenheck, R., DiLella, D., Carter, R., & Cavallaro, L. (2001). Healthcare for Homeless Veterans Programs: Fourteenth annual report. West Haven, CT: VA Northeast Program Evaluation Center/182.
- Kasprow, W. J., Rosenheck, R., DiLella, D., & Cavallaro, L. (2002). Healthcare for Homeless Veterans Programs: Fifteenth annual report. West Haven, CT: VA Northeast Program Evaluation Center/182.
- Knisley, M. B., & Fleming, M. (1993). Implementing supported housing in state and local mental health systems. Hospital and Community Psychiatry, 44(5), 456–461.
- Livingston, J. A., & Srebnick, D. (1991). States' strategies for promoting supported housing for persons with psychiatric disabilities. Hospital and Community Psychiatry, 42(11), 1116–1119.
- McLellan, A. T., Luborsky, L., O'Brien, C. P., & Woody, G. E. (1980). An improved diagnostic instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease, 168, 26–33.
- National Association of State Mental Health Program Directors. (1987). Housing and support for people with long-term mental illness.
- Alexandria, VA: Author. Newman, S. J. (1992). The severely mentally ill homeless: Housing needs and housing (Occasional Paper No. 12) policy.
- Baltimore: The Johns Hopkins University, Institute for Policy Studies. Newman, S. J. (2001). Housing attributes and serious mental illness: Implications for research and practice. Psychiatric Services, 52(10), 1309–1317.
- Ridgway, P., & Zipple, A. M. (1990a). Challenges and strategies for implementing supported housing. Psychosocial Rehabilitation Journal, 13(4), 115–120.
- Ridgway, P., & Zipple, A. M. (1990b). The paradigm shift in residential services: From the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13(4), 11–31.
- Rog, D. J., & Randolph, F. L. (2002). A multisite evaluation of supported housing: Lessons learned from cross-site collaboration. New Directions for Evaluation, 94, 61–72.
- Rosenheck, R., & Gallop, P. (1991). Involvement in an outreach program for homeless veterans. Journal of Mental and Nervous Disease, 179, 750–754.
- Rosenheck, R., Kasprow, W., Frisman, L., & Liu-Mares, W. (2003). Cost-effectiveness of supported housing for homeless persons with mental illness. Archives of General Psychiatry, 60(9), 940–951.
- Rosenheck, R. A., Gallop, P., & Frisman, L. K. (1993). Service linkage and related costs of an outreach program for homeless mentally ill veterans. Hospital and Community Psychiatry, 44, 1166–1171.
- Seibyl, C. L., Rosenheck, R. A., Medak, S., & Corwel, L. (2001). Twelfth progress report on the domiciliary care for homeless veterans program. West Haven, CT: VA Northeast Program Evaluation Center/182.
- Sohng, S. L. (1996). Supported housing for the mentally ill elderly: Implementation and consumer choice. Community Mental Health Journal, 32(2), 135–148.
- Stata Corporation. (1999). Intercooled Stata 6.0 for Windows 98/95/NT. College Station, TX: Author.
- Tsemberis, S., & Eisenberg, R. F. (2000). Pathways to housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities. Psychiatric Services, 51(4), 487–493.
- Wong, Y. I., & Solomon, P. L. (2002). Community integration of persons with psychiatric disabilities in supportive independent housing: A conceptual model and methodological considerations. Mental Health Services Research, 4(1), 13–28.
- Yeich, S., Mowbray, C. T., Bybee, D., & Cohen, E. (1994). The case for a “supported housing” approach: A study of consumer housing and support preferences. Psychosocial Rehabilitation Journal, 18(2), 75–86.
- Outcomes of Supported Housing for Homeless Veterans with Psychiatric and Substance Abuse Problems
Mental Health Services Research
Volume 6, Issue 4 , pp 199-211
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- mentally ill
- supported housing
- Author Affiliations
- 1. Northeast Program Evaluation Center of the Department of Veterans Affairs, VA Connecticut Healthcare System, Connecticut
- 2. Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut