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Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis

Date Added to Library: 
Tuesday, March 21, 2017 - 22:43
Digital Object Identifier (DOI): 
10.2105/AJPH.94.4.651
Priority: 
normal
Individual Author: 
Tsemberis, Sam
Gulcur, Leyla
Nakae, Maria
Reference Type: 
Research Methodology: 
Published Date: 
April, 2004
Published Date (Text): 
April, 2004
Publication: 
American Journal of Public Health
Volume: 
94
Issue Number: 
4
Page Range: 
651-656
Year: 
2004
Language(s): 
Abstract: 

Objectives. We examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals’ on those individuals’ consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms.  Methods. Two hundred twenty-five participants were randomly assigned to receive housing contingent on treatment and sobriety (control) or to receive immediate housing without treatment prerequisites (experimental). Interviews were conducted every 6 months for 24 months. Results. The experimental group obtained housing earlier, remained stably housed, and reported higher perceived choice. Utilization of substance abuse treatment was significantly higher for the control group, but no differences were found in substance use or psychiatric symptoms. Conclusions. Participants in the Housing First program were able to obtain and maintain independent housing without compromising psychiatric or substance abuse symptoms. (Author abstract)

Target Populations: 
Geographic Focus: 
Page Count: 
6
Pagination: 
651, 656p
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