Skip to main content
Back to Top

Pathways' Housing First program

Date Added to Library: 
Wednesday, March 22, 2017 - 11:06
Organizational Author: 
National Registry of Evidence-based Programs and Practices (NREPP)
Individual Author: 
National Registry of Evidence-based Programs and Practices (NREPP)
Reference Type: 
Research Methodology: 
Place Published: 
Rockville, MD
Published Date: 
Published Date (Text): 
Page Range: 

Housing First, a program developed by Pathways to Housing, Inc., is designed to end homelessness and support recovery for individuals who are homeless and have severe psychiatric disabilities and co-occurring substance use disorders. Pathways' Housing First model is based on the belief that housing is a basic right and on a theoretical foundation that emphasizes consumer choice, psychiatric rehabilitation, and harm reduction. The program addresses homeless individuals' needs from a consumer perspective, encouraging them to define their own needs and goals, and provides immediate housing (in the form of apartments located in scattered sites) without any prerequisites for psychiatric treatment or sobriety. For consumers with high needs, treatment and support services are typically provided through an Assertive Community Treatment (ACT) team consisting of social workers, nurses, psychiatrists, vocational and substance abuse counselors, peer counselors, and other professionals. These services may include psychiatric and substance use treatment, supported employment, illness management, and recovery services. Consumers who have more moderate needs, are further along in recovery, or participate in smaller programs may receive support through an intensive case management approach, obtaining services both directly from their own program and through referrals to other agencies. Consistent with the principles of consumer choice, Housing First uses the harm reduction approach in its clinical services to address both substance abuse and psychiatric issues. The treatment team recognizes that consumers can be at different stages of recovery and that interventions should be tailored to each consumer's stage. Consumers' tenancy is not dependent on their adherence to clinical treatment, although they must meet the obligations of a standard lease. The team works with consumers through housing loss, hospitalization, or incarceration and helps consumers obtain housing after these episodes. While consumers can refuse formal clinical services, the program requires them to meet with a team member at least four to six times per month to ensure their safety and well-being. (Author introduction)

Target Populations: 
Geographic Focus: 

The SSRC is here to help you! Do you need more information on this record?

If you are unable to access the full-text of the article from the Public URL provided, please email our Librarians for assistance at

In addition to the information on this record provided by the SSRC, you may be able to use the following options to find an electronic copy from an online subscription service or your local library:

  • Worldcat to find an electronic copy from an online subscription service
  • Google Scholar to discover other full text options