TY - JOUR
T1 - Homeless Adults’ Recovery Experiences in Housing First and Traditional Services Programs in Seven European Countries
AU - Greenwood, Ronni Michelle
AU - Manning, Rachel M.
AU - O'Shaughnessy, Branagh R.
AU - Vargas-Moniz, Maria J.
AU - Loubière, Sandrine
AU - Spinnewijn, Freek
AU - Lenzi, Michela
AU - Wolf, Judith R.
AU - Bokszczanin, Anna
AU - Bernad, Roberto
AU - Källmén, Håkan
AU - Ornelas, José
AU - Jorge-Monteiro, Maria F.
AU - Almas, Inês
AU - Duarte, Teresa
AU - Disperati, Francesca
AU - Gaboardi, Marta
AU - Santinello, Massimo
AU - Vieno, Alessio
AU - Marques, Rita P.
AU - Carmona, Maria
AU - Nave, Américo
AU - Rivero, Borja
AU - Julián, Martin
AU - Zmaczynska–Witek, Barbara
AU - Katarzyna, Skałacka
AU - Rogowska, Aleksandra
AU - Schel, Sandra
AU - Peters, Yvonne
AU - van Loenen, Tessa
AU - Raben, Liselotte
AU - Beijer, Ulla
AU - Blid, Mats
AU - Bispo, Teresa
AU - Cruz, Tiago
AU - Pereira, Carla
AU - Auquier, Pascal
AU - Petit, Junie M.
AU - Loubière, Sandrine
AU - Tinland, Aurélie
N1 - Publisher Copyright:
© 2019 Society for Community Research and Action
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Across Europe, as governments turn to housing-led strategies in attempts to reverse rising rates of homelessness, increasing numbers of Housing First (HF) programs are being implemented. As HF programs become more widespread, it is important to understand how service users experience them compared to the more prevalent traditional treatment-first approach to addressing long-term homelessness. Although there is a large body of research on service users’ experiences of Housing First compared to treatment-first in North American contexts, comparatively less is known about how these two categories of homeless services are experienced in the European context. In a correlational and cross-sectional study, part of a larger examination of homelessness in Europe, participants (n = 520) engaged with either HF (n = 245) or traditional services (TS; n = 275) programs in seven countries completed measures of their experiences of services (consumer choice, housing quality, and service satisfaction) and recovery (time in independent housing, psychiatric symptoms, and community integration). Across the seven countries, participants engaged with HF programs reported experiencing more consumer choice, better perceived housing quality, and more satisfaction with services than participants engaged in TS programs. Participants in HF programs also reported a greater proportion of time in independent accommodation, fewer psychiatric symptoms, and more community integration. Varying patterns of association between experiences of services and recovery outcomes were observed. Findings indicate HF consistently predicts greater recovery than TS across diverse sociopolitical and economic contexts. Implications of findings for configurations of homeless services and homeless services policy are discussed.
AB - Across Europe, as governments turn to housing-led strategies in attempts to reverse rising rates of homelessness, increasing numbers of Housing First (HF) programs are being implemented. As HF programs become more widespread, it is important to understand how service users experience them compared to the more prevalent traditional treatment-first approach to addressing long-term homelessness. Although there is a large body of research on service users’ experiences of Housing First compared to treatment-first in North American contexts, comparatively less is known about how these two categories of homeless services are experienced in the European context. In a correlational and cross-sectional study, part of a larger examination of homelessness in Europe, participants (n = 520) engaged with either HF (n = 245) or traditional services (TS; n = 275) programs in seven countries completed measures of their experiences of services (consumer choice, housing quality, and service satisfaction) and recovery (time in independent housing, psychiatric symptoms, and community integration). Across the seven countries, participants engaged with HF programs reported experiencing more consumer choice, better perceived housing quality, and more satisfaction with services than participants engaged in TS programs. Participants in HF programs also reported a greater proportion of time in independent accommodation, fewer psychiatric symptoms, and more community integration. Varying patterns of association between experiences of services and recovery outcomes were observed. Findings indicate HF consistently predicts greater recovery than TS across diverse sociopolitical and economic contexts. Implications of findings for configurations of homeless services and homeless services policy are discussed.
KW - Choice
KW - Homelessness
KW - Housing First
KW - Housing quality
KW - Recovery
KW - Satisfaction
UR - http://www.scopus.com/inward/record.url?scp=85076322891&partnerID=8YFLogxK
U2 - 10.1002/ajcp.12404
DO - 10.1002/ajcp.12404
M3 - Article
C2 - 31793001
AN - SCOPUS:85076322891
SN - 0091-0562
VL - 65
SP - 353
EP - 368
JO - American Journal of Community Psychology
JF - American Journal of Community Psychology
IS - 3-4
ER -