2021/01/01 by James Lachaud, Cília Mejía-Lancheros, Cilia Mejia-Lancheros +4 · 4 citations
Health Professions · Economics, Econometrics and Finance · Social Sciences · #Homelessness and Social Issues #Housing, Finance, and Neoliberalism #Urban, Neighborhood, and Segregation Studies
paper · doi:10.1177/0002716220987220
We examine the long-term housing trajectories of 543 program participants at the Toronto site of the At Home/Chez-Soi project, a randomized controlled trial of a Housing First (HF) intervention for adults with mental disorders. The average follow-up period for our study was 5.5 years. We find that the HF approach, which includes housing subsidies and support services, was strongly associated with rapid transitions to sustained housing (70.4 percent of HF participants vs. 27.9 percent of treatment as usual participants). Mood disorders with psychotic features and primary psychotic disorders were negatively associated with the rapid and sustained housing trajectory, and alcohol use disorders were positively associated with a rapid then declining housing trajectory. We argue that to understand the long-term impacts of housing programs, research needs to better explore comprehensive and personalized care to support individuals with severe mental disorders.